Patient Access Specialist (Full Time) - Lake Charles Memorial Hospital : Job Details

Memorial Medical Group Patient Access Specialist

DESCRIPTION OF POSITION:

* 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.

SUPERVISION: Reports directly to Practice Manager

RESPONSIBILITIES AND 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.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

EDUCATION AND WORK EXPERIENCE

* 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.

Physical Demands/Work Environment

* Work requires a variety of physical activities, including moving about within and outside of all hospital properties for long periods of time.

* Must be able to respond quickly and effectively to emergency and non-emergent situations.

* May be required to assist in controlling disorderly conduct or combative patients.

* Must be able to exchange accurate information with patient, family, peers and medical personnel.

* Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Experience Memorial is more than a slogan, its the care we provide our patients and its 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.