Patient Access Representative

Lake Charles Memorial Health; Lake Charles (LA); On-site; USD 32,000 - 52,000; Full time

Job summary

Lake Charles Memorial Health is seeking a Patient Access Representative to handle greeting, scheduling, insurance verification, and EMR data entry. The role includes collecting co-pays, checking in/out patients, and coordinating referrals and precertifications.

Ideal candidates will have a high school diploma and experience with medical terminology and Microsoft Office, with strong communication and customer service skills to support a welcoming patient experience.

Qualifications

• High school diploma or equivalent required.
• Knowledge and training in medical terminology, keyboarding, and computer skills preferred.
• Basic skills in Microsoft Office preferred.
• Previous scheduling experience preferred.
• Broad range of administrative and technical skills in healthcare environment.

Responsibilities

• Answers phone with correct salutation. Takes messages when appropriate.
• Documents all messages into electronic EMR.
• Greets each patient warmly and cheerfully.
• Verifies patient information, demographics and insurance coverage.
• Checks in the patient in the EMR.
• Updates and scans updated information and forms into EMR system.
• No-show letters generated for missed appointments in patient chart.
• Collects co-pay and prior balances, posts to account and provides receipts.
• Checks out the patient in the EMR and pulls orders from checkout function.
• Schedules testing after precertification per provider orders.
• Completes medical records requests and referrals through EMR.
• Reconciles receipts per established protocol.
• Verifies insurance.

Skills

Phone etiquette

Customer service

EMR navigation

Administrative duties

Attention to detail

Communication

Teamwork

Independent work

Policy adherence

Education

High school diploma

Medical terminology training

Typing / keyboarding

Microsoft Office

Tools

EMR system

Microsoft Office

Job description

• The patient access representative registers, schedules, 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 representative is trained in performing a wide range of skilled administrative and clerical duties. Reports to the Manager.

RESPONSIBILITIES AND DUTIES:

• Answers phone with correct salutation. Takes messages when appropriate.
• Documents all messages into electronic EMR.
• Greets each patient warmly and cheerfully.
• Verifies patient information, demographics and insurance coverage is correct. If changes are required, changes the information in the EMR.
• Checks in the patient in the EMR.
• Updates and scans updated information and forms into EMR system.
• In the event a patient does not show for scheduled appointment, a “No Show” letter must be generated in the patient chart in the EMR system.
• Scan and attach paperwork received into EMR system and attach and send appropriately.
• Collect faxes and scan into the EMR, if necessary, distribute appropriately.
• Collects patient co-pay and prior balances, posts to account and gives receipt.
• Checks out the patient in the EMR system. Pulls orders from checkout function.
• Schedules testing after obtaining precertification per provider checkout orders.
• Completes and sends medical records request per provider orders.
• Completes referrals through the EMR following correct protocol.
• Runs and reconciles receipts following established protocol.
• Verifies insurance.
• Complete the deposit slip and appropriate end of day reports to balance upfront collections.
• 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.
• 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.
• Demonstrates critical thought process and can work independently.
• Make decisions based on departmental policy.
• 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.