Patient Access Coordinator Jobs

About The Position

Requirements

• High school diploma or equivalent.
• At least 1 year of hospital patient access or medical office experience.
• Professional and effective verbal and written communication in English.
• Ability to use discretion when discussing confidential personnel- or patient-related matters.
• Ability to respond to changing practice needs and act accordingly.
• Self-motivated.
• Broad knowledge of health care services.
• Clear understanding and working knowledge of contracted insurance rules and regulations.

Nice To Haves

• Fluency in Spanish.
• Registration knowledge.
• Knowledge of prior authorization and Medicare guidelines.
• Knowledge of patient electronic medical records (EMR).
• Coding experience.
• ICD-10 experience.

Responsibilities

• Create patient accounts accurately and promptly, ensuring demographic and account information is appropriate for the account type.
• Complete and maintain clear, thorough financial assessments to support timely billing.
• Monitor email, faxes, and phone calls; research and respond to questions, account requests, pre-certification issues, and related documentation within defined time frames.
• Screen patients who may be eligible for Medicaid and direct them or their family members to appropriate agencies for Medicaid and/or charity assistance.
• Obtain medical records and other documentation needed to support timely account payment.
• Contact insurance companies for referral numbers or pre-certification/authorization and document the information.
• Direct patients to appropriate specialists and vendors based on their insurance.
• Reconcile charges with the daily schedule to support accurate billing.
• Maintain current knowledge of online eligibility and pre-certification tools to provide consistent service to patients and clinical partners.
• Pre-certify applicable patient accounts promptly, ensuring authorizations are correct and benefits are accurately documented.
• Complete special projects and other duties as assigned.

Benefits

• Medical, dental, and vision insurance from day one.
• Life insurance and disability insurance from day one.
• Paid time off from day one.
• 403(b) retirement plan.
• Four weeks of 100% paid parental leave.
• Career development.
• Whole-person well-being resources.
• Mental health resources and support.
• Pet benefits.