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Patient Access Coordinator I/II
2 months ago
Navajo Preference Employment Act:
In compliance with the Navajo Nation and federal regulations, TCRHCC has established an Affirmative Action Plan under the Navajo Preference in Employment Act. This Plan, along with the corresponding TCRHCC Policy, stipulates that applicants who meet the qualifications for this role and (1) are enrolled members of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe will receive hiring preference, (2) are legally married to enrolled members of the aforementioned tribes and meet residency criteria will receive secondary preference, and (3) are enrolled members of other federally-recognized American Indian Tribes will receive tertiary preference.
Position Overview:
The primary role of the Patient Access Specialist is to efficiently schedule and register patients by meticulously gathering and analyzing all necessary demographic information, third-party coverage (such as insurance), and clinical data. The incumbent will conduct interviews with patients and assist them in completing essential forms for processing medical, dental, and pharmacy billing claims. Ensuring data integrity is crucial to expedite third-party reimbursements and enhance customer satisfaction. This position requires adaptability to frequent interruptions and a willingness to work a flexible schedule. The incumbent will also perform various clerical tasks, including scheduling, modifying, and canceling patient appointments, as well as managing provider schedules.
Qualifications:
Education:
High School diploma or GED is required.
Experience:
Patient Access Specialist I:
Must possess six (6) months of experience in a dynamic office environment, demonstrating the ability to manage and prioritize multiple tasks while adhering to tight deadlines.
Patient Access Specialist II:
Must have two (2) years of experience in a fast-paced office setting, showcasing the ability to manage and prioritize various assignments while meeting deadlines. Familiarity with electronic patient registration software or similar patient financial services software is preferred.
Certification:
Must maintain a current valid certification in Basic Life Support (BLS) from the American Heart Association throughout employment.
Skills and Abilities:
A record of satisfactory performance in all previous and current employment, as evidenced by positive references. Key skills include:
- Exceptional customer service and communication skills, both personal and via telephone.
- Proficient in computer software applications.
- Ability to manage special projects, meet departmental deadlines, and troubleshoot effectively.
- Positive interpersonal relationships and communication with colleagues.
- High ethical standards with no history of complaints.
- Dependable attendance and punctuality.
- Ability to handle sensitive and confidential information.
- Strong typing skills with accurate spelling and grammar.
- Capability to work independently with minimal supervision.
- Flexibility to adapt to frequent interruptions and varied schedules.
- Empathy and effective communication with patients and families during stressful situations.
- Willingness to accept constructive feedback to improve performance.
Mental and Physical Effort:
The physical and mental demands of this role are representative of those required to successfully perform essential functions. Reasonable accommodations may be made for individuals with disabilities.
Physical Requirements:
This position is primarily sedentary, requiring the ability to sit, stand, walk, twist, and reach for extended periods. The incumbent will conduct patient interviews and prepare necessary documentation. May involve lifting up to 10 pounds. Continuous near vision, color vision, and the ability to hear normal speech and overhead announcements are essential.
Mental Requirements:
Effective communication with patients regarding required information is critical. The role demands the ability to manage high-stress situations, make decisions under pressure, and maintain concentration while handling multiple priorities.
Essential Functions:
1. Maintain and update patient data across various systems, ensuring accuracy for billing and admissions.
2. Conduct patient interviews to gather registration information and verify insurance coverage.
3. Assess patients' financial responsibilities and refer them to appropriate resources when necessary.
4. Collect payments for services and ensure proper reconciliation according to fiscal policies.
5. Verify insurance and obtain prior authorizations as needed.
6. Assist patients in completing necessary forms for medical records and insurance.
7. Perform all admitting office activities as assigned, ensuring data integrity for admissions and transfers.
8. Collaborate with departments to enhance patient services and satisfaction.
9. Greet and assist patients and visitors in person or via telephone.
10. Manage motor vehicle accidents and workers' compensation claims as they arise.
11. Follow guidelines for patient identification and income screening.
12. Utilize software systems for various healthcare office functions.
13. Ensure all necessary requisitions are completed and routed timely.
14. Maintain appropriate stock of forms and supplies.
15. Responsible for electronic health records data entry.
16. Adhere to PPE protocols while on duty.
17. Complete cleaning and decontamination tasks as required.
18. Perform additional duties as assigned.
