Patient Access Representative (Financial Clearance / Authorization) - LCMC Health Westpark Campuspus

Patient Access Representative

Your job is more than a job. As a Patient Access Representative, you provide a vital administrative role and are often the first point of contact. It's integral to every patient we serve at LCMC Health. Accuracy and confidentiality are key responsibilities as the information you gather is utilized for ongoing communications, electronic medical records, scheduling, billing and reimbursement and part of your patient's permanent medical records.

You present a polished and professional attitude as you interact with patients, doctors, pharmacies, nurses, and other clinic or hospital personnel. With an empathetic approach, you simplify and walk patients through what may seem to be a complex process when they are in vulnerable or stressful healthcare situations. No problem, you say, because you're focused on building your future in an environment committed to growth and a culture committed to personal well-being. Can we get a high five on that?

Your experiences, knowledge, skills, empathy, team mentality, and your "little something extra" all add up to you. And we're excited to get to know you and find out what you'll bring to this patient access role.

Your Everyday

Greet patients, guests and family members both on phone or in person, and schedule patients for services with appropriate provider, location and time.

Analyze current patient information to determine or create an account for all patients who present for services, including walk-in, non-scheduled, and emergency services or activate scheduled accounts that have already been set up.

Register patients by entering accurate demographic, financial class, insurance information and revise errors.

Initiate bed placement, reservation, transfer, and / or discharge based on requests from clinical providers, case management, etc.

Assist 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.

Complete registration and admissions process and ensure all required forms are completed and other paperwork / documents are gathered and accurate.

Request and document patient demographic, insurance, guarantor, MSP, and PCP / Referring Physician information, validate against current system, and ensure patient / guarantor sign all applicable documentation, such as consents and financial assistance loan application.

Scan ID, insurance cards, orders, authorization information, etc. to patient's account once the information is validated for accuracy.

Perform insurance verification by running automated eligibility response at point-of-service to ensure active coverage and completing notification of admission with insurance company within established timeframe.

Contact case management and / or provider to assist with appropriate department placement for clinical services.

Inform patient / guarantor of liability due, including prior balances and estimates for scheduled service, and collect payment if possible or refer to financial counseling as needed. Maximize point-of-service collection, meeting established registration collection goals.

Provide directions to applicable areas of interest, such as the department where service will be provided, financial counselor, cafeteria, waiting rooms, restrooms, and parking area.

Schedule and reschedule appointments for patients as needed, identifying open time slots and educating patient / guardian about available options for services.

The Must-Haves Minimum :

High School Diploma / GED or Equivalent Or 2 years of applicable experience in lieu of education

2 years of experience in customer service / healthcare.

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.