Healthcare Access Coordinator

2 weeks ago

MagstattleBas, Grand Est, United States Children's Hospital & Medical Center Full time
Job Overview

Schedule: 6a-6p one shift per week and every 3rd weekend

We are seeking a Patient Access Specialist to streamline the admission and registration processes for both inpatients and outpatients. This role is crucial in gathering necessary information for registration and pre-certification, ensuring that all data is precise, and that forms are duly completed and signed for inpatients, surgical, diagnostic, and clinical outpatients. The ideal candidate will foster positive relationships and maintain effective communication with patients, guardians, healthcare providers, nursing staff, and other stakeholders. Additionally, this position involves informing patients about their financial obligations and payment expectations.

KEY RESPONSIBILITIES

OUTPATIENT CLINIC, EMERGENCY, AND ANCILLARY REGISTRATION:
Receives notifications for registration/reservation from various sources and identifies specific registration protocols based on the type of clinic.
  • Collects comprehensive and accurate patient, demographic, and insurance information, identifying all payment sources and pre-admission certification requirements to enhance the revenue cycle and mitigate denials.
  • Prepares necessary forms and patient packets.
  • Converts pre-registration to visit upon patient/family arrival and assembles patient charts as needed.
  • Ensures all demographic information is accurate in the registration system and communicates updates to relevant parties.
  • Collects complete and accurate data at the bedside when appropriate, supporting the medical needs of the patient.
  • Secures authorization for medical treatment/testing or admission from guardians and seeks accurate sociological information for signing the Authorization for Treatment, referring to a Social Worker when necessary.
  • Distributes Privacy Notices to guardians and obtains written acknowledgment of receipt.
  • Documents disclosures in the registration system.
  • Collects identification in accordance with policy and procedures.
  • Encourages the collection of co-payments, deductibles, co-insurance, or deposits at the time of registration if not previously collected.
ADMISSIONS:
Receives notifications for registration/admission from healthcare providers and coordinates the admission process.
  • Prepares necessary forms.
  • Places wristbands with verified demographic information on patients at the point of admission.
  • Collects complete and accurate patient, demographic, and insurance information, identifying all payment sources and pre-admission certification requirements.
  • Encourages the collection of admission co-payments during the insurance verification process.
  • Gathers complete and accurate data at the bedside for unscheduled admissions, supporting immediate medical needs.
  • Coordinates bed assignments with the Clinical Nurse Coordinator and monitors bedside registration.
  • Secures authorization for medical treatment/testing or admission from guardians and seeks accurate sociological information for signing the Authorization for Treatment.
  • Creates admission visits with appropriate status and bed type upon patient/family arrival.
  • Determines if the patient is an adult for completion of Advance Directive status and provides necessary information.
  • Maintains daily follow-up in Access work queues with an emphasis on collecting insurance information for timely authorization.
FINANCIAL RESPONSIBILITIES:
Identifies, collects, and accepts co-payments and payments at the time of registration, while also addressing existing or prior balances.
  • Posts payments to accounts at the time of collection according to system protocols.
  • Reviews all sources for balances due upon patient arrival and attempts to collect.
  • Ensures completion of Self-Pay Forms for all self-pay accounts and forwards to Patient Advocates.
  • Obtains ABN forms when applicable.
  • Completes daily deposits and manages cash drawers according to departmental policies.
  • Develops knowledge of insurance companies and their requirements.
  • Verifies Medicaid eligibility through appropriate channels.
  • Utilizes electronic eligibility tools for determining patient responsibilities.
  • Documents all patient transfers, discharges, and changes in the registration system.
  • Answers and directs multi-line phone calls promptly.
  • Completes necessary forms for physicians not in the system and follows through with updates.
  • Coordinates outpatient ancillary services and identifies specific registration protocols.
  • Completes departmental routines, including sorting reports and providing shift change reports.
  • Transports specimens collected outside of the facility.
  • Coordinates with interpreters to facilitate registration for limited English proficiency customers.
QUALIFICATIONS
  • Knowledge of medical terminology.
  • Familiarity with billing CPT and ICD coding preferred.
  • Typing proficiency of 40 words per minute with high accuracy.
  • Attention to detail.
  • Ability to maintain a pleasant and welcoming demeanor.
  • Strong reading, writing, typing, and communication skills.
  • Ability to work independently.
EDUCATION AND EXPERIENCE
  • High school diploma or GED equivalent required.
  • Minimum one year of customer service experience required.
  • One year of experience in a healthcare or insurance setting preferred.
CERTIFICATIONS/LICENSURE REQUIREMENTS
  • Current and valid Basic Life Support (BLS) certification preferred.
SPECIAL REQUIREMENTS
  • Position requires coverage 24/7. Must be available to work assigned shifts.
  • All staff may be asked to take on-call duties for areas that operate 24/7.
EOE/Vets/Disabled

About Us

At Children's Hospital & Medical Center, we are dedicated to making a meaningful difference in the lives of children. Our organization is the region's only full-service pediatric healthcare center, where our staff is our greatest asset. We are committed to fostering an environment of excellence and inclusion, where team members are supported and valued. Opportunities for professional growth abound as we expand our services and facilities, including the innovative Hubbard Center for Children.

About the Team

The Patient Access team is focused on delivering quality care in patient registration and its associated processes. This team plays a vital role in ensuring that healthcare visits are seamless and efficient.

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