Patient Access Coordinator, Shift

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Job Summary

The Patient Access Coordinator at North Mississippi Health Services is responsible for supporting the overall financial health of the organization by completing the daily activities of collecting and input of Insurance Information, Point of Service Collections and Financial Arrangements, and Customer Service via Direct Contact with Patients and their family members. This role operates under the guidance of the Patient Access Manager and requires an experienced individual with excellent analytical, organizational, and communications skills to manage Demographic and Insurance Information, resolve real-time edits & denials, and interface effectively with internal and external stakeholders to promote timely and accurate patient flow and collections.

• Responsible for scheduling/rescheduling, pre-certifying, checking medical necessity, and pre-registering patients for appointments, diagnostic tests, and outpatient procedures as ordered by referring providers
• Obtains necessary information required for scheduling, pre-certification, and pre-registration
• Obtains and/or verifies patient demographics, insurance information/eligibility, and benefits
• Responsible for informing patients and/or clinical staff of the proper preparation and instructions for the tests ordered
• Notifies patient of the location of the appointment date & time, test, and/or procedure
• Obtains crucial confidential patient identification information including patient records, signatures, and payment information repeatedly and ensures HIPAA guidelines are enforced
• Effectively communicates NMHS’ organizational revenue cycle and financial policies including estimates, charity plans and payment options to patients and patient representatives
• Provides bedside registration to obtain consent form signatures, collect insurance, and other confidential information pertinent to ensure accurate medical record data entry that aligns with CMS and other regulatory agencies
• Ensures team members are providing estimates to guarantors for elective procedures and collection attempted at the point of pre-registration or point of service
• Ensures team members are administering ABNs when necessary
• Ensures accounts are financially secure prior to service
• Ensures timely and accurate processing of accounts in accordance with best practices, defined workflow, procedures, and applicable legislation/regulations
• Corrects front end errors real time to minimize denial throughput
• Develops strategy for consistently obtaining accurate, timely, and beneficial patient demographic information
• Review post service denials to assist in developing front end strategies to reduce denial inflow
• Identifies trends and reports potential significant and recurring issues along with possible solutions to leadership
• Takes proactive, corrective action through systematic and procedural development to reduce incoming denials
• Maintains familiarity with payer methodologies to ensure accurate estimates are communicated with patients & system variances are communicated with leadership
• Manages expected reimbursement to ensure appropriate patient portion is collected prior to service
• Develops strategy for partnering with business office to ensure estimates & transparency are accurate
• Analyzes estimate variances to understand where/why deviations occurred
• Effectively communicates information to staff, internal and external customers
• Creates strong customer service orientation and collaboration
• Provides excellent customer service to all internal and external customers
• Contacts insurance companies, patients, and providers regarding authorizations, medical necessity, and financial responsibility
• Serves as liaison between payers and hospital departments/physician offices or patients in resolving front end errors which would result in denials
• Assists in preparation of monthly error reports and other error reports as requested
• Assists in preparation of monthly collections reports and other collection reports as requested

Education Level: High School Diploma or GED Equivalent

Work Experience:

• 1-3 years experience/knowledge of managed care…