Patient Access Specialist (Full Time)

Lake Charles Memorial Hospital • Lake Charles, LA

2d • Onsite

About The Position

Performs related processing duties for all patients being served by the hospital. As a member of the Radiation Oncology team the Patient Access Specialist is trained in performing a wide range of skilled administrative and clerical duties.

Requirements

• High school diploma or equivalent required.
• Knowledge and training in medical terminology, keyboarding, and computer skills required.
• Basic skills in Microsoft Office required.
• Broad range of administrative and technical skills in the context of the healthcare environment.
• Demonstrates critical thought process and can work independently.
• Works well with others.
• Documents detailed information in patient chart.
• Requires listening skills to maintain cooperative associations.

Nice To Haves

• Previous experience preferred in the areas of scheduling, EPIC preferred, insurance verification and authorization.
• Impacts activities in other work areas on a frequent basis and contributes in multiple work areas.
• Provides feedback to assist with decision making process.

Responsibilities

• Documents and forwards applicable information to facility or in office.
• Familiar with different insurance companies and their requirements in terms of precertification and authorization for surgery, testing, and procedures.
• Verifies patient information, demographics, and insurance coverage. Changes information into the Practice Management system if required.
• Checks in the patient in the Practice Management system.
• Makes confirmation calls to the patient 3 days prior to appointment, calling daily until patient or family member personally confirms.
• Scans and attaches all received paperwork into EMR system and attaches and sends appropriately.
• Runs and reconciles receipts following established protocol.
• Performs all checkout duties.
• Performs administrative duties such as scheduling, registration, insurance authorization, answering phone, scheduling testing, and referring patients as ordered by physician or mid-level provider.
• Performs and safely operates all equipment according to the manufacturers’ instructions and protocols.
• Answers phone with correct salutation and takes messages when appropriate.
• Greets each patient warmly and cheerfully.
• Familiar with CPT coding and Medical Necessity of testing.
• Ensures criteria are met prior to scheduling testing and/or procedures, including surgery.
• Knowledgeable about insurance processing and able to explain deductibles, co-insurance, co-payments, and how processing occurs.
• Updates and scans updated information and forms into appropriate Practice Management or EMR system.
• Generates a 'No Show' letter in the patient chart in the EMR system if a patient does not show for a scheduled appointment, mails the letter to the patient, and sends a message in the EMR to the physician of the no-show.
• Collects patient co-pay and prior balances, posting to account and giving receipt.
• Verifies insurance and notes it on the careslip.
• Notes Co-Pay/Balance Owed on the careslip.
• Calls patient back to obtain required information if not provided.
• Records all messages into electronic EMR after completing the request.
• Checks out the patient in the EMR system.
• Pulls all orders from the checkout function.
• Schedules all return appointments.
• Schedules all testing after obtaining precertification per physician checkout orders.
• Completes and sends medical records requests per physician orders.
• Completes all referrals through the EMR following correct protocol.
• Collects faxes and scans if testing, otherwise distributes into boxes if appropriate.
• Performs other job duties as assigned.

Benefits

• Opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees.
• Contributions are valued, growth is nurtured, and success is celebrated.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED