Access Coordinator Jobs

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About The Position

The Patient Access Coordinator I completes one or more Patient Access processes, including scheduling, preregistration, financial clearance, authorization and referral validation, pre-service estimates, and collections. The role creates an initial impression of AHN’s services for patients, families, and external customers, and explains relevant information so patients and guarantors understand what to expect and their financial responsibilities. The coordinator assumes organizational clinical and financial risk when collecting and documenting patient information. The position requires compliance with AHN policies, ethical and legal standards, confidentiality requirements, HIPAA, and information security policies. Employees may have access to covered information, cardholder data, or other confidential customer information and must protect it. Other duties may be assigned or required.

Requirements

  • High school diploma or GED; or one to three months of related experience and/or training; or an equivalent combination of education and experience.
  • One year of related experience, preferably in a medical setting, financial services setting, and/or demanding customer service environment.
  • Experience operating a PC and using software applications.

Nice To Haves

  • Knowledge of medical terminology and experience obtaining insurance verifications.
  • Call or service center experience.

Responsibilities

  • Conduct scheduling and preregistration; validate patient demographic data; identify and verify medical benefits, plan codes, and coordination-of-benefits order; obtain limited clinical data based on the service; and update information to support timely and accurate billing.
  • Verify insurance information through payer contacts, online resources, or electronic verification systems; identify authorization and referral requirements; and follow up with physician offices, case management, and payers about deficiencies.
  • Identify patient financial responsibilities, calculate estimates, collect liabilities, post payment transactions in the ADT system as appropriate, and perform daily reconciliation.
  • Identify self-pay accounts and complex liability calculations and escalate accounts to Financial Counselors as appropriate.
  • Deliver a positive patient experience and maintain effective working relationships with patients, AHN leadership and staff, physician offices, and designated external agencies or vendors.
  • Communicate as needed with designated contacts to exchange information and promote working relationships.
  • Maintain focus on productivity standards and recommend approaches to enhance performance and productivity when appropriate.
  • Follow applicable organizational policies and procedures and complete or attend mandatory training and education within approved guidelines and timeframes.
  • Perform other duties as assigned or required.
  • Protect confidential information and comply with HIPAA, information security policies, the Code of Business Conduct, applicable laws and regulations, and company policies and training requirements.

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