LCMC Health
Patient Access Representative (Insurance Authorizations) - LCMC Health Westpark
LCMC Health, New Orleans, Louisiana, United States, 70112
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 necessary Performs 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 goals Provides 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: 2 Years of Experience in Customer Service/ Healthcare. High School Diploma/ GED or Equivalent Or 2 Years of applicable experience in lieu of education WORK SHIFT: Days (United States of America)
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 necessary Performs 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 goals Provides 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: 2 Years of Experience in Customer Service/ Healthcare. High School Diploma/ GED or Equivalent Or 2 Years of applicable experience in lieu of education WORK SHIFT: Days (United States of America)