Patient Access Specialist- PRN

Career Opportunities with Lake Charles Memorial Hospital

A great place to work.

Careers At Lake Charles Memorial Hospital

Lake Charles Memorial Health System is committed to investing in the excellence of our employees by providing competitive compensation, professional growth, and exceptional benefits. We strive to foster an employee-focused culture. As a major teaching facility we offer learning and mentoring opportunities as well as programs to promote employee well-being.

We want the most qualified people to be part of our extraordinary team. Whether your objective is to find a career in nursing, information technology, management or clerical, Lake Charles Memorial Health System has the opportunities you are looking for. Memorial offers its employees medical, dental & vision insurance, flexible spending accounts, retirement options, paid time off, tuition assistance & much more to attract and retain employees.

Join us. Become part of our team. Take a look at our job openings and seeall of the inspiring possibilities that await you at Lake Charles Memorial Health System.

We place a high value on our employees. We attract talented people who thrive in a team environment, recognize the importance of accountability and strive to exceed our patient's expectations.

• 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.

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 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.
• 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.
• 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…