Patient Access Coordinator

Healogics•Jacksonville, FL

1d•Remote

About The Position

The Patient Access Coordinator (PAC) remotely manages a variety of processes related to the registration, scheduling, and financial clearance of new patients receiving care in post-acute settings. Additionally, the PAC contributes to the review, problem identification and correction of both claim rejections and denials. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Requirements

High School Diploma required
Minimum of two (2) years of Billing Office experience; or equivalent combination of education and experience from which comparable knowledge, skills and abilities are acquired
Ability to read and comprehend simple instructions, write short correspondence, and memos
Ability to effectively present information in small group situations to employees of the organization
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals, compute rate, ratio, and percent
The ability to work independently and collaboratively on projects
Excellent written and verbal communications skills
Ability to create channels of communication to obtain information necessary to perform job tasks, such as payers, clinical staff, collection agencies and billing department staff.
Ability to recognize individual and system problems and to communicate them to the Business Manager
Proficient knowledge of MS Outlook, Excel, Word, Access software, internet and web-based database programs

Nice To Haves

Associates Degree preferred

Responsibilities

Coordinates patient registrations with Skilled Nursing Facilities
Receives face sheets, SNF Consultation Requests via fax or e-mail and registers patients in I-Heal
Obtains and verifies patient insurance information, including pre-certifications and pre-authorizations for services and enters data in appropriate databases
Uploads documents to I-Heal
Updates schedules in i-heal and notifies providers of schedule updates
Forward face sheets to providers once patients have been registered
Updates patient demographics and insurance information in appropriate databases
Fields questions from various facilities, personnel, and providers
Work directly with outside agencies pertaining to SNF patient registrations
Resolve discrepancies in patient accounts in Billing System.
Monitor and verify accuracy of Self-Pay accounts for possible insurance coverage and revise errors as needed.
Review and correct front end claim rejections timely and consistently based on current policies.
Identify systemic rejection patterns and escalate to management were indicated for permanent solutions,
Review and take corrective action of claim denials originating from front-end demographic or related issue.
Identify trends and advise Registration and Reimbursement Manager of the issues related.
Performs other duties as required