Patient Access Representative- Metairie Ridgelake Specialty Pediatrics

LCMC Health•New Orleans, LA

3d•Onsite

About The Position

This role is more than just a job; it's an opportunity to lean into your calling and make an authentic impact. At LCMC Health, we provide the resources you need to thrive and grow, recognizing that support looks different for everyone. We are committed to inclusion and offer diverse benefits to match our unique workforce. We don't just serve the New Orleans community; we are at its heart, bringing a culture of wellness through community health services and accessible medical innovations. When you know you're making a difference, you give a little extra every day, and that's what makes you a perfect fit for LCMC Health, where giving a little something extra is at the core of everything we do.

Requirements

2 Years of Experience in Customer Service/ Healthcare.
High School Diploma/GED or Equivalent Or 2 Years of applicable experience in lieu of education.

Responsibilities

Greets patients, guests, and family members via phone or in person.
Schedules patients for services with the appropriate provider, location, and desired time, ensuring accuracy and timeliness.
Analyzes current patient information to prevent duplicate records.
Creates accounts for all patients, including walk-ins, non-scheduled, and emergency services, following registration policy.
Registers patients by entering accurate demographic, financial class, and insurance information, and corrects errors immediately.
Activates scheduled patient accounts according to registration policy.
Initiates bed placement, reservation, transfer, and/or discharge based on clinical provider or case management requests.
Assists patients with understanding financial obligations, setting up payment arrangements, completing financial assistance applications, coordinating care, securing grants/resources, and making appropriate referrals.
Completes the patient registration and admissions process, ensuring all required forms and paperwork are accurate.
Requests and documents patient demographic, insurance, guarantor, MSP, and PCP/Referring Physician information, validating it against the system.
Ensures patients/guarantors sign all applicable documentation, such as consents and financial assistance loan applications.
Scans IDs, insurance cards, orders, and authorization information to the patient's account after validation.
Performs insurance verification, including automated eligibility checks at point-of-service and timely notification of admission to insurance companies.
Contacts case management and/or providers to assist with appropriate department placement for clinical services.
Analyzes physician's orders for proper bed placement functions per policy.
Performs financial analysis of each case and informs patients of their financial responsibility.
Informs patients/guarantors of liability due, including prior balances and estimates for scheduled services.
Attempts to collect payments.
Refers patients to financial counseling as needed.
Maximizes point-of-service collections to meet established registration collection goals.
Promotes a customer-centered experience by performing all functions in a warm and courteous manner.
Answers incoming calls and transfers them to the appropriate areas.
Provides directions to applicable areas within the organization.
Schedules and reschedules appointments, identifying open slots and educating patients/guardians about service options.