Healthcare Access Coordinator

3 weeks ago

Pasco, Washington, United States Savista Full time
About the Role

Savista is seeking a highly skilled Patient Services Representative to join our team. As a Patient Services Representative, you will play a critical role in facilitating all components of patient registration, ensuring accurate and efficient handling of day-to-day operations relating to patient scheduled appointments.

Key Responsibilities
  • Interview Patients: Conduct in-person and/or phone interviews to obtain required information for hospital records and billing systems.
  • Pre-register Patients: Pre-register all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
  • Verify Insurance: Verify insurance coverage and obtain authorization for all services requiring pre-certification.
  • Process Referrals: Process internal and outgoing referrals as needed, per department procedures.
  • Clerical Functions: Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing, and scanning.
  • Collect Payments: Collect and process upfront deposits or set up payment arrangements as required.
  • Screen Patients: Screen patients for Medicaid, Affordable Care Act, or hospital-sponsored financial programs and provide appropriate documentation and referral.
  • Assist Team Members: Assist other team members as necessary.
  • Adhere to Policies: Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling, and other identified financial clearance-related duties.
  • Understand Operations: Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
  • Participate in Performance Improvement: Participate in departmental performance improvement initiatives.
Requirements
  • Education: High school diploma or equivalent.
  • Experience: At least six months of experience working in a role within a customer-facing, fast-paced environment with a high volume of either calls or in-person requests.
  • Communication Skills: Experience communicating effectively with customers and simplifying complex information.
  • Technical Skills: Ability to navigate Internet Explorer and Microsoft Office.
  • Prioritization: Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
  • Performance Metrics: Demonstrated ability to meet or exceed performance metrics.
  • Confidentiality: Ability to handle sensitive information and maintain HIPAA compliance.
  • Travel: Amount of travel required: None.
Preferred Requirements
  • Registration Experience: Six months of experience working within the registration process in a hospital or physician office setting, including demonstrated success obtaining patient demographic and financial information, handling insurance verification, and obtaining authorizations.
  • Knowledge of Insurance Plans: Knowledge of commercial and government insurance plans, payer networks, government resources, and medical terminology.

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