Patient Access Coordinator

NeurAbilities • King of Prussia, PA

2d • Hybrid

About The Position

The Patient Access Coordinator plays a crucial role in ensuring that patients in NeurAbilities’ ABA division receive timely and appropriate healthcare services. This position involves verifying insurance coverage and coordinating with external entities to facilitate seamless service delivery. Additionally, this position manages the authorization process, including the submission, documentation, and adherence to proper procedures to guarantee that patients receive the appropriate level of care. The Patient Access Coordinator works closely with the ABA patient services, operations, and revenue cycle management (RCM) teams to ensure that healthcare claims are processed accurately and promptly.

Requirements

• Bachelor’s degree in business, Public Health, Healthcare Administration, or related field; or
• 1+ years’ relevant experience in a healthcare environment.
• 1+ years’ experience within a business operations environment.
• Strong understanding of medical terminology and insurance billing procedures for ABA services.
• Intermediate proficiency in MS Office (Outlook, PowerPoint, Teams).
• Knowledge of medical and/or behavioral health terminology.
• Knowledge and understanding of HIPAA practices and adherence to the policies.
• Skill in organizing and synthesizing information from multiple sources, for example, databases, print and online media, speeches and presentations, and observations.
• Ability to manage confidential information in compliance with HIPAA and handle sensitive information professionally.
• Ability to identify and resolve problems with minimal assistance.
• Ability to maintain a high degree of confidentiality.
• Ability to manage multiple projects and deadlines.
• Ability to work independently and collaboratively across the organizational enterprise in a fast-paced working environment.
• Ability to focus on client needs by anticipating, understanding, and responding appropriately to the needs of internal and external customers to meet or exceed their expectations within the organizational parameters.
• Ability to deal with varying levels of the public from diverse cultural and socio-economic backgrounds.
• Ability to stay organized and manage multiple responsibilities throughout the day (i.e., will need to answer calls, return calls, manage documentation, and perform insurance verification).

Responsibilities

• Insurance Verifications
• Verifying patient insurance eligibility and benefits and proactively tracking upcoming coverage expiration.
• Completing initial and ongoing benefit verification at least two (2) times monthly.
• Authorization Management
• Maintaining all up-to-date authorizations and submissions for patients in the ABA division.
• Supporting families in ensuring the continuation of insurance coverage, including but not limited to providing resources and conducting outreach to prevent coverage expiration.
• Ensuring that all required authorizations are secured for every patient and service type before services are rendered and maintained on an ongoing basis.
• Communicating proactively with internal team members to accurately track and submit paperwork related to authorizations.
• Reviewing and approving clinical team members' documentation prior to submission to insurance providers.
• Entering authorizations into the patient electronic medical records system.
• Communicating effectively with patients, healthcare providers, internal team members, and insurance companies to resolve authorization issues and maintain a smooth claims process.
• Maintaining accurate records of all authorization requests and responses.
• Staying current on insurance coding and billing guidelines for ABA services.
• Updating workflow templates with status notes, approvals, and any other pertinent information.
• Intake and Care Coordination
• Sending, collecting, and maintaining a database of updated consents for all patients within the ABA division.
• Assisting the ABA Services team with requesting, receiving, and sharing documents between the family and the organization.
• Auditing
• Assisting the ABA Services teams with updating and auditing Central Reach profiles.
• Assisting the RCM team with auditing and resolving issues preventing a clean claim, including but not limited to adjusting entries, session note conversion, correcting authorization integrity issues, contacting payers, etc.
• Assisting RCM, Operations, and Clinical teams with audits and other administrative tasks as needed.
• General
• Following NeurAbilities’ Policies and Procedures.
• Following Federal, State, and local rules and regulations pertaining to medical and behavioral health services.

Benefits

• 14 days of PTO, 1 Floating Holiday (Joy Day), plus 7 paid holidays for qualified employees.
• Benefit package which offers medical, dental, and vision insurance (lowest cost medical plan is $.50 biweekly).
• Company paid Life and AD&D insurance.
• Voluntary short-term disability and voluntary long-term disability plans available for qualified employees.
• 401K matching 100% of 3% of total compensation contribution plus 50% for 3-5% of total compensation.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level