Job Location : Lake Charles,LA, USA
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.