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Revenue Cycle Access Coordinator

2 months ago


Chardon, Ohio, United States University Hospitals Full time
Position Overview

As a vital contributor to the Revenue Cycle team, the Access Coordinator is responsible for precise patient registration, estimating costs, collecting payments at the point of service, and delivering outstanding customer service to meet the needs of patients and clients. The effectiveness of this role directly influences claim denials, enhances customer satisfaction, and reduces financial losses. Access Coordinators excel in managing patient and physician interactions, handling registrations, scheduling appointments, and navigating various complex systems.

Key Responsibilities
  • Conducts patient interviews through various channels (in-person, phone, or documentation) to establish or confirm patient medical records and insurance claims using demographic and insurance data.
  • Demonstrates expertise in insurance coverage, benefits, regulations, and plan details to ensure accurate information is provided and requirements are met for expected payments.
  • Confirms and organizes insurance plans using electronic eligibility tools, phone inquiries, and web portals, taking necessary actions for services, including those not covered or out-of-network.
  • Prepares patient estimates, educates responsible parties about charges and out-of-pocket expenses, and sets up payment plans as needed for both professional and technical services.
  • Accurately calculates, collects, and records co-pays, deductibles, co-insurance, and outstanding balances from patients in accordance with established policies, striving to meet or exceed collection goals and productivity benchmarks.
  • Implements measures to prevent duplicate medical records or incorrect patient identification, which is crucial for patient safety, while safeguarding Protected Health Information (PHI).
  • Communicates with physicians or clinical providers to verify or clarify information regarding orders, schedules, or other requirements such as patient instructions.
  • Utilizes electronic reports, worklists, and queues to identify claims needing updates, making necessary corrections to ensure accurate and timely billing.
  • Schedules patient appointments for professional and technical services using multiple software applications.
  • Verifies insurance benefits and coverage using electronic tools or phone calls, initiating actions to complete a Notice of Admission (NOA).
  • Completes daily reconciliations of the Important Medicare Message (IMM) and Medicare Secondary Payer Questionnaire (MSPQ) in compliance with government regulations.
  • Updates daily status changes and revisions in collaboration with the Utilization Management Team.
  • Scans and retrieves relevant documents using scanning applications.
  • Projects a positive image to all patients, physicians, and clients as the initial point of contact for University Hospitals.
  • Communicates using prescribed customer service greetings and scripts to deliver a branded patient experience.
  • Adheres to departmental policies and procedures, participates in corporate and local team meetings, and maintains patient and physician confidentiality.
  • Maintains knowledge and skills related to emergency disaster preparedness.
  • Effectively communicates through telephone, email, or correspondence with internal and external clients.
  • Participates in emergency preparedness drills and real-time safety events.
  • Assists with wayfinding, providing directions or transport as necessary to enhance the patient and customer experience.
  • Performs additional related duties as assigned and engages in enterprise special projects as required.
Additional Duties
  • Completes other assigned tasks.
  • Adheres to all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided during orientation.
  • Must comply with all requirements to securely maintain Protected Health Information (PHI) for patients, including annual training and adherence to the UH Code of Conduct and policies.
SHIFT: 1-9pm Operator Position

Qualifications:
Education
  • High School Equivalent / GED (Required)
Work Experience
  • 1+ years of experience in healthcare or customer service (Required)
  • College associate or bachelor's degree is equivalent to 1 year of work experience.
Knowledge, Skills, & Abilities
  • Experience with multiple complex software solutions (Required proficiency)
  • Dependable in a 24/7/365 environment with willingness to travel to various sites and locations, including potential overtime (Required proficiency)
  • Strong client service, communication, and relationship-building skills (Required proficiency)
  • Able to perform in a fast-paced and stressful environment (such as the Emergency Department) (Required proficiency)
  • Demonstrates the ability to work independently and collaboratively in a dynamic setting (Required proficiency)
  • Strong written and verbal communication skills (Required proficiency)
  • Professional demeanor (Required proficiency)
  • Detail-oriented and organized, with strong analytical and problem-solving abilities (Required proficiency)
  • Proficient in using PCs, Microsoft Office suite, and general office equipment (Required proficiency)
Physical Demands
  • Standing Occasionally
  • Walking Occasionally
  • Sitting Constantly
  • Lifting Rarely 20 lbs
  • Carrying Rarely 20 lbs
  • Pushing Rarely 20 lbs
  • Pulling Rarely 20 lbs
  • Climbing Rarely 20 lbs
  • Balancing Rarely
  • Stooping Rarely
  • Kneeling Rarely
  • Crouching Rarely
  • Crawling Rarely
  • Reaching Rarely
  • Handling Occasionally
  • Grasping Occasionally
  • Feeling Rarely
  • Talking Constantly
  • Hearing Constantly
  • Repetitive Motions Frequently
  • Eye/Hand/Foot Coordination Frequently
Travel Requirements
  • 10%