Patient Access Coordinator I

1 week ago


Geneva, Ohio, United States University Hospitals Full time
Position Overview - Patient Access Coordinator I

Location: University Hospitals

Employment Type: Part-time, 24 hours per week

Role Summary

As a vital member of the Revenue Cycle team, the Patient Access Coordinator I is responsible for ensuring precise patient registration, providing cost estimates, collecting payments at the point of service, and delivering exceptional customer service to meet the needs of patients and their families.

The effectiveness of this role significantly influences claim denials, enhances customer satisfaction, and minimizes outstanding debts. Patient Access Coordinators are adept in managing patient and physician interactions, overseeing registration processes, scheduling appointments, and navigating multiple complex systems.

Key Responsibilities
  1. Conduct interviews with patients through various methods (in-person, phone, or documentation) to create or verify patient medical records and insurance claims using demographic and insurance data.
  2. Demonstrate expertise in insurance coverage, benefits, and regulations to ensure accurate information is provided, facilitating expected payments for services rendered.
  3. Utilize electronic eligibility tools and web portals to verify and allocate insurance plans, taking necessary actions for services that may not be covered or are out-of-network.
  4. Provide patient estimates, educating guarantors about charges and potential out-of-pocket expenses, and establish payment plans when necessary for both professional and technical services.
  5. Accurately calculate, collect, and post co-pays, deductibles, co-insurance, and any prior balances in accordance with established policies, consistently meeting or exceeding collection goals.
  6. Implement measures to secure cash in alignment with organizational policies.
  7. Prevent duplicate medical records or incorrect patient selections to ensure patient safety and protect sensitive health information.
  8. Maintain readiness for emergency situations by participating in drills and real-time safety events.
  9. Assist with wayfinding, providing directions or transport as needed to enhance the patient and customer experience.
  10. Engage in additional duties as assigned and contribute to special projects as required by the organization.
Qualifications

Education: High School Diploma or GED required.

Experience: Minimum of 1 year in healthcare or customer service required; 2+ years preferred. An associate or bachelor's degree may substitute for 1 year of experience.

Skills and Abilities
  • Proficient in utilizing various complex software applications.
  • Dependable and flexible to work in a 24/7 environment, with a willingness to travel to different locations as needed.
  • Exceptional client service, communication, and relationship-building skills.
  • Able to thrive in a fast-paced and high-pressure environment, particularly in emergency settings.
  • Capable of functioning both independently and collaboratively within a team.
  • Strong written and verbal communication skills.
  • Detail-oriented with strong organizational, analytical, and problem-solving abilities.
  • Proficient in using PCs, Microsoft Office Suite, and standard office equipment.

All employees are expected to comply with organizational policies and standards, including maintaining the confidentiality of Protected Health Information (PHI) as per established guidelines.



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