Patient Access Specialist- PRN

Lake Charles Memorial Hospital-posted 3 months ago
Entry Level
Lake Charles, LA
1,001-5,000 employees
Hospitals
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The patient access specialist performs administrative duties including, but not limited to: referrals, maintain provider schedules, prior authorizations for procedures/tests/medications, schedule outside procedures/testing, and performs related processing duties for all patients being served by respective clinic. Duties are performed in the EMR system as appropriate. The patient access specialist is trained in performing a wide range of skilled administrative and clerical duties.

  • Knowledge of CPT coding and Medical Necessity of testing. Ensures criteria met prior to scheduling testing and/or procedures, including surgery.
  • Greets each patient warmly and cheerfully.
  • Knowledgeable about insurance processing and able to explain deductibles, co-insurance, co-payments, and how processing occurs.
  • Handles incoming referrals.
  • Answers phone with correct salutation. Takes messages when appropriate.
  • Records all messages into electronic EMR.
  • Verifies patient information, demographics and insurance coverage is correct. If changes are required, changes the information in the EMR.
  • Updates and scans updated information and forms into appropriate EMR system.
  • Scan and attach all paperwork received into EMR system and attach and send appropriately.
  • Schedules all testing after obtaining precertification per physician checkout orders.
  • Completes and sends medical records request per physician orders.
  • Completes all referrals through the EMR following correct protocol.
  • Verification of insurance should be performed when necessary.
  • Performs other job duties as assigned.
  • High school diploma or equivalent required.
  • Knowledge and training in medical terminology, keyboarding, and computer skills preferred.
  • Basic skills in Microsoft Office preferred.
  • Previous experience preferred in the areas of scheduling.
  • Computer literacy, required.
  • Broad range of administrative and technical skills in the context of the healthcare environment.
  • Impacts activities in other work areas on a frequent basis and contributes in multiple work areas.
  • Make decisions based on departmental policy.
  • Demonstrates critical thought process and can work independently.
  • Provides feedback to assist with decision making process.
  • Works well with others.
  • Documents detailed information in patient chart.
  • Requires listening skills to maintain cooperative associations.
  • Opportunity to be a part of an organizational culture that supports exceptional patient care.
  • Commitment to the well-being and professional growth of employees.
  • Recognition as a nationally certified Great Place to Work.
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