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Patient Access Coordinator
2 months ago
Job Overview
The Patient Access Coordinator is tasked with the precise registration of patients within the Electronic Medical Record (EMR) system. This includes the validation of patient details, verification of insurance benefits, collection of necessary payments, and ensuring an exceptional patient experience. The role adheres to established protocols and operates under close supervision.
Key Responsibilities
Customer Interaction: Success in this area is measured by: Patients receiving courteous and clear explanations of billing procedures and expected charges, leading to a minimal number of complaints annually. All patients and their families are warmly welcomed and greeted, as evidenced by a lack of grievances. Queries and concerns from patients or family members are addressed appropriately, reflected in a low volume of customer complaints. Patients are informed of their rights and Advance Directives upon request. Patient and insurance data is accurately captured and updated in the clinic's system, ensuring information integrity at all times.
Patient Management: Effectiveness in this function is demonstrated when: Documentation related to patient referrals is processed accurately and consistently. Patient appointments are scheduled and adjusted as necessary, ensuring smooth patient flow through the clinic. A variety of administrative tasks, including answering phone calls, retrieving medical records, and recording data, are completed efficiently and promptly. Current patient charts and relevant information are systematically organized, facilitating easy retrieval.
Insurance Compliance: Proficiency in this area is evident when: Claims edits and denials are investigated, and discrepancies are resolved within two days of notification. All necessary information for billing, including charge details from the physician, is researched and reconciled within two days of receipt. Charges are entered and batches processed daily, with bank and deposit summaries prepared immediately after reconciling payments with receipts. Diagnosis and procedure codes are reviewed for accuracy, ensuring data entry at the point of service is up-to-date. Patient payments for services are verified and collected consistently, with account balances confirmed and outstanding amounts collected daily. A comprehensive understanding of health plans, including co-pays, deductibles, and co-insurance, is maintained at all times.
Additional Responsibilities: This role includes: Completing other assigned tasks as necessary. Serving as a backup for colleagues in the clinic when required.
Qualifications
Experience: A minimum of six months in a customer service or front desk position, or completion of a front office/medical office training program. A Bachelor's degree may be considered in lieu of experience.
Education: High School Diploma or Equivalent.
Skills: A professional demeanor, outstanding customer service abilities, multitasking capabilities, critical thinking skills, demonstrated computer proficiency, and the capacity to learn and excel in Epic during the introductory period.
