Patient Access Coordinator - Full Time - Day

Patient Access Coordinator

The Patient Access Coordinator is responsible for all functions related to Patient Access Services, including, but not limited to Inpatient, Emergency Department, Outpatient and Bed Planning in their assigned area/hospital(s) at Hackensack Meridian Health (HMH). Review all demographic and financial information, ensuring that it is accurately entered in the system to minimize denials and ensuring timely reimbursement. Educates and mentors Team Members on an ongoing basis.

Must adhere to HMH's Quality Standards to maintain a positive patient experience at all times.

Responsibilities

A day in the life of a Patient Access Coordinator at Hackensack Meridian Health includes:

• Ensures: registration, prescription, proof of insurance, government issued identification and all applicable consents are validated/updated at time of check in.
• Scans all pertinent documents as specified in departmental guidelines to ensure timely coding and billing.
• Complies with all departmental documentation requirements.
• Data Collection:
  Interviews the patient using the established departmental scripting to accurately collect required Patient/Guarantor/demographic/medical and billing data including; personal information, insurance verification information, pre-authorization/referrals. Pre-registers based on departmental guidelines.
• Patient Flow:
  Maintains operation of the patient flow for scheduling and registration in related locations.
• Request assistance with equipment servicing/software/applications following all departmental and organizational initiatives to prevent potential delays, customer dissatisfaction or potential loss of customer.
• Must comply with all department downtime procedures.
• Scheduling:
  Schedules patients on Day of Service for additional testing. Follows all scheduling protocols to ensure accurate scheduling based on Department guidelines.
• Provides patients with detailed exam preparations via itinerary and processes pre-registration to ensure exam can be validated for authorization.
• Coordinates and schedules Team Members in scheduling and registration functions of related locations.
• Assists the Management Team with ensuring policies, procedures and protocols are followed to ensure standards of excellence are met and maintained.
• Provides input to the Management Team for the annual performance appraisals.
• Plans and organizes work to provide an efficient workload, and prepares daily, weekend, holiday and vacation schedules for the clerical personnel.
• Reviews all registrations for accuracy of demographic and financial information in the following areas: ED treated and released, and Outpatient Registrations.
• Reviews that copies of insurance cards/IDs have been obtained and that all required regulatory forms have been filled out accurately and signatures have been obtained, witnessed, dated and timed if done manually.
• Monitors each Team Members' errors/omissions and documents their progress which will be utilized for Training and Evaluation purposes.
• Ensures delivery of excellent customer service resulting in a positive patient experience.
• Reconciles Point of Service (POS) Collections on a daily basis.
• Reviews with the Management Team the necessary steps for Counseling and/or Progressive Disciplinary Action with those Team Members that are not effectively meeting the standards in their job performance.
• The Coordinator is part of the Management Rotation to Cover department during weekends and off hours. Ensures the Department is covered appropriately and is available via phone to address issues real time and if there is a need will report to work as needed.
• Review Work Queues daily to ensure bills drop accurately and timely, reviews registration deficiencies with Team Members and provides additional re-education as needed.
• Communicates timely to all Team Members any changes updates in Payers requirements and state programs.
• Represents the Department in Inter-Departmental Meetings as needed.
• Collaborates with Supervisor, and/or Director to maintain high employee moral and minimize employee dissatisfaction promoting employee retention, as well as to report any unusual occurrences, patient and staff issues, and to recommend resolution.
• Complies with all departmental policies and procedures.
• Meet departmental daily productivity standards.
• Able to identify the needs and properly communicate with the patient population served.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education,

Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Minimum of 2+ years of experience in a hospital setting.
• Excellent written and oral communication skills.
• Customer Service Oriented.
• Medical Terminology knowledge.
• Prior registration/insurance verification experience.
• Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Education,

Knowledge, Skills…