Patient Access Representative at LCMC Health System

Job description

Your job is more than a job. Why a Great Place to Work At LCMC Health we help you to lean into your calling by leaning in with you, ensuring you have the resources to do your job as only you can. And that begins with receiving the support you need to thrive and grow, which looks different for each person. Living out our commitment to inclusion requires providing benefits that are as diverse and unique as our workforce. It’s a responsibility we take seriously. Because we don’t just serve the New Orleans community—we’re at the beating heart of it. Whether by offering community health services or making medical innovations more accessible, LCMC Health is bringing a culture of wellness to the communities that matter to you. When you know you’re making an authentic impact, you give a little extra to every day— as a person, with your team, in your community—and that’s one of the reasons why you’ll be a perfect fit at LCMC Health, where giving a little something extra is at the heart of everything we do. Responsible for submitting, tracking, and following up on authorization requests across various service lines. Ensures required documentation and information are complete and accurate, coordinates with clinical and administrative teams as needed, monitors authorization status, and addresses any issues or delays to support timely access to services. GENERAL DUTIES 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