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Patient Access Coordinator

2 months ago


Newport Beach, United States Hoag Memorial Hospital Presbyterian Full time

Salary Range: $ $ /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.

Under the supervision of the Patient Access Supervisor, the Patient Access Coordinator plays a vital role in adhering to Federal, State, and Local regulations while collaborating closely with patients and clinical teams. Responsibilities encompass a range of services including, but not limited to: patient registration, appointment scheduling, insurance verification, collection of payments, enhancing the patient experience, and effective communication with internal departments. The Coordinator is adept in utilizing various applications and systems such as Affinity, Passport, Chartmaxx, and other relevant information systems (e.g., RMS, SCM, or Amelior as necessary). This role thrives in a collaborative team environment, demonstrating exceptional customer service skills, multitasking abilities, and proficient computer literacy.

Key Responsibilities:

  • Facilitates the patient arrival process efficiently.
  • Establishes accounts for initial intake upon patient check-in.
  • Continuously monitors patient queues to ensure prompt registration.
  • Adheres to HIPAA protocols for accurate patient look-up and registration.
  • Verifies insurance eligibility and codes insurance accurately for timely billing.
  • Assists patients with inquiries regarding billing and insurance.
  • Collects copayments, co-insurance, and deductible amounts as required.
  • Obtains necessary signatures, identification, and consents for compliance with regulatory standards (e.g., Photo IDs, COA, MSP, Advanced Directives, etc.).
  • Communicates patient registration status, in/out of network information, and maintains service levels to prevent delays in care.
  • In outpatient settings, schedules same-day and follow-up appointments, validating physician orders and confirming accuracy of service codes.
  • In Emergency Departments, adheres to the Emergency Medical Treatment and Labor Act (EMTALA) guidelines.
  • Generates task reports to track workload and inventory.
  • Seeks assistance as needed to achieve 100% service level targets.
  • Meets daily productivity standards in line with departmental expectations.
  • Performs additional duties as assigned.

Education, Training & Experience

Required:

  • High School Diploma or equivalent (GED).
  • At least 1 year of general office or customer service experience.

Skills and Qualifications

Required:

  • Proficient keyboarding skills for data entry.
  • Effective communication skills in English, both written and verbal.
  • Strong attention to detail.
  • Demonstrated analytical and critical thinking abilities with proactive decision-making and negotiation skills.
  • Ability to manage multiple tasks concurrently.
  • Capability to build and maintain collaborative and effective working relationships.
  • Exceptional customer service skills.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.