PATIENT ACCESS COORDINATOR-Liberty 2nd shift PT-230-11:00pm

The Christ Hospital Health Network•OH, OH

About The Position

The Patient Access Coordinator obtains and verifies patient personal, demographic, and financial information to support accurate patient identification, quality care, and reimbursement for billable clinical services. The role scans identification documents into OnBase, obtains EMTALA notification signatures, alerts clinical staff when patients present in critical condition, and enters verified insurance information on patient accounts. The coordinator analyzes patient accounts and financial data, determines insurance coverage priority, verifies benefits with third-party payors, and completes documentation related to medical necessity and Medicare compliance. The role processes emergency and obstetrics registrations, answers and directs calls, obtains required visit signatures, prepares and distributes forms, and provides information about patient rights and responsibilities. It also interviews patients, keeps encounter information current, and coordinates referrals to financial counselors when assistance is needed. The position requires meeting facility productivity and patient-account quality standards, communicating effectively with patients and staff, and providing education or mentoring to other staff members. The coordinator attends department meetings and reviews procedural and process changes.

Requirements

High school diploma or equivalent combination of education and experience.
One to three years of experience in registration, billing, customer service, or a managed care organization work environment.
Must have or gain knowledge of hospital medical staff rules and infection control policies.
Analytical skills to make decisions based on facility and clinical circumstances.
Computer literacy and ability to use multiple systems, including Epic, Passport, OnBase, Microsoft Office products, and Midas.
Ability to use internet access and third-party payor systems for eligibility and verification.
Knowledge of health insurance coverage and requirements.
Excellent communication and problem-solving skills, including the ability to deal with customers who may be adversarial.
Ability to be flexible, organized, and effective in stressful situations, and to resolve customer service issues independently.
Understanding of medical terminology and acuity levels.
Annual Registration Competency Review score of 95% or greater.
Completion of yearly STAT testing.

Nice To Haves

Associate degree preferred.

Responsibilities

Obtain and verify patient personal, demographic, and financial information and enter accurate information into the database.
Scan appropriate identification documents into OnBase and place verified insurance information on patient accounts.
Obtain EMTALA notification signatures and alert clinical staff when patients present in critical condition.
Analyze patient accounts and financial data, document account actions, and help maximize reimbursement.
Maintain knowledge of insurance regulations and requirements, determine primary, secondary, and tertiary coverage, and complete applicable MSPQ questionnaires.
Obtain and document clinical referrals and coordinate patients needing financial assistance with an appropriate Financial Counselor.
Collect and deposit required insurance copayments according to established protocols.
Verify patient benefits through online third-party insurance carrier and plan administrator systems.
Evaluate and prepare chart documentation for medical necessity and Medicare compliance, including Medicare Secondary Payor Questionnaires and Advance Beneficiary Notices.
Document appropriate information in account documentation and guarantor notes.
Process emergency and obstetrics registrations by notifying appropriate staff.
Answer and direct incoming calls from physician office staff, ancillary departments, and other facilities; respond to inquiries about hospital policies.
Obtain signatures for visit-related revenue cycle documentation; prepare charts, forms, insurance card photocopies, and other documentation.
Distribute, witness, and collect advance directive forms and refer patients to appropriate personnel for questions.
Provide patients with information about their rights and responsibilities.
Interview patients, assess and update encounter information, determine financial plans and coverage priority, and maintain established accuracy and productivity standards.
Communicate effectively and meet or exceed customer service goals.
Educate, train, and mentor other staff members; attend department meetings and review procedural and process changes.