Patient Access Representative - PRN | Nights & Weekends

Lake Charles Memorial HospitalLake Charles, LA
Onsite

About The Position

Greets all customers in a professional and friendly manner, ensuring a welcoming and compassionate demeanor. The role involves quickly identifying the reason for the visit and directing patients to the correct area. A key responsibility is ensuring timely patient registration, ideally not exceeding 15 minutes, to maintain patient flow and avoid impacting clinical schedules. The position requires collecting and accurately coding updated demographic and insurance information, including contact details, emergency contacts, mailing addresses, email addresses, marital status, insurance payer, policy and group numbers, insurance subscriber, physician, and occurrence codes. The representative will also be responsible for completing patient estimates using EPIC RTE, demonstrating knowledge of CPT and procedure codes, and understanding insurance processing, including deductibles, co-insurance, and co-payments. Utilizing Clearance for applicable patients (excluding those with Medicaid, Medicare and a secondary insurance, or those qualifying for full financial assistance) and striving to meet cash collection goals are also essential. The role involves obtaining all necessary signatures (using e-signatures), providing important Medicare notices and completing the MSP questionnaire for Medicare patients, and answering patient questions accurately. Obtaining copies of photo IDs and insurance cards, scanning documents clearly to accounts, and verifying insurance coverage and benefits, initiating authorizations when necessary, are also part of the duties. The representative must be knowledgeable about the LCMH Financial Assistance program, able to explain it clearly, and offer assistance to those who may need it, providing applications and detailing required information. Attentiveness to customer needs, providing clear directions, and escorting patients when necessary are important. Direct admissions must be immediately reported to the House Supervisor or Transfer Service. The role includes discussing MyChart, explaining its advantages, and encouraging patients to provide their email addresses. Assisting with patient flow and clearing backlogs in assigned areas without prompting are also expected. The above are representative duties and may be expanded upon.

Requirements

  • High school graduate or GED.
  • At least one year of experience working in healthcare related field, preferably finance.
  • Adequate keyboard skills (40 words per minute typing rate).
  • Basic computer skills.
  • Strong organizational and communication skills, including ability to discuss medical issues.
  • Negotiation skills including assertiveness and being proactive.
  • Ability to read, write and speak intelligible English.
  • Ability to communicate with patients, family, peers and medical personnel.
  • Basic math skills and appropriate phone etiquette.
  • Requires emotional stability and resilience.
  • Must be adaptable to change, be decisive, and demonstrates foresight.
  • Exhibits organizational and leadership ability.

Responsibilities

  • Greet all customers in a professional and friendly manner.
  • Quickly ascertain the reason for the visit and ensure the patient is in the correct area.
  • Ensure patients receive a timely registration, typically not exceeding 15 minutes.
  • Collect updated demographic information and accurately code information on all patients.
  • Complete patient estimates using EPIC RTE.
  • Be knowledgeable of CPT and procedure codes and able to accurately complete estimates.
  • Be knowledgeable about insurance processing and able to explain deductibles, co-insurance, co-payments and how processing occurs.
  • Use Clearance on all applicable patients and only exclude those that have Medicaid, Medicare and a secondary insurance, and those patients who qualify for full coverage under financial assistance.
  • Strive to meet cash collection goals.
  • Obtain all signatures, using e-signatures, paying special attention to Medicare patients and the additional forms required.
  • Provide a copy of the important Medicare notice to all Medicare patients.
  • Complete MSP on all Medicare patients while also informing patient of questionnaire and the reasoning behind it.
  • Answer all appropriate questions and ensure accurate information is entered.
  • Obtain a copy of the patient�s photo ID and insurance card (if applicable and available).
  • Scan documents to accounts ensuring documents are clear when saved.
  • Notify the insurance representative for insurance verification of coverage and benefits on appropriate accounts as well as initiating an authorization when necessary.
  • Be knowledgeable of the LCMH Financial Assistance program and be well versed and able to give a clear definition of the program to all customers.
  • Recognize when someone may need assistance and offer assistance without hesitation.
  • Provide application and provide details as to what information will be needed to process a complete application.
  • Be attentive at all times and can identify when help is needed and is able to give clear directions to all customers.
  • If customer cannot understand employee escort the patient to the appropriate area.
  • Immediately notify House Supervisor or the Transfer Service of all direct admissions at the time of arrival.
  • Knowledgeably discuss MyChart and explain the advantages of the system encouraging them to provide their email address.
  • Assist without prompting of patient flow in their assigned area, quickly analyze the area and clear up any back log.

Benefits

  • Great Place to Work certification
  • Organizational culture that supports exceptional patient care
  • Organizational culture that supports well-being and professional growth of employees
  • Opportunity to be part of a team where contributions are valued
  • Opportunity to be part of a team where growth is nurtured
  • Opportunity to be part of a team where success is celebrated
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