Patient Access Coordinator I

1 week ago

Augusta, Maine, United States Wellstar Health Systems Full time
Facility: Wellstar MCG Health, Inc.
Job Overview: This position serves as the initial point of contact for patients and visitors, ensuring a welcoming experience. The role involves interviewing patients and/or their representatives to gather comprehensive and precise demographic, financial, and insurance details necessary for billing and account management. It includes thorough screening of Medicare, Medicaid, and managed care patients for pre-certification requirements and eligibility verification before registration. Responsibilities also encompass obtaining essential customer consents and coordinating the collection of estimated patient liabilities, such as co-payments and unmet deductibles. The position requires verifying insurance benefits and coverage for both inpatients and outpatients, addressing customer inquiries, and resolving concerns through established protocols. Proficiency in utilizing computer systems to access and update customer records is essential, along with the verification and posting of transactions. Core Responsibilities:
  • Quality/Safety: Manages patient scheduling requests from physician offices, ensuring timely pre-admission arrangements.
  • Conducts interviews to collect accurate demographic and financial information, entering all data into the registration system.
  • Secures necessary signatures and is knowledgeable about special forms required by third-party payers.
  • Reads physician orders to determine requested procedures and instructs patients accordingly.
  • Escorts patients to procedure areas and updates account information as needed.
  • Documents detailed notes on patient accounts regarding any non-routine circumstances and billing processes.
  • Maintains knowledge of information system capabilities and performs necessary applications.
  • Adheres to WHS philosophy and objectives, ensuring compliance with policies and procedures.
  • Maintains confidentiality of patient information in accordance with WHS policy and HIPAA regulations.
  • Demonstrates organizational skills and prioritizes work effectively to avoid backlogs.
Customer Service:
  • Greets all guests with professionalism and positivity.
  • Handles incoming phone calls and addresses requests efficiently.
  • Maintains courteous relationships with management, patients, physicians, and the public.
  • Demonstrates tact in managing challenging situations.
  • Presents a professional image in alignment with departmental dress codes.
Financial Responsibilities:
  • Attempts to collect estimated self-pay balances at the earliest opportunity.
  • Monitors accounts and arranges financial plans with guarantors prior to discharge.
  • Completes financial evaluation forms to assess guarantors' financial situations.
  • Identifies patients lacking adequate insurance coverage and assesses eligibility for financial assistance programs.
  • Documents all collection activities and interactions with patients or guarantors.
  • Coordinates financial counseling with various departments to ensure comprehensive patient support.
Required Qualifications:
  • High School Diploma or GED; Associate's degree preferred.
Experience and Skills:
  • Minimum of 1 year in a healthcare or corporate environment.
  • Proficient in computer/data entry with effective communication skills.
  • Strong problem-solving abilities and critical thinking skills.
  • Familiarity with patient registration systems and Microsoft Office Suite preferred.

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