Patient Access Counselor | Parkview

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks

Shift: Varied
Pay Rate Type:
Hourly

Location:

Yuma Medical Center

Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates.
Min = $16.00
Mid = $18.40
Max = $20.80

The Patient Access Counselor is responsible for facilitating a positive patient experience through friendly coordination and advocating in terms of reception, pre-registration, registration, scheduling and other interactions during the patient stay in the facility;
Assists in proper identification of the patients, collection of patient demographics information, insurance verification and eligibility, financial counseling, cashiering, notification, authorization, advocating for governmental programs, as well as anticipating and responding to the non-clinical needs of our patients and their family;
Initiates, follows-up, and coordinates with patient and family, outside agencies in assisting with Medicaid, AHCCCS, Marketplace, and YRMC Financial Assistance;
Maintain assigned work queues in relation to Patient Access and the Revenue Cycle.

Performs the process of registration, pre-registering individuals for outpatient services and other interactions during the patient's stay in the facility;
Assists in proper identification of the patient, collection of patient demographics information, financial counseling, cashiering, advocating for governmental programs, as well as anticipating and responding to the non-clinical needs of patients and their families;
Schedules and transcribes patient appointments and procedures;
Schedules procedures for outpatient services for physicians and patients following established guidelines.

Obtains required admission information such as patient insurance/ financial information, demographics and ensures that an accurate medical record is created;
Collects all registration paperwork such as COA, IP Medicare and Tricare Bill of Rights, Medicare Outpatient Observation Notice, Privacy Practice (HIPAA), Patient Bill of Rights, and Financial Assistance and accurately enters all appropriate information into computer system with appropriate signatures required;
Promotes accurate billing information;
Obtains insurance cards/forms and other documentary data for billing, including a copy of patient's picture identification card if necessary;
Verifies that the name and identification numbers on the card are the same as those in the system, or accurately enters all insurance information;
Maintains core subject knowledge on patient coverage (third-party payer regulations, current ICD9/ICD
10, CPT, HCPCS, etc.) as related to the registration and billing requirements;
Interviews with patient, family members to educate customers of guidelines, policies and standards set by YRMC, CMS or any other governing agencies.

Completes Financial Counseling and collection;
Completes the financial form on all self-pay patients to identify appropriate financial responsibility;
Determines possible Charity Care assistance, and obtains all necessary documentation to qualify;
Reviews patient billing files pre/post service to ensure accuracy and completeness of all information and document;
Reviews insurance coverage to determine total patient responsibility;
Reviews with patients and family all payment options available;
Estimates prices, assigns appropriate payment plan and collects initial payment;
Reviews accounts for possible bad debt such as collection agency contacts, bankruptcies, and/or charity care;
Initiates all AHCCCS and Marketplace applications on appropriate cases.

Completes continuous education associated to programs;
Maintains follow up work associated to program;
Accurately collects, counts and posts money to appropriate accounts;
Collects and post payment in appropriate patient accounts;
Settles credit card machine;
Maintain cash drawer receipts, and required bank deposits;
Checks and balances petty cash. Maintains assigned work queues and ensures that all patient encounters are noted in electronic health record with appropriate notes, documentation, and communications for further follow-up.

Completes insurance verification, authorization process, and pre-authorization process by obtaining necessary documentation from the patient, patient's physician, and insurance company;
Contacts third-party payers to obtain patient insurance information, Verification, Authorization, Pre-certification;
Ensures signatures on required documents and telephone/fax notifications are completed.

Other duties as assigned.

• ARIZONA FINGERPRINT CLEARANCE

REQUIRED:

2+ years related experience

• HS DIPLOMA/GED

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