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, 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