Patient Access Representative - Adult Midwife Clinic

Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Relies on established guidelines to accomplish tasks. Works under close supervision in the Adult Midwife Clinic.

Accurately and efficiently registers patients in Epic, monitors and manages patient flow through the clinic. Patients are courteously welcomed, greeted, advised of collection and billing procedures, and assisted with questions or concerns. Monitors patient schedules and reviews accounts to determine financial responsibility, arranging payment plans as needed.

Works closely with physicians, nurse practitioners and nursing staff to ensure referrals are completed per payor requirements in a timely manner. Assists patients with access to government and community resources, MyChart, and informs of rights and Advance Directives upon request. Accurately updates patient records and enters charges as necessary.

Researches claim edits, denials, and billing discrepancies within 2 days of notification. Verifies and collects patient payments 100% of the time, reconciles daily cash fund, and meets site collection goals. Processes charges daily and maintains general knowledge of health plans including co-pays, deductibles, and co-insurance.