Patient Access Coordinator

4 days ago

Columbus, Ohio, United States Williamson Health Full time

Job Summary

Williamson Health is seeking a highly skilled Patient Access Coordinator to join our team. As a Patient Access Coordinator, you will be responsible for verifying insurance benefits and performing pre-certification on Surgical Day Care Patients, Observation Patients, Inpatients, and Outpatient procedures to achieve maximum reimbursement in a timely manner.

Key Responsibilities

  • Verify insurance benefits and perform pre-certification on Surgical Day Care Patients, Observation Patients, Inpatients, and Outpatient procedures
  • Work closely with other departments and referring physician offices and be professional in all communications
  • Interpret physician orders and understand radiology protocols
  • Use Meditech, Fax, Copier, time and attendance system, patient access software, cash management/posting, AllScripts, FormsFast, Education system, Label and armband printers, hand-held communication equipment, and email
  • Communicate and document significant patient information to hospital departments and physician offices by Outlook, BAR module, and scheduling module in a professional manner

Requirements

  • High School diploma or equivalent
  • At least three years clerical experience in a professional customer service-oriented office environment
  • At least one year Insurance verification/pre-certification experience required

Working Environment

Office in all areas pertinent to position

Prolonged sitting, consistent keyboard and terminal usage

Standing, walking, bending

Able to communicate in English verbally and legibly

Efficient verbal and written communication

Ability to work well under pressure, to function dependently

Consistently is up to date with payer requirements and is knowledgeable of billing requirements/regulations

Consistently and accurately completes insurance verification sheets after verifying insurance benefits/precertification requirements by using Passport, insurance websites, insurance cards, and contacting insurance company by phone for all direct admits, ER admits, and scheduled procedures

Scans completed document to patient's account

Completely reviews insurance information entered by scheduler or registrar and updates information accurately to insure timely reimbursement

Consistently uses good customer service skills when contacting patients, or physician offices when benefits have terminated or insurance information is incomplete or not available upon registration

Consistently reviews faxcert or AllScripts to obtain physician orders, clinical information, insurance information, and contacts physician office when discrepancies or additional information is needed

Consistently reviews printer for add-on and divides work between co-workers to insure timely verification and authorization throughout the day

Consistently obtains and verifies prior authorizations and compares to the physician orders to insure accuracy

Obtains updated orders as needed

Relays clinical information to insurance companies accurately

Consistently follows-up on after hour and weekend patients/procedures for authorization/retro authorization in a timely manner

Consistently communicates and assists (throughout the workday) other insurance verifiers with daily and future work

Participates in departmental meetings/huddles/etc. and recommends improvement opportunities

Performs other duties as assigned by Patient Registration director or manager and independently seeks out job duties during down time

Consistently notifies the Medicaid counselor and financial counselor of self-pay patients or when patients insurance has terminated to make financial arrangements

Understands and willingly adjusts working hours and job duties to accommodate patients and the department

Recognizes the need for change in daily routine; willingly alters lunch/break schedule to accommodate patients waiting to register

Communicates with all stakeholders when issues delay treatment due to pre-certification or verification requirements

Consistently communicates and documents significant patient information to hospital departments and physician offices by Outlook, BAR module, and scheduling module in a professional manner

Acknowledges e-mails in a timely manner

Reports concerns requiring attention to supervisor or director

Is a problems' solver that brings possible solutions with the concerns or problems

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