Patient Access Representative

Job Opportunity At Lcmc Health

Your job is more than a job. At Lcmc Health we help you to lean into your calling by leaning in with you, ensuring you have the resources to do your job as only you can. And that begins with receiving the support you need to thrive and grow, which looks different for each person. Living out our commitment to inclusion requires providing benefits that are as diverse and unique as our workforce. Because we don't just serve the New Orleans communitywe're at the beating heart of it. Whether by offering community health services or making medical innovations more accessible, Lcmc Health is bringing a culture of wellness to the communities that matter to you. When you know you're making an authentic impact, you give a little extra to every dayas a person, with your team, in your communityand that's one of the reasons why you'll be a perfect fit at Lcmc Health, where giving a little something extra is at the heart of everything we do.

Responsible for submitting, tracking, and following up on authorization requests across various service lines. Ensures required documentation and information are complete and accurate, coordinates with clinical and administrative teams as needed, monitors authorization status, and addresses any issues or delays to support timely access to services.

General Duties

• Provides Assistance to Patients: - Greets patients, guests and family members both on phone or in person. - Schedules patients for services with appropriate provider at appropriate locations and desired time when possible, ensuring accuracy and timeliness. - Analyzes current patient information to determine if an account already exists so as not to duplicate records. - Creates an account for all patients who present for services, including walk-in, non-scheduled, and emergency services according to the registration policy. - Registers patients by entering accurate demographic, financial class, insurance information; makes revisions to systems immediately as errors are recognized. - Activates scheduled accounts that have been set-up for the patient according to the registration policy. - Initiates bed placement, reservation, transfer, and/or discharge based on requests from clinical providers, case management, etc. - Assists patients with understanding their financial obligations, setting up payment arrangements, completing financial assistance applications, coordinating care with the providers, securing grants/resources with external sources (Drug Therapy Reimbursement) and when necessary, makes appropriate referrals to Parish Medicaid, Medicaid, or Emergency Medicaid.
• Completes the patient registration and admissions process and ensures all required forms are completed and other paperwork / documents are gathered and accurate: - Requests and documents patient demographic, insurance, guarantor, MSP, and PCP/Referring Physician information and validates against current system. - Ensures patient/guarantor sign all applicable documentation, such as consents and financial assistance loan application. - Scans ID, insurance cards, orders, authorization information, etc. to patient's account once the information is validated for accuracy. - Performs insurance verification tasks, including running automated eligibility response at point-of-service to ensure active coverage and completing notification of admission with insurance company within established timeframe. - Contacts case management and/or provider to assist with appropriate department placement for clinical services. - Analyzes physician's order for proper bed placement functions per policy when necessary.
• Performs financial analysis of each case and informs patient of financial responsibility: - Informs patient/guarantor of liability due, including prior balances and estimates for scheduled service. - Attempts to collect payment. - Refers to financial counseling as needed. - Maximizes point-of-service collection, meeting established registration collection goals.
• Provides excellent customer service to all patients, guests and family members: - Promotes a customer centered experience by performing all functions in a warm and courteous manner to patients, family members, providers, and all visitors of the organization. - Answers incoming calls and transfers calls to appropriate areas of department/clinic/hospital. - Provides directions to applicable areas of interest, such as the department where service will be provided, financial counselor, cafeteria, waiting rooms, restrooms, and parking area. - Schedules and reschedules appointments for patients as needed, identifying open time slots and educating patient/guardian about available options for services.

Experience Qualifications

• 2 Years of Experience in Customer Service/ Healthcare.

Education Qualifications

• High School Diploma/GED or Equivalent Or 2 Years of Applicable Experience in Lieu of Education

Skills & Abilities:

Minimum Required:

• Excellent customer service, interpersonal, and conflict resolution skills.
• Excellent oral and written communication skills; ability to work collaboratively with other departments and functional areas and effectively gather and disseminate information to a diverse range of people
• Basic prioritization, time management, and organizational skills; ability to handle several tasks and interruptions in a positive manner
• Excellent decision-making skills; sound judgment in handling/escalating difficult situations
• Good analytical skills with a strong attention to detail
• Proficiency in computers

Reporting Relationships

• Does this position formally supervise employees? No

Functional Demands

• Light: Light physical requirements- Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.

Physical Demands

• Sitting - Continuous (67-100% of day)
• Standing - Frequent (36-66% of day)
• Walking - Frequent (36-66% of day)
• Climbing (e.g., stairs or ladders) - Occasional (0-35% of day)
• Lifting Floor to waist level: 0-10lbs - Occasional (0-35% of day)
• Lifting Floor to waist level: 10-20lbs - Occasional (0-35% of day)
• Lifting Floor to waist level: 20-50lbs - Occasional (0-35% of day)
• Lifting Floor to waist level: 50-100lbs - Occasional (0-35% of day)
• Lifting Floor to waist level: 100+lbs - Occasional (0-35% of day)
• Lifting Waist level and above: 0-10lbs - Occasional (0-35% of day)
• Lifting Waist level and above: 10-20lbs - Occasional (0-35% of day)
• Lifting Waist level and above: 20-50lbs - Occasional (0-35% of day)
• Lifting Waist level and above: 50-100lbs - Occasional (0-35% of day)
• Lifting Waist level and above: 100+lbs - Occasional (0-35% of day)
• Carrying objects - Frequent (36-66% of day)
• Push/pull - Occasional (0-35% of day)
• Twisting - Occasional (0-35% of day)
• Bending - Occasional (0-35% of day)
• Reaching forward - Frequent (36-66% of day)
• Reaching overhead - Occasional (0-35% of day)
• Squat/kneel/crawl - Occasional (0-35% of day)
• Wrist position deviation - Frequent (36-66% of day)
• Pinching/fine motor activities - Continuous (67-100% of day)
• Keyboard use/repetitive motion - Continuous (67-100% of day)
• Talk or hear - Continuous (67-100% of day