Patient Access Specialist - UHC Access Services - Full Time

Company: Lafayette General Health
Location: Lafayette
Posted on: June 9, 2021

Job Description:

Location: UHC

Employment Status: FT

Shifts: 3pm - 11pm OR 11pm - 7am

SUMMARY: The Patient Access Specialist can be a resource person to the patient, family, staff and physicians. The Patient Access Specialist prioritizes patients according to worklist scheduled times and patient type. The Specialist will have a working relationship with all departments serviced by the scheduling and registration department. The Patient Access Specialist will report any issues to the Patient Access Manager or Director.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Demonstrates knowledge and understanding of registration and financial clearance requirements.

oObtains and verifies the accuracy and completeness of required comprehensive pre-registration/registration information, including the accurate entry of demographic, and financial information within the Cerner system.

oDemonstrates ability to leverage available systems and tools to identify when authorization is needed and submits requests when necessary for both outpatient and inpatient services.

oKnowledge of commonly encountered insurance plans, payer requirements and the different benefit structures by plan type and can appropriately select the appropriate payer and plan for the encounter.

oAbility to correctly explain the patient's financial liabilities to the patient and obtain payment or establish payment plans prior to services.

oValidates medical accessibility in accordance with Center for Medicare &Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to patient.

• Exhibits thorough knowledge and proficiency in the use of the Cerner system and associated processes and procedures, electronic verification tools, and other Web base resources.
• Ability to accurately record/maintain scheduled appointments and coordinate with internal and external customers as required.
• Ability to orient and precept new team members to all areas of Patient Access.

oCoordinates training/orientation schedules and documents appropriately when completed.

• Ensures required forms are completed and signatures obtained on, including but are not limited to, Consent of Treatment, Medicare Secondary Payer, and Important Message from Medicare, etc.
• Exhibits knowledge of the Lafayette General Healthcare System and its services provided (including service options for patients within the system and with other community providers), and the ability to effectively convey this knowledge to patients, their families/caregivers and other LGMC team members.
• Ability to communicate pro-actively and respectfully with all internal and external customers.
• Maintains ongoing open communications with peers and staff across the system, assisting with problem resolution as appropriate.

EDUCATION/TRAINING/EXPERIENCE:

High School degree or GED required.

EQUIPMENT OPERATED:

Computer, Telephone, Printers and Fax machine

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• Medium Work as defined by the U.S. Department of Labor constitutes a maximum lift of 21-50 pounds on occasion and/or a maximum lift of 11-25 pounds on a frequent basis. The workstations on wheels require a maximum push force of 11 - 15 lbs. for the 500 series cart.
• Most work is computer-based. This includes the work station on wheels where work is completed at the bedside. Requires standing and walking for 2-3 hours at a time, walking within the department and from room to room. Includes printing material and retrieving from the printer as well as scanning documents into the computer. Some assignments may require sitting for 3-4 hours at a time. Requires excellent speaking and hearing for phone and in-person conversations.

Keywords: Lafayette General Health, Lafayette , Patient Access Specialist - UHC Access Services - Full Time, Other , Lafayette, Louisiana