Healthcare Access Coordinator

5 days ago


Titusville, Florida, United States Parrish Medical Center Full time

Job Summary:

We are seeking a skilled and detail-oriented Healthcare Access Coordinator to join our team at Parrish Medical Center. This role is ideal for an individual who enjoys working in a fast-paced environment and is committed to delivering exceptional patient care.

About the Role:

The Healthcare Access Coordinator will be responsible for promoting timely and accurate processes associated with pre-registration, insurance verification, pre-certification, and insurance notification. This includes performing pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services.

Main Responsibilities:

  • Customer Service: Always maintain professional image and demonstrate excellent customer service while interacting with patients.
  • Patient Identification: Always use two patient identifiers (patient full name and date of birth) for accurate patient identification.
  • Pre-Registration and Insurance Verification: Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services.
  • Meet Performance Expectations: Meet/exceed performance expectations; complete work within the required time frame (10 registrations per hour).
  • Benefits Verification and Pre-Certification: Follow scripted benefits verification and pre-certification format in Health Information System (i.e. Meditech) custom benefits screen and record benefits and pre-certification information in the approved standard format.
  • Insurance Plans Assignment: Assign Insurance Plans (IPlans) accurately.
  • Electronic Insurance Eligibility Confirmation: Perform electronic insurance eligibility confirmation and document results.
  • Medicare Secondary Payor Questionnaire: Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system.
  • Patient Cost Share Calculation: Calculate patient cost share and be prepared to collect via phone or make payment arrangement and document account with collection efforts accordingly.
  • Patient Communication: Contact patient via phone (with as much advance notice as possible, preferably 72 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment.
  • Payment Collection: Receive and record payments from patient for services scheduled.
  • Communication and Documentation: Utilize appropriate communication system to facilitate communication with Patient Access team and other hospital departments as necessary. Ensure appropriate documentation is entered in standard format on the patient record.
  • Physician Collaboration: Contact physician to resolve issues regarding prior authorization or referrals.
  • Patient Visit History Research: Research Patient Visit History to ensure compliance with payor specific payment window rules.
  • Follow-Up Tasks: Perform insurance verification and pre-certification follow-up for prior days walk-in admissions/registrations and account status changes by assigned facility as per guidelines.
  • Caseworker Collaboration: Communicates with hospital-based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues.
  • Advanced Beneficiary Notice: Complete ABNs (Advanced Beneficiary Notice) on all Medicare patients.
  • Code of Conduct: Always serves to fulfill the mission; practices and adheres to the Code of Conduct/Standards of Behavior/Values.
  • Knowledge and Understanding: Demonstrates knowledge and understanding of organizational policies, procedures and systems.
  • Process Improvement: Participates in process improvement initiatives.
  • Other Duties: Performs other duties as assigned.
  • Safety Procedures: Knows fire, disaster and safety procedures and regulations as pertains to the work area.

Requirements:



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