Patient Access Specialist

LCMC Health•New Orleans, LA

7d•Onsite

About The Position

This role is more than just a job; it's an opportunity to make a difference in healthcare. The Patient Access Specialist is responsible for completing the scheduling, registration, messaging, and/or admissions process for patients. This includes greeting patients and visitors, scheduling appointments, creating and updating patient accounts with accurate demographic and financial information, and ensuring all required forms are completed and accurate. The specialist will also perform insurance verification, communicate with insurance companies, and update the Electronic Medical Record. Additionally, they will analyze patient finances, inform patients of their financial responsibilities, collect payments, and provide information on financial assistance programs. A key aspect of this role is providing excellent customer service to all patients, guests, family members, and internal/external team members. The specialist will also be responsible for balancing the cash drawer daily and preparing cash reconciliation at the end of their shift.

Requirements

High School Diploma/ GED or appropriate work experience

Responsibilities

Completes the scheduling function, registration, messaging, and/or admissions process.
Greets patients, guests and family members.
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 call for services or 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.
Resolves work queue errors in an accurate and timely fashion.
Ensures all required forms are completed and other paperwork/documents are gathered and accurate.
Requests and documents patient demographic, insurance, guarantor, Medicare Secondary Payor, and Primary Care Physician/Referring Physician information and validates against current system.
Ensures patient/guarantor sign all applicable documentation, such as consents and financial assistance application.
Scans ID’s, 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.
Completes messages for providers as needed using the In-Basket messaging system, ensures that all information contained in the message is accurate.
Updates Electronic Medical Record with documentation to communicate any information related to the status of a patient account.
Performs financial analysis of each case and informs patient of financial responsibility.
Identifies patient copayment and remind patient of collection process at time of visit. When applicable, will inform patient/guarantor of liability due, including prior balances and estimates for scheduled service.
Attempts to collect payment at point of service for both copayments and residual payments.
Provides patient information on LCMC’s financial assistance programs and/or refers patients to financial counselors as needed.
Maximizes point-of-service collection, meeting established registration collection goals.
Provide excellent customer service to all patients, guests and family members and internal and external team members/customers.
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 warm transfers calls to appropriate areas of department/clinic/hospital.
Provides directions to applicable areas of interest whether over of the phone or in-person.
Schedules and reschedules appointment for patients as needed.
Balances cash drawer daily and prepares cash long at the end of the shift when applicable.
Balances cash drawer daily and accounts for shortages/overages/account posting errors.
Makes debit/credit adjustments as necessary; forwards necessary backup documents to lead and/or general accounting for review.
Makes department copies and reports unreconciled monies/deposits supervisor.
Follows facility cash drawer policy as applicable.
Completes and meets all job related facility specific of LCMC requirements.