Patient Access Coordinator-Ft. Wright FT 70 hrs pay period day shift

The Christ Hospital Health Network•Fort Mitchell, KY

26d•Onsite

About The Position

The Patient Access Coordinator is responsible for obtaining and verifying appropriate personal, demographic, and financial information to ensure quality patient care through proper patient identification and maximal reimbursement for all billable clinical services rendered. This role involves scanning identification documents into OnBase, obtaining EMTALA notification signatures, notifying clinical staff of patients presenting with critical conditions, and placing appropriate insurance information on accounts once verified.

Requirements

High School Diploma, Associates Degree preferred or equivalent combination education and experience.
One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment.
Must have/gain knowledge of the Hospital Medical Staff rules and infection control policies to be effective in this position.
Analytical skills required to make decisions based on the facility and clinical situation at hand.
Computer Literacy – use of multiple systems: Epic, Passport, OnBase, Microsoft Office products and Midas.
Ability to use Internet Access and utilize third party payor systems for eligibility and verification.
Knowledge of health insurance coverage, requirements.
Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial.
Ability to be flexible, organized and function well in stressful situations.
Ability to interact Independently to resolve Customer Service issues.
Must understand medical terminology and acuity levels.
Annual Registration Competency Review with 95% or greater score obtained.
Yearly STAT testing completed.

Responsibilities

Analyze patient accounts, evaluate financial data for establishment of current accounts, and document actions taken to maximize reimbursement.
Maintain knowledge of current HMO/PPO/Medicaid/Medicare/commercial insurance regulations and requirements.
Determine all insurance coverages as primary, secondary, tertiary, etc.
Complete required MSPQ questionnaires for all appropriate patients.
Obtain and document clinical referrals from other providers.
Coordinate patients in need of financial assistance to pay for present and/or future services to the appropriate Financial Counselor.
Collect and deposit all required and mandatory insurance co-payments according to specified protocols.
Initiate on-line verification of third party Insurance Carriers and Plan Administrators to verify patient benefits.
Evaluate and prepare chart documentation to establish that Medical Necessity guidelines have been met.
Prepare and complete documentation that establishes Medicare Compliance such as Medicare Secondary Payor Questionnaire and Advance Beneficiary Notice.
Document appropriate data in account doc and guarantor notes.
Process Emergency and Obstetrics by notifying appropriate staff.
Answer and direct incoming calls from Physician’s office staff, ancillary departments, and other facilities.
Answer inquiries concerning hospital policies.
Obtain signatures for the visit for all revenue cycle documentation.
Prepare charts, collected forms, and photocopies (insurance cards) and documentation.
Distribute, witness by signature, and collect patient advanced directive forms/information; referring patients to appropriate personnel to address specific questions as indicated.
Provide patients with information about their rights and responsibilities.
Interview patients and obtain, verify, and enter into database complete and accurate demographic and financial information.
Assess and update information as it relates to each encounter.
Determine financial plan and coverage priority.
Maintain facility-established productivity standards and Patient Accounts Quality Guidelines (i.e., 100% accuracy of 95% of all registrations).
Communicate effectively and meet or exceed established customer service goals.
Provide education and training/mentoring for other staff members.
Attend department meetings and review procedural & process changes per facility-specific guidelines.