Patient Access Representative

LCMC Health•New Orleans, LA

20d•Onsite

About The Position

Responsible for submitting, tracking, and following up on authorization requests across various service lines. Ensures required documentation and information are complete and accurate, coordinates with clinical and administrative teams as needed, monitors authorization status, and addresses any issues or delays to support timely access to services.

Requirements

2 Years of Experience in Customer Service/ Healthcare.
Excellent customer service, interpersonal, and conflict resolution skills.
Excellent oral and written communication skills; ability to work collaboratively with other departments and functional areas and effectively gather and disseminate information to a diverse range of people
Basic prioritization, time management, and organizational skills; ability to handle several tasks and interruptions in a positive manner
Excellent decision-making skills; sound judgment in handling/escalating difficult situations
Good analytical skills with a strong attention to detail
Proficiency in computers
Near Vision - Accurate 20/40
Far Vision - Accurate 20/40
Hearing - Accurate

Responsibilities

Greets patients, guests and family members both on phone or in person.
Schedules patients for services with appropriate provider at appropriate locations and desired time when possible, ensuring accuracy and timeliness.
Analyzes current patient information to determine if an account already exists so as not to duplicate records.
Creates an account for all patients who present for services, including walk-in, non-scheduled, and emergency services according to the registration policy.
Registers patients by entering accurate demographic, financial class, insurance information; makes revisions to systems immediately as errors are recognized.
Activates scheduled accounts that have been set-up for the patient according to the registration policy.
Initiates bed placement, reservation, transfer, and/or discharge based on requests from clinical providers, case management, etc.
Assists patients with understanding their financial obligations, setting up payment arrangements, completing financial assistance applications, coordinating care with the providers, securing grants/resources with external sources (Drug Therapy Reimbursement) and when necessary, makes appropriate referrals to Parish Medicaid, Medicaid, or Emergency Medicaid.
Requests and documents patient demographic, insurance, guarantor, MSP, and PCP/Referring Physician information and validates against current system.
Ensures patient/guarantor sign all applicable documentation, such as consents and financial assistance loan application.
Scans ID, insurance cards, orders, authorization information, etc. to patient’s account once the information is validated for accuracy.
Performs insurance verification tasks, including running automated eligibility response at point-of-service to ensure active coverage and completing notification of admission with insurance company within established timeframe.
Contacts case management and/or provider to assist with appropriate department placement for clinical services.
Analyzes physician’s order for proper bed placement functions per policy when necessary.
Informs patient/guarantor of liability due, including prior balances and estimates for scheduled service.
Attempts to collect payment.
Refers to financial counseling as needed.
Maximizes point-of-service collection, meeting established registration collection goals.
Promotes a customer centered experience by performing all functions in a warm and courteous manner to patients, family members, providers, and all visitors of the organization.
Answers incoming calls and transfers calls to appropriate areas of department/clinic/hospital.
Provides directions to applicable areas of interest, such as the department where service will be provided, financial counselor, cafeteria, waiting rooms, restrooms, and parking area.
Schedules and reschedules appointments for patients as needed, identifying open time slots and educating patient/guardian about available options for services.