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Patient Access Coordinator I/II
2 months ago
Navajo Preference Employment Act:
In accordance with Navajo Nation and federal law, TCRHCC has established an Affirmative Action Plan under the Navajo Preference in Employment Act. This Plan and corresponding TCRHCC Policy stipulate that applicants who meet the qualifications for this role and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will receive hiring preference, (2) are legally married to enrolled members of these tribes and meet residency requirements will receive secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will receive tertiary preference.
Position Overview:
The primary responsibility of the Patient Access Specialist is to efficiently schedule and register patients by accurately gathering and analyzing all relevant demographic, insurance, and clinical data. The incumbent will conduct interviews with patients and assist them in completing necessary forms for processing medical, dental, and pharmacy billing claims. Ensuring data integrity is crucial for expediting third-party reimbursements and enhancing customer satisfaction. This role requires the ability to manage frequent interruptions and a willingness to work a flexible schedule. Additionally, the incumbent will perform various clerical tasks such as scheduling, modifying, and canceling patient appointments, as well as managing provider schedules.
Qualifications:
Education:
High School diploma or GED is required.
Experience:
Patient Access Specialist I:
Must possess six (6) months of experience in a fast-paced office setting, demonstrating the ability to manage and prioritize multiple tasks while meeting tight deadlines.
Patient Access Specialist II:
Must have two (2) years of experience in a similar environment, showcasing the ability to manage and prioritize multiple assignments, with experience in electronic patient registration software or comparable patient financial services software.
Certification:
Must maintain a current valid certification in Basic Life Support (BLS) from the American Heart Association throughout employment.
Skills and Abilities:
Demonstrated satisfactory performance in all prior and current employment, evidenced by positive references. Essential skills include:
- Excellent customer service and communication skills, both personal and over the phone.
- Proficient in computer software applications.
- Ability to complete special projects and meet departmental deadlines while analyzing, researching, and troubleshooting issues.
- Strong problem-solving skills, following the chain of command.
- Positive interpersonal relationships and communication with colleagues.
- High ethical standards with no history of complaints.
- Reliable attendance and punctuality.
- Ability to handle sensitive and confidential information.
- Proficient typing skills with accurate spelling and grammar.
- Ability to work independently with minimal supervision.
- Adaptability to frequent interruptions and flexible scheduling.
- Effective communication with patients and families during stressful situations.
- Willingness to accept supervision to enhance work performance.
- Successful completion of all background checks and reference verifications.
- Compliance with all employment-related documentation requirements.
Mental and Physical Effort:
The demands of this position require both physical and mental capabilities. Reasonable accommodations may be made for individuals with disabilities.
Physical Requirements:
Work is primarily sedentary, requiring the ability to sit, stand, walk, twist, and reach for extended periods. The incumbent will interview patients and prepare necessary documentation. May require lifting up to 10 pounds. Continual near vision, color vision, and fine detail vision are necessary, along with normal hearing capabilities.
Mental Requirements:
Must effectively communicate with patients to gather accurate information, as inaccuracies may delay medical treatment and billing processes. The role demands the ability to cope with high stress, make decisions under pressure, and manage multiple priorities.
Essential Functions:
1. Maintain and update patient data across various systems, ensuring accuracy for billing and admissions.
2. Conduct patient interviews to gather registration information and communicate insurance details.
3. Assess patients' financial liabilities and provide appropriate referrals.
4. Collect payments for services and ensure proper reconciliation.
5. Verify insurance and obtain prior authorizations as needed.
6. Assist patients with required forms for medical records and insurance.
7. Perform admitting office activities for all patient types.
8. Collaborate with departments to enhance patient services and satisfaction.
9. Greet and assist patients and visitors in person or via phone.
10. Complete all required training for cleaning and decontamination processes.
11. Perform additional duties as assigned.
