Patient Access Specialist

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. 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 (i.e. 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 and/or 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-Pay/Balance 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, it's the care we provide our patients and it's 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 #J-18808-Ljbffr