Patient Access Specialist - Clinic (Full Time) - #1693934

Lake Charles Memorial Health System


Date: 2 weeks ago
City: Lake Charles, LA
Contract type: Full time
Description Of Position

  • The patient access specialist performs administrative duties including, but not limited to: referrals, maintain provider schedules, prior authorizations for procedures/tests/medications, schedule outside procedures/testing, 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. Reports to the Manager.

Responsibilities And Duties

  • 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.

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 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.
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