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Patient Access Coordinator

2 months ago

Tiffin, Ohio, United States Prisma Health Full time

About the Role

We are seeking a skilled Patient Access Coordinator to join our team at Prisma Health. As a Patient Access Coordinator, you will play a critical role in ensuring that patients receive high-quality care by efficiently and effectively managing the registration and access process.

Key Responsibilities

  • Registration and Verification
    • Interview patients to collect and verify demographic and financial data, ensuring accuracy and completeness.
    • Verify insurance coverage and benefits, utilizing online eligibility or telephone inquiries to the employer and/or third-party payor.
    • Document all information obtained through insurance verification in the system.
  • Pre-Certification and Authorization
    • Initiate pre-certification process as required, obtaining signed waivers for cases where pre-certification is not yet obtained.
    • Assign appropriate insurance plans from the third-party database, ensuring correct priorities based on third-party requirements and COB.
  • Financial Management
    • Obtain necessary signatures and information on forms and documents, including consent forms, liability assignments, and waiver letters.
    • Receive payments and issue receipts, actively working towards collection goals.
    • Maintain cash funds and verification logs, making daily deposits according to departmental policies and procedures.
  • Reporting and Communication
    • Prepare and distribute reports, documents, and patient identification items as required, including privacy notices, patient rights and responsibilities, and patient valuables.
    • Communicate estimated financial responsibility to patients, requesting payment prior to or at the time of service.

Requirements

  • Education and Experience
    • High School Diploma or equivalent or post-high school education.
    • 2 years of experience in admissions, billing, collections, insurance, and/or customer service.
  • Skills and Qualifications
    • Basic computer skills.
    • Knowledge of office equipment, including fax and copier.
    • Word processing, spreadsheets, and database skills.
    • Data entry and mathematical skills.
    • Registration and scheduling experience preferred.
    • Familiarity with medical terminology preferred.

Work Environment

This is a non-management role that will report to a supervisor, manager, director, or executive.