Patient Access Specialist

Description of Position

The patient access specialist performs administrative duties including, but not limited to: referrals, maintaining provider schedules, prior authorizations for procedures, tests, and medications, scheduling outside procedures and testing, and related processing duties for all patients served by the clinic. Duties are performed in the EMR system as appropriate. The specialist is trained in a wide range of skilled administrative and clerical duties.

Reports directly to the Office Manager.

• Knowledge of CPT coding and medical necessity of testing; ensures criteria are met prior to scheduling testing and/or procedures, including surgery.
• Greets each patient warmly and cheerfully.
• Is knowledgeable about insurance processing and able to explain deductibles, co‑insurance, co‑payments, and how processing occurs.
• Handles incoming referrals.
• Answers the phone with the correct salutation and takes messages when appropriate.
• Records all messages into the electronic EMR.
• Verifies patient information, demographics, and insurance coverage is correct; updates the EMR when changes are required.
• Updates and scans updated information and forms into the appropriate EMR system.
• Scans and attaches all paperwork received into the EMR system and sends it appropriately.
• Schedules all testing after obtaining precertification per physician checkout orders.
• Completes and sends medical records requests per physician orders.
• Completes all referrals through the EMR following correct protocol.
• Performs verification of insurance when necessary.
• Performs other job duties as assigned.

The above statements are only intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job‑related tasks other than those stated in this description.

• High school diploma or equivalent required.
• Knowledge and training in medical terminology, keyboarding, and computer skills preferred.
• Basic skills in Microsoft Office preferred.
• Previous scheduling experience preferred.
• Computer literacy required.
• Broad range of administrative and technical skills in a healthcare environment.
• Impacts activities in other work areas on a frequent basis and contributes in multiple work areas.
• Makes decisions based on departmental policy.
• Demonstrates critical thought process and can work independently.
• Provides feedback to assist with decision‑making processes.
• Works well with others.
• Documents detailed information in patient charts.
• Requires listening skills to maintain cooperative associations.

• Work requires a variety of physical activities, including moving about within and outside of all hospital properties for long periods of time.
• Must be able to respond quickly and effectively to emergency and non‑emergent situations.
• May be required to assist in controlling disorderly conduct or combative patients.
• Must be able to exchange accurate information with patients, families, peers, and medical personnel.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

“Experience Memorial” is more than a slogan, it’s the care we provide our patients and the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well‑being and professional growth of our employees.

Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.

Working at Lake Charles Memorial Health System | Great Place To Work®