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Senior Patient Access Coordinator
2 months ago
What Sets Us Apart?
At Franciscan Missionaries of Our Lady Health System, we provide career paths for individuals who feel a calling to contribute their skills and talents within our healing mission. We are dedicated to fostering a culture of healing and invite you to become part of our team if you wish to engage in this meaningful work. Alongside competitive compensation and comprehensive benefits, we offer a unique opportunity to make a difference in the lives of those in need within our community every day. You can also anticipate:
- Educational reimbursement
- Opportunities for professional growth
- Affordable employee benefits
- A supportive community environment that values each member
Role Summary
The Senior Patient Access Coordinator serves as a key intermediary, adeptly addressing and resolving intricate patient access challenges with precision and efficiency, as demonstrated by consistent excellence in quality assessments. This position takes a leadership role in facilitating orientation, training, and engaging in process enhancement initiatives. The coordinator manages relationships with professionalism and empathy, communicating directly with patients, families, healthcare providers, insurers, and third-party payers. Responsibilities include thorough and precise patient registration in the Emergency Department, handling diverse cases such as trauma, stroke, disaster response, urgent admissions, surgical patients, radiology cases, and more. The coordinator is knowledgeable about and ensures compliance with federal and state regulations related to acute-care patient registration, particularly focusing on EMTALA regulations and the No Surprises Act. Team members must exhibit adaptability and readiness to respond to dynamic situations, including disaster activation, ensuring patient safety and financial integrity. Additionally, the coordinator may lead teams, engage in process improvement, mentor new staff, and conduct audits for regulatory and billing compliance.
Essential Qualifications
- Experience
Minimum of 3 years in hospital registration, demonstrating proficiency and reliability in achieving departmental objectives. A Bachelor's Degree may substitute for 2 years of experience. - Education
High school diploma or equivalent. - Special Skills
Comprehensive knowledge of federal regulations including 2 midnight rules, ABNs, patient status requirements, MSPs, state regulations on out-of-network notifications, EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, and worker's compensation regulations. Advanced clerical and computer skills, critical thinking abilities, capacity to perform under pressure, professional demeanor, effective communication skills, dependability, flexibility, and teamwork. - Licensure
CHAA certification.
1. Leadership/Quality/Productivity
- Acts as the primary contact for Patient Registrars needing to escalate registration issues to ensure efficient and accurate patient registration. Provides guidance and support to registrars.
- Consistently meets performance metrics as evaluated by registration accuracy, quality audits, productivity, and other monthly performance indicators.
- Serves in a leadership capacity (if designated).
- Participates in and supports performance improvement initiatives, demonstrating understanding and adherence to all departmental policies and procedures.
- Facilitates the onboarding and ongoing success of new hires by educating them on current processes, organizational policies, and the mission of the health system. Provides shadowing opportunities during training and clearly explains the registration process and software systems.
- Acts as an auditor for regulatory and billing compliance (if designated).
- Demonstrates reliability by attending work as scheduled and supporting the flexible needs of the department to accommodate patient volume across all areas of the facility. This may involve reassignment to different areas and shift adjustments.
- Effectively addresses customer needs, fosters productive relationships, and takes ownership of customer satisfaction and loyalty. Represents the Patient Access department professionally and courteously at all times. Engages with patients personally, addressing them by name and greeting them in a respectful manner. Prioritizes and completes registrations consistently, courteously, and accurately.
- Collects necessary information from patients, including demographic details, insurance, and guarantor information, and accurately inputs it into the registration system. If the patient is already in the system, locates the correct record and verifies the information.
- Utilizes critical thinking to assess each registration scenario, ensuring a tailored registration experience based on individual patient circumstances. Applies knowledge of federal and state laws (EMTALA, HIPAA, Balanced Billing Act, Participating Provider statute, HITECH law, worker's compensation regulations, and others) to ensure compliant registration.
- Ensures each patient is assigned a unique medical record number.
- Communicates the purpose of and secures patient/legal guardian signatures on all necessary hospital documents, such as consent forms and assignment of benefits.
- Thoroughly documents each interaction in account notes to facilitate effective cross-functional communication.
- Ensures orders are received and align with tests/procedures.
- Monitors the waiting area, manages patient flow, and resolves issues related to orders or missing/conflicting information to ensure timely and accurate patient registration.
- Demonstrates understanding of various insurance plans, including knowledge of payer rules and requirements related to coverage and prior authorization.
- Verifies eligibility using online tools whenever feasible and secures necessary authorizations for services provided.
- Selects appropriate insurance plans in the registration software, ensuring correct order (primary versus secondary). Understands required forms and can explain them to patients.
- Utilizes payment estimator software to calculate patient financial responsibilities, applying critical thinking to ensure accurate data input and output verification.
- Identifies potential financial assistance eligibility for patients and directs them to appropriate resources.
- Employs effective customer service techniques to collect patient financial obligations at or before the time of service.
- Negotiates with patients to ensure deposits are collected in accordance with corporate policies.
- Explains the details of out-of-pocket calculations to patients.
- Reviews documentation/notes on current and past accounts to clarify balances for patients.
- Demonstrates knowledge and ability to complete account acknowledgment forms when necessary.
- Handles cash transactions, prints receipts, and balances cash drawers.
- Performs all other responsibilities as assigned.