Patient Access Representative, SOLA Pediatrics Clinic

Responsibilities

• Patient Service: Courteously advises patients of collection and billing procedures and ensures they understand their responsibilities, with less than 5 complaints annually.
• Customer Service: Welcomes and greets patients courteously, answers questions and concerns appropriately, and informs patients of their rights and advance directives.
• Data Management: Accurately obtains and edits patient information in the clinic’s computer system, ensuring all records are up-to-date.
• Registration: Registers patients in Epic, manages patient flow, and arranges payment plans for outstanding balances.
• Referrals: Facilitates referrals to other providers/services/facilities in compliance with payor requirements.
• Documentation: Documents patient referrals accurately and processes patient appointments and rescheduling effectively.
• Clerical Duties: Completes various clerical tasks efficiently, such as answering phone calls, retrieving medical records, and typing memos.
• File Management: Accurately files patient charts and retrieves information quickly.
• Billing: Researches and resolves claim edits and denials within 2 days, maintains accurate records, and verifies and collects patient payments.
• Account Management: Verifies account balances, collects outstanding payments, and reconciles daily cash funds.
• Knowledge: Maintains a general knowledge of health plans and demonstrates proficiency in Epic during the introductory period.
• Support: Acts as a backup for others in the clinic and supports clinic, hospital, and health system initiatives.

Qualifications

• Experience: 6 months in a customer service/front desk role or a graduate of a front office/medical office program. A bachelor's degree may substitute for experience.
• Education: High School Diploma or Equivalent.
• Skills: Professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, and proficiency in Epic.