Patient Access Representative - Allergy Immunology

General Duties

• Greets patients, guests, and family members both on the phone or in person.
• Schedules patients for services with appropriate providers at appropriate locations and desired times 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, and 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.
• Affords assistance to 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.
• Completes the patient registration and admissions process and ensures all required forms are completed and other paperwork/documents are gathered and accurate:
• Requests and documents patient demographic, insurance, guarantor, MSP, and PCP/Referring Physician information and validates against the current system.
• Ensures patient/guarantor signs all applicable documentation, such as consent and financial assistance loan application.
• Scans ID, insurance cards, orders, authorization information, etc. to the 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 the insurance company within the 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.
• Performs financial analysis of each case and informs the patient of financial responsibility: 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.
• Provides excellent customer service to all patients, guests, and family members: Promotes a customer-centered experience by performing all functions warmly and courteously 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/guardians about available options for services.

Experience Qualifications

• 2 Years of Experience in Customer Service/ Healthcare.

Education Qualifications

• High School Diploma/GED or Equivalent
• Or 2 Years of applicable experience in lieu of education

Work Shift

Days (United States of America)

LCMC Health

LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary Your extras Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.