Patient Access Counselor | Foothills

Work Status Details

REGULAR FULL TIME | 80.00 Hours Every Two Weeks

Shift: Varied
Pay Rate Type:
Hourly

Location:

Foothills

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.

• Perform the process of registration, pre-registering individuals for outpatient services and other interactions during the patient's stay in the facility.
• Assist 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.
• Schedule and transcribe patient appointments and procedures; schedule procedures for outpatient services for physicians and patients following established guidelines.
• Obtain required admission information such as patient insurance/ financial information, demographics and ensure that an accurate medical record is created; collect 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 enter all appropriate information into computer system with appropriate signatures required.
• Promote accurate billing information; obtain insurance cards/forms and other documentary data for billing, including a copy of patient's picture identification card if necessary; verify that the name and identification numbers on the card are the same as those in the system, or accurately enter all insurance information.
• Maintain 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.
• Interview with patient, family members to educate customers of guidelines, policies and standards set by YRMC, CMS or any other governing agencies.
• Complete financial counseling and collection; complete the financial form on all self-pay patients to identify appropriate financial responsibility; determine possible Charity Care assistance, and obtain all necessary documentation to qualify.
• Review patient billing files pre/post service to ensure accuracy and completeness of all information and document; review insurance coverage to determine total patient responsibility; review with patients and family all payment options available; estimate prices, assign appropriate payment plan and collect initial payment; review accounts for possible bad debt such as collection agency contacts, bankruptcies, and/or charity care; initiate all AHCCCS and Marketplace applications on appropriate cases.
• Complete continuous education associated to programs; maintain follow up work associated to program; accurately collect, count and post money to appropriate accounts; collect and post payment in appropriate patient accounts; settle credit card machine; maintain cash drawer receipts, and required bank deposits; check and balance petty cash.
• Maintain assigned work queues and ensure that all patient encounters are noted in electronic health record with appropriate notes, documentation, and communications for further follow-up.
• Complete insurance verification, authorization process, and pre-authorization process by obtaining necessary documentation from the patient, patient's…