Patient Access Representative - Allergy Immunology

Your job is more than a job

Why a Great Place to Work: 

You’re more than your job. Everyone is. And that’s what makes you great at your job—all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we’ve built a culture that supports and celebrates the extraordinary. You’ll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary. 

GENERAL DUTIES

• Provides Assistance to Patients:
  - Greets patients, guests, and family members both on the phone or in person.
  - Schedules patients for services with appropriate providers at appropriate locations and desired times 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, and 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 the current system.
  - Ensures patient/guarantor signs all applicable documentation, such as consent and financial assistance loan application.
  - Scans ID, insurance cards, orders, authorization information, etc. to the 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 the insurance company within the 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 the 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 warmly and courteously 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/guardians 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

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