Patient Access Specialist (Full Time)

Lake Charles Memorial Hospital; United States; On-site; USD 42,000 - 56,000; Full time

Job summary

Lake Charles Memorial Hospital is seeking a Patient Access Specialist to support the Radiation Oncology team. You will perform a wide range of skilled administrative duties, from patient check-in to insurance verification and documentation in EMR.

Responsibilities include scheduling, precertification, CPT coding awareness, and coordinating with physicians. A high school diploma and basic computer skills are required, with EPIC and Microsoft Office proficiency preferred.

Qualifications

• High school diploma or equivalent required.
• Knowledge of medical terminology and basic computer skills.
• Experience with scheduling, EPIC, and insurance verification preferred.
• Broad range of administrative and technical skills in healthcare.

Responsibilities

• Process patient information in the Practice Management and EMR systems.
• Verify demographics and insurance coverage; update records as needed.
• Obtain precertification and authorization for procedures.
• Check in/out patients and schedule tests per physician orders.
• Conduct pre-appointment confirmations and patient communications.
• Collect copays and post balances; issue receipts and document in EMR.
• Maintain CPT coding and awareness of medical necessity for testing.
• Assist with referrals and requests for medical records.

Skills

Medical terminology

Keyboarding

Computer skills

Microsoft Office

EPIC

Scheduling

Insurance verification

Education

High school diploma or equivalent

Tools

EPIC

Microsoft Office

Job description

DESCRIPTION OF POSITION

Performs related processing duties for all patients being served by the hospital As a member of the Radiation Oncology team the Patient Access Specialist is trained in performing a wide range of skilled administrative and clerical duties

SUPERVISION

Reports directly to the Director of Radiation Oncology

RESPONSIBILITIES AND DUTIES

• Employee documents and forwards applicable information to facility or in office
• Employee familiar with different insurance companies and their requirements in terms of precertification and authorization for surgery testing and procedures
• Verifies patient information is correct demographics and insurance coverage
• If changes are required changes the information into the Practice Management system
• Checks in the patient in the Practice Management system
• 3 days prior to appointment confirmation calls should be made to the patient
• Patient should be called daily until patient or family member personally confirms
• Scan and attach all paperwork received into EMR system and attach and send appropriately
• Runs and reconciles receipts following established protocol
• Scan and attach all paperwork received into EMR system and attach and send appropriately
• Is trained to perform all checkout duties
• Performs other job duties as assigned
• Able to perform administrative duties ie scheduling registration insurance authorization answering phone schedule testing refer patients as ordered by physician or mid level provider etc
• Performs and safely operates all equipment according to the manufacturers instructions and protocols
• Answers phone with correct salutation
• Takes messages when appropriate
• Greets each patient warmly and cheerfully
• Employee is familiar with CPT coding and Medical Necessity of testing
• Employee ensures criteria met prior to scheduling testing andor procedures including surgery
• Employee is knowledgeable about insurance processing and is able to explain deductibles co insurance co payments and how processing occurs
• Updates and scans updated information and forms into appropriate Practice Management or 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
• Letter should be mailed to patient
• Message in the EMR should be sent to the physician of the no show
• Collects patient co pay and prior balances posting to account and giving receipt
• Verification of insurance should be performed and noted on the careslip
• Co PayBalance Owed noted on the careslip
• If patient does not leave required information patient access specialist must call patient back in order to obtain
• Records all messages into electronic EMR after completing request
• Checks out the patient in the EMR system
• Pulls all orders from checkout function
• Schedules all return appointments
• 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
• Collect faxes and scan if testing
• Other than testing distribute into boxes if appropriate
• 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 required
• Basic skills in Microsoft Office required
• Previous experience preferred in the areas of scheduling EPIC preferred insurance verification and authorization
• 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
• 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 Working at Lake Charles Memorial Health System Great Place To Work