Patient Access Specialist (Full Time)

Description Of Position

The patient access specialist performs administrative duties including, but not limited to: referrals, maintaining provider schedules, prior authorizations for procedures/tests/medications, scheduling outside procedures/testing, and performing related processing duties for all patients being served by respective clinic. Duties are performed in the EMR system as appropriate.

Responsibilities

• 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.
• Takes 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.
• 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.

Requirements

• A 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.
• Makes 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.

Qualifications

• Must be able to respond quickly and effectively to emergency and non-emergent situations.
• Must be able to assist in controlling disorderly conduct or combative patients.
• Must be able to exchange accurate information with patient, family, peers and medical personnel.

Skills

• Computer literacy.
• Broad range of administrative and technical skills in the context of the healthcare environment.

Benefits

• As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the 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.
• Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

Pay

Negotiable based on experience and qualifications.

Schedule

Full-time position.

Company Information

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and it’s the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the 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. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.