Your job is more than a job

The Patient Access Representative will initiate authorization and benefits for patients. They will obtain and verify accurate identification and demographical data for the patient's permanent medical record which assists in accurate reimbursement while recognizing the necessity of maintaining the confidentiality of all patient information. The Patient Access Representative is responsible for obtaining authorization and benefits and interact with the patients via telephone, and/or using the interpretative service when needed. The Patient Access Representative improves patient satisfaction through consistently representing LCMC professionally and cross-training to support multiple functions across all patient and payer types. They will interact with patients, doctors, pharmacies, nurses, and other clinic or hospital personnel both internal and external. The Patient Access Representative demonstrates actions consistent with LCMC's "Expectations" as duties are performed on a daily basis.

Your Everyday 

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 necessaryPerforms 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 goalsProvides 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

 

The Must-Haves 
 
Minimum: 

EXPERIENCE QUALIFICATIONS

2 years of experience Customer Service/ Healthcare (CHNOLA / LCMC / NOEH / Touro)

EDUCATION QUALIFICATIONS

Preferred: Associate's Degree (CHNOLA / LCMC / NOEH)Required: High School Diploma / GED or equivalent (CHNOLA / LCMC / NOEH)

LICENSES AND CERTIFICATIONS

Certification Name: Certified Medical AssistantIssuer: American Association of Medical AssistantsLicensure Speciality: CertificationEntity: CHNOLA /LCMC / Touro

Certification Name: Basic Life Support HeartSaver & First AidRequiredIssuer: American Heart AssociationLicensure Speciality: Training CertificationEntity: Touro

Certification Name: Certified Healthcare Access ManagerIssuer: National Association of Healthcare Access Management (NAHAM)Licensure Speciality: CertificationEntity: CHNOLA /LCMC / Touro

Certification Name: Certified Healthcare Access AssociateIssuer: National Association of Healthcare Access Management (NAHAM)Licensure Speciality: CertificationEntity: CHNOLA /LCMC / Touro

SKILLS AND ABILITIES

Good customer service, interpersonal, and conflict resolution skillsExcellent 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. Ability to speak fluent Spanish, Vietnamese, and/or French is desired.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.Excellent analytical skills with very strong attention to detail.Proficiency in personal computers and associated software applications (Excel, Word, email functions).Experience accomplishing responsibilities with little supervision and maintaining confidentiality.Must be capable of prolonged sitting and computer useMust be able to bend, stoop, and reach from 1-7 feet when retrieving reports or files.Must be capable of occasionally standing, walking, pushing/pulling objects without rollers/wheels, squatting, and moving objects weighing up to 10 lbsMust be capable of frequent twisting/turning from waist, handling (holding, grasping, working with hands), and fingering (pinching, picking, working with fingers)Must have fine motor skills and manual dexterity necessary to operate computer terminal, calculator, photocopier and fax machines.Must have corrected vision at 20 inches or less and be able to endure visual strain for 80 - 90% of workday when reviewing computer reports, hand-written documentation or working at computer terminal.Must be able to communicate in both quiet and noisy surroundingsCompletes the patient scheduling, clinic registration, or hospital admissions processEnsures all required forms are completed and other paperwork / documents are gathered and accurate.Performs financial analysis of each case and informs patient of financial responsibilityProvides excellent customer service to all patients, guests and family membersBalances cash drawer daily and prepares cash log at the end of the shift when applicableProperly assigns patients to bed/unit and performs Admit Discharge Transfer (ADT) functions as needed to keep patient flow moving throughout the organization.

WORK SHIFT:

Days (United States of America)

LCMC Health is a community. 

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion.  Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do

You are welcome here. 

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities.  LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

 

Simple things make the difference. 

1.    To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 

2.    To ensure quality care and service, we may use information on your application to verify your previous employment and background.  

3.    To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 

4.    To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.