About The Position

The Patient Access Coordinator oversees revenue cycle activities related to patient registration, referrals, precertification and pre-authorization, insurance verification, co-pay collections, customer service, and training for front-end operations. The role supports financial goals and helps create the first impression of UMC’s services for patients, families, and external customers. The coordinator explains information clearly so patients, guarantors, and family members understand what to expect and their financial responsibilities. The coordinator plans, coordinates, and evaluates patient access functions, develops systems to monitor registration accuracy and timeliness, tracks and reports performance indicators, and supports effective communication between departments and Patient Access management. The position leads, trains, motivates, and coaches staff; monitors quality assurance and customer service; and helps ensure compliance with organizational policies, regulatory requirements, and third-party payer requirements. The role may cover for other Patient Access team members during lunches or absences, participates in weekend on-call coverage rotation, and may work overtime sometimes.

Requirements

  • High school diploma or equivalent.
  • Two years of relevant patient access experience.
  • Dependable, professional, and a team player.
  • Critical-thinking skills.
  • Solid oral and written communication skills.
  • Ability to multitask and remain flexible with job demands.
  • Energetic and motivated, with the ability to connect well with people.
  • Ability to work in a high-pressure or changing environment and exercise good judgment to resolve problems when formal procedures and guidelines are absent.
  • Commitment to service, organizational values, professionalism, confidentiality, and safety.
  • Ability to participate in the on-call weekend coverage rotation.
  • Overtime may sometimes be required.

Responsibilities

  • Maintain and oversee planning and coordination of patient registration functions, including insurance verification, pre-authorizations, collections, referrals, and connections to eligibility and outreach enrollment specialists.
  • Develop, establish, implement, and evaluate systems for monitoring registration accuracy and timeliness.
  • Develop, monitor, and trend Patient Access Key Performance Indicators and report findings to senior management.
  • Facilitate communication between departments and Patient Access management about front-end operational issues.
  • Monitor service volume, referral activity, and timeliness, and plan staffing accordingly.
  • Assist with developing and implementing front-end operations goals and objectives that support the mission of University Medical Center, and communicate goals to staff.
  • Develop resource materials and guides for staff.
  • Ensure compliance with University Medical Center policies and procedures, employee requirements, regulatory agencies, and third-party payers.
  • Lead and direct the work of others; train, motivate, and coach staff.
  • Monitor quality assurance results and identify training opportunities or other solutions to address needs.
  • Establish and maintain positive customer service with patients, families, medical staff, physicians, and other employees.
  • Cover for other Patient Access team members during lunch or absences as needed.
  • Participate in the on-call weekend coverage rotation.
  • Assist with projects as directed by senior management and attend department and team meetings as required.
  • Monitor staff to ensure excellent customer service.
  • Perform other duties as assigned and contribute to department and hospital objectives.
  • Project a positive personal and professional image of the Patient Access Representative, department, and hospital.
  • Maintain compliance with company policies, procedures, and standards of conduct.
  • Comply with HIPAA privacy and security requirements and maintain confidentiality.
  • Protect sensitive data and adhere to organizational and department-specific safety standards and guidelines.
  • Work collaboratively and support team members.
  • Interact effectively with physicians, patients, residents, visitors, staff, and the broader health care community.
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