PAC-Patient Access Specialist (Full Time)
Lake Charles Memorial Health System
- Lake Charles, LA
- Permanent
- Full-time
- • Employee is knowledgeable of the LCMH Financial Assistance program and is well versed and able to give a clear definition of the program to all customers.
- Employee is able to recognize when someone may need assistance and offers assistance without hesitation.
- Employee provides application and provides details as to what information will be needed to process a complete application.
- Quantifies applicable patient portions on each patient and discuss' financial obligations. Is able to comfortable negotiate with the patient to meet their needs as well as their obligations.
- Employee completes patient estimates using Clearance.
- Employee is knowledgeable of CPT and procedure codes and is able to accurately complete estimates.
- Uses Clearance on all applicable patients and only excludes those that have Medicaid, Medicare and a secondary insurance, and those patients who qualify for full coverage under financial assistance.
- Employee strives to meet cash collection goals.
- Employee is knowledgeable about insurance processing and is able to explain deductibles, coinsurance, co-payments and how processing occurs.
- Employee uses PCA (Compliance Advisor) for all applicable patients by entering the appropriate diagnosis and CPT codes to ensure payor coverage.
- Employee clearly documents the necessity of an ABN so that all staff on front end comprehends what steps need to be taken.
- Employee clearly documents all actions on accounts to ensure the success of any employee who touches the account in any manner.
- Employee documents the name of the insurance company, phone number(s), website, and reference numbers given.
- Employee also scans appropriate documentation to the patients account for future reference.
- Employee is knowledgeable of the LCMH Financial Assistance program and is well versed and able to give a clear definition of the program to all customers.
- Employee is able to recognize when someone may need assistance and offers assistance without hesitation.
- Employee provides application and provides details as to what information will be needed to process a complete application.
- Quantifies applicable patient portions on each patient and discuss' financial obligations. Is able to comfortable negotiate with the patient to meet their needs as well as their obligations.
- Employee completes patient estimates using Clearance.
- Employee is knowledgeable of CPT and procedure codes and is able to accurately complete estimates.
- Uses Clearance on all applicable patients and only excludes those that have Medicaid, Medicare and a secondary insurance, and those patients who qualify for full coverage under financial assistance.
- Employee strives to meet cash collection goals.
- Employee is knowledgeable about insurance processing and is able to explain deductibles, coinsurance, co-payments and how processing occurs.
- Employee uses PCA (Compliance Advisor) for all applicable patients by entering the appropriate diagnosis and CPT codes to ensure payor coverage.
- Employee clearly documents the necessity of an ABN so that all staff on front end comprehends what steps need to be taken.
- Employee clearly documents all actions on accounts to ensure the success of any employee who touches the account in any manner.
- Employee documents the name of the insurance company, phone number(s), website, and reference numbers given.
- Employee also scans appropriate documentation to the patients account for future reference.
- High School graduate or GED certificate.
- Previous work experience in healthcare or medical insurance environment preferred.
- Basic office and keyboarding skills and the ability to use computer, printer, fax machine, scanner and calculator.
- Basic math skills for collection and reconciliation purposes.
- Proficient skills and understanding of Word and Excel.
- Ability to use multiple databases and hospital specific software.
- Interpersonal skills to interact effectively with patients from various backgrounds in a professional, enthusiastic, courteous and caring manner.
- Appropriate phone etiquette.
- Complete understanding of time of service collections and collection goals. Basic knowledge of medical terminology and insurance/managed care program regulations.
- Ability to read, write and speak intelligible English; Ability to communicate with patients, family, peers and medical personnel; Basic math skills and appropriate phone etiquette.
- Requires emotional stability and resilience; Must be adaptable to change, be decisive, and demonstrates foresight; Exhibits organizational and leadership ability.
- Must be able to sit for prolonged periods of time sitting at a desk and working on a computer.
- Must be able to hear and communicate with clients and staff on the telephone and speak clearly to communicate information to clients and staff.
- Must have vision which is adequate to read memos, computer screen, registration forms and other documents.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.