Patient Access Coordinator I - Westfield Memorial Hospital - Part time - Rotating shifts

Highmark Health•Westfield, NY

18h•$19 - $26

About The Position

The Patient Access Coordinator I completes one or more Patient Access processes, including scheduling, preregistration, financial clearance, authorization and referral validation, and pre-service estimates and collections. The role creates the first impression of AHN’s services for patients, families, and other external customers, and communicates information clearly so patients, guarantors, and family members understand what to expect and their financial responsibilities. The position assumes clinical and financial risk for the organization when collecting and documenting information on behalf of patients. The coordinator conducts scheduling and preregistration, validates demographic and insurance information, obtains limited clinical information as needed, and updates records to support accurate and timely billing. The role verifies coverage and authorization requirements, follows up on deficiencies, estimates and collects patient liabilities, records transactions, and reconciles activity. The coordinator supports a positive patient experience, maintains productive working relationships, meets productivity standards, and follows organizational policies, training requirements, privacy rules, and information-security guidelines.

Requirements

High school diploma or GED; alternatively, one to three months of related experience and/or training, or an equivalent combination of education and experience.
One year of previous related experience, preferably in a medical setting, financial services setting, and/or demanding customer service environment.
Experience operating a PC and using software applications.

Nice To Haves

Knowledge of medical terminology and experience obtaining insurance verifications.
Call or service center experience.

Responsibilities

Conduct scheduling and preregistration; validate patient demographic data, medical benefits, plan codes, and coordination-of-benefits order; obtain limited clinical data as needed; and update records to ensure timely, accurate billing.
Verify insurance information through payor contacts, online resources, or electronic systems; identify authorization and referral requirements; and provide documentation and follow-up regarding deficiencies to physician offices, case management, and payors.
Identify patient financial responsibilities, calculate estimates, collect liabilities, post payment transactions in the ADT system as appropriate, and perform daily reconciliation.
Identify self-pay and complex liability calculations and escalate accounts to Financial Counselors as appropriate.
Deliver a positive patient experience and maintain effective working relationships with patients, AHN leadership and staff, physician offices, and designated external agencies or vendors.
Communicate as needed with designated contacts to exchange information and promote working relationships.
Maintain focus on productivity standards and recommend approaches to enhance performance and productivity when appropriate.
Follow AHN organizational policies and procedures and complete or attend mandatory training and education within required guidelines and timeframes.
Perform other duties as assigned or required.
Protect covered, payment-card, and confidential customer information; comply with HIPAA, privacy and information-security policies, the Code of Business Conduct, applicable laws and regulations, and training requirements.