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Healthcare Access Coordinator I

2 months ago

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

As a vital component of the Revenue Cycle team, the Healthcare Access Coordinator I plays a crucial role in ensuring accurate patient registration, providing cost estimates, collecting payments at the point of service, and delivering outstanding customer service to meet the needs of patients and clients.

Key Responsibilities

1. Conducts interviews with patients through various channels (in-person, phone, or documentation) to create or validate patient medical records and insurance claims using demographic and insurance data.

2. Demonstrates expertise in insurance coverage, benefits, regulations, and plan allocations to ensure accurate information is provided, facilitating expected payments for services rendered.

3. Verifies and allocates insurance plans using electronic eligibility tools, phone inquiries, and web portals, taking necessary actions for services, including those that are non-covered or out-of-network.

4. Prepares patient estimates, educates the guarantor on charges and out-of-pocket responsibilities, and establishes payment plans when applicable for both professional and technical services.

5. Accurately calculates, collects, and posts co-pays, deductibles, co-insurance, and prior balances in accordance with established policies, consistently meeting or exceeding collection goals and productivity standards.

6. Implements measures to balance and secure cash in alignment with company policies.

7. Takes proactive steps to prevent duplicate medical records or incorrect patient selections, which are critical for patient safety, while safeguarding Protected Health Information (PHI).

8. Maintains readiness for emergency situations, participating in drills and real-time safety events as required.

9. Assists with wayfinding, providing directions or transport as necessary to enhance the patient and customer experience.

Additional Duties

1. Performs other related tasks as assigned and contributes to special projects as needed.

2. Adheres to all policies and standards.

3. For specific responsibilities, refer to documentation provided during orientation.

4. Complies with all requirements to securely maintain Protected Health Information (PHI) for patients, participating in annual training and following the organization's Code of Conduct and policies regarding PHI usage.

Qualifications

1. High School Diploma or GED (Required)

2. Minimum of 1 year of experience in healthcare or customer service (Required)

3. Preferred: 2+ years of experience in healthcare or customer service

4. An associate or bachelor's degree may substitute for 1 year of work experience.

Skills and Abilities

1. Proficient in utilizing multiple complex software solutions (Required)

2. Dependable and willing to work in a 24/7 environment, including potential travel to various locations and overtime (Required)

3. Exceptional client service, communication, and relationship-building skills (Required)

4. Ability to thrive in a fast-paced and high-pressure environment (Required)

5. Capable of functioning independently and collaboratively in a dynamic setting (Required)

6. Strong written and verbal communication skills (Required)

7. Detail-oriented and organized, with strong analytical and problem-solving abilities (Required)

8. Demonstrated proficiency in using PCs, Microsoft Office Suite, and general office equipment (Required)