Patient Access Specialist

Lake Charles Memorial Hospital; Lake Charles (LA); On-site; USD 19,000 - 28,000; Full time

Job summary

Lake Charles Memorial Hospital is seeking a Patient Access Specialist to perform administrative duties across referrals, scheduling, prior authorizations, and medical records processing in the EMR system. This role requires attention to detail and courteous patient interaction in a busy healthcare environment.

You will verify patient demographics and insurance coverage, greet patients, handle referrals, process messages, and coordinate with clinics to ensure accurate information and timely

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.
• Computer literacy required.

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
• 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

Skills

Medical terminology

Keyboarding

Computer skills

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

DESCRIPTION OF POSITION

The patient access specialist performs administrative duties including but not limited to referrals maintain provider schedules prior authorizations for procedurestestsmedications schedule outside procedurestesting 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 andor 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 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 patientsMust be able to exchange accurate information with patient family peers and medical personnelReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

EXPERIENCE

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 Working at Lake Charles Memorial Health System Great Place To Work