Patient Access Counselor

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

Shift: Days
Pay Rate Type:
Hourly

Location:

Clinics

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.

• Perform the process of registration and 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, and 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 and accurately enter all appropriate information into the computer system with appropriate signatures required.
• Promote accurate billing information; obtain insurance cards/forms and other documentary data for billing; verify that name and identification numbers on the card match those in the system and accurately enter all insurance information.
• Maintain core subject knowledge on patient coverage, third-party payer regulations, ICD9/ICD
  10, CPT, HCPCS, etc.; interview patients and family members to educate customers of guidelines, policies and standards set by YRMC, CMS or 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 documents; review insurance coverage to determine total patient responsibility and 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 with 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, required bank deposits, checks, balances petty cash; maintain assigned work queues and ensure that all patient encounters are noted in the electronic health record with appropriate notes and documentation for further follow-up.
• Complete insurance verification, authorization process, and pre-authorization process by obtaining necessary documentation from patient, patient’s physician, and insurance company; contact third-party payers to obtain…