Patient Access Coordinator - Main Admitting and Reg - Part Time

Overview

Patient Access Coordinator - Main Admitting and Reg - Part Time - Days

• Analytical Skills
• Analyze patient accounts; evaluate financial data for establishment of current accounts and document actions taken regarding accounts to maximize reimbursement. Maintain knowledge of current HMO/PPO/Medicaid/Medicare/commercial insurance regulations and requirements. Determine all insurance coverage as primary, secondary, tertiary, etc. Complete required MSPQ questionnaires for all appropriate patients. Obtain and document clinical referrals from other providers. Coordinate patients in need of financial assistance to pay for present and/or future services to appropriate Financial Counselor.
  
  Collect and deposit, according to specified protocols, all required and mandatory insurance co-payments.
• Initiates online verification of third party Insurance Carriers and Plan Administrators to verify patient benefits. Evaluate and prepare chart documentation to establish that Medical Necessity guidelines have been met. Prepare and complete documentation that establishes Medicare Compliance such as Medicare Secondary Payor Questionnaire and Advance Beneficiary Notice. Document appropriate data in account doc and guarantor notes.
• Clinical Skills
• Process Emergency and Obstetrics by notifying appropriate staff. Answer and direct incoming calls from Physician’s office staff, ancillary departments and other facilities. Answer inquiries concerning hospital policies.
• Compliance Skills
• Obtain signatures for the visit for all revenue cycle documentation. Prepare charts, collect forms and photocopies (insurance cards) and documentation. Distribute, witness by signature and collect patient advanced directive forms/information; refer patients to appropriate personnel to address specific questions as indicated. Provide patients with information about their rights and responsibilities and all other duties as assigned.
• Communication/Interpretation Skills
• Interview patients and obtain, verify and enter into database complete and accurate demographic and financial information. Assess and update information as it relates to each encounter. Determine financial plan and coverage priority. Data collected directly impacts financial and clinical systems. Maintain facility-established productivity standards and Patient Accounts Quality Guidelines (e.g., 100% accuracy of 95% of all registrations). Communicate effectively and meet or exceed established customer service goals.
• Education and Leadership Skills
• Provide education and training/mentoring for other staff members. Attend department meetings and review procedural & process changes per facility guidelines.

• KNOWLEDGE AND
  
  SKILLS:
  
  Require specialized knowledge or skills to perform duties. Do not personalize the job description or credentials based on current staff. List any special education required.
• EDUCATION:
  
  High School Diploma, Associates Degree preferred or equivalent combination of education and experience.
• YEARS OF
  
  EXPERIENCE:
  
  One to three years in Registration, Billing, Customer Service, or Managed Care Organization work environment. Knowledge of Hospital Medical Staff rules and infection control policies.
• REQUIRED SKILLS AND KNOWLEDGE:
  Analytical decision-making abilities;
  Computer literacy with Epic, Passport, OnBase, Microsoft Office, and Midas; ability to use Internet and third party payor systems for eligibility and verification; knowledge of health insurance coverage requirements; excellent communication and problem-solving skills; ability to stay organized and work effectively under stress; ability to interact independently to resolve customer service issues; understanding medical terminology and acuity levels.
• LICENSES &
  
  CERTIFICATIONS:
  
  Annual Registration Competency Review with 95% or greater score;
  Yearly STAT testing completed.

• Seniority level:
  Entry level
• Employment type:
  
  Part-time
• Job function:
  Health Care Provider
• Industries:
  Hospitals and Health Care

Note:

This refined description removes extraneous boilerplate and keeps the core responsibilities and qualifications for the role. This description does not include any expired indications.