Senior Patient Access Coordinator

2 weeks ago

California, Missouri, United States Northern Arizona Healthcare Full time
Overview


The Senior Patient Access Coordinator plays a pivotal role in facilitating training and guidance for new personnel within the department, focusing on all aspects of patient registration, scheduling, and financial processes under the supervision of the Manager.

This position is essential during periods of staff shortages across all shifts and involves active participation in departmental operations.

Serves as a knowledgeable resource to liaise with clinical areas regarding patient access procedures, escalating issues to management when necessary.

Key Responsibilities

Patient Registration and Scheduling

  • Exhibits a high level of proficiency in computer systems and Microsoft Office applications, including navigation of necessary web-based platforms for Patient Access Services.
  • Implements effective search techniques and adheres to proper data entry protocols for clinical, demographic, and insurance information in the electronic medical record.
  • Provides comprehensive explanations of scheduled medical procedures and associated patient instructions.
  • Ensures compliance with documentation standards pertinent to patient visits, accurately reflecting interactions related to patient or provider contact, order documentation, and financial education.
  • Clarifies legal documentation requirements, securing necessary signatures from patients or authorized representatives.
  • Demonstrates a thorough understanding of compliance standards within healthcare, including EMTALA and HIPAA regulations regarding patient confidentiality.
Eligibility and Authorization Management

  • Identifies and selects the appropriate insurance provider in the patient medical record for specified service dates.
  • Utilizes system applications to initiate and document insurance eligibility, benefits, and authorization requirements.
  • Conducts necessary notifications to secure and document insurance authorizations for medical services, including surgical and inpatient procedures.
  • Possesses advanced knowledge of CPT and ICD10 coding, as well as physician order documentation related to medical necessity.
Financial Counseling

  • Demonstrates expertise in regulatory and Third Party Payer insurance requirements, including Medicare and Medicaid.
  • Educates patients on insurance eligibility, coverage details, procedure costs, and available financial assistance resources.
  • Identifies and collects patient financial responsibilities, ensuring secure payment processing and cash reconciliation.
  • Navigates online tools to provide charge estimates for various medical services based on patient inquiries.
  • Resolves issues related to scheduling, registration, or financial assistance applications on behalf of patients.
  • Engages with providers and insurance representatives to facilitate the AHCCCS application process for patients.
  • Monitors financial counseling follow-ups for patients in various care settings, ensuring updates to patient accounts as necessary.
Revenue Cycle Support

  • Assists management in reviewing Revenue Cycle reports and audits, evaluating performance and accuracy of registration and scheduling activities.
  • Trains staff on essential Patient Access functions and workflows as assigned.
  • Identifies ongoing educational needs for staff to enhance performance, contributing to the development of training materials and presentations.
  • Acts as a resource for clinical departments regarding patient account data entry, provider order requirements, and insurance inquiries.
  • Aids in the completion of departmental operational reports, providing insights on deficiencies and supporting improvement initiatives.
Compliance and Safety

  • Responsible for timely reporting of safety incidents and participation in safety training programs, ensuring a safe work environment.
  • Remains informed and compliant with relevant state and federal regulations and company policies affecting the role.
  • Ensures all required certifications and licenses are current and valid.
  • Completes mandatory training modules and job-specific training within designated timeframes.
Qualifications

Education
High School Diploma or GED - Required
Medical Terminology - Preferred
Associate's Degree - Preferred

Experience
Minimum 2 years in Patient Services or related Revenue Cycle roles - Required
Proficiency in Microsoft Applications (Excel, Word, PowerPoint) - Required
Minimum 3 years in a medical facility or related field - Preferred

Healthcare is a dynamic environment where technology plays a crucial role in patient care. Proficiency in computer systems and software is essential for all colleagues.

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