Healthcare Access Coordinator

2 weeks ago

MagstattleBas, Grand Est, United States Children's Hospital & Medical Center Full time
Job Overview

Schedule: 6a-6p one shift per week and every 3rd weekend

We are seeking a Patient Access Specialist to streamline the admission and registration processes for both inpatients and outpatients. This role is essential in gathering vital information for registration and pre-certification, ensuring that all data is precise, and that forms are completed and signed for inpatients, surgical, diagnostic, and clinical outpatients. The specialist will foster positive relationships and maintain effective communication with patients, families, healthcare providers, nursing staff, and other stakeholders. Additionally, the role involves informing patients about their financial obligations and payment expectations.

KEY RESPONSIBILITIES

OUTPATIENT CLINIC, EMERGENCY, AND ANCILLARY REGISTRATION:
Receives requests for registration/reservation from patients, caregivers, or healthcare professionals and identifies the specific registration protocols based on the patient’s clinic type.
  • Collects comprehensive and accurate patient demographic and insurance details, identifying all payment sources and pre-admission certification requirements to enhance the revenue cycle and minimize denials.
  • Prepares necessary forms and patient packets.
  • Converts pre-registration to visit status promptly upon patient arrival and assembles patient charts as needed.
  • Ensures all demographic information is accurate in the registration system and communicates updates to relevant parties.
  • Gathers complete and accurate data at the bedside for patients when appropriate, supporting their medical needs.
  • Secures authorization for medical treatment or admission from parents or legal guardians and refers to a Social Worker for legal guardianship issues.
  • Distributes Privacy Notices to parents and obtains written acknowledgment of receipt.
  • Documents disclosures in the registration system.
  • Collects necessary identification in accordance with policies.
  • Facilitates the collection of co-payments, deductibles, or deposits at the time of registration.
ADMISSIONS:
Receives notifications for patient admissions from healthcare providers or scheduling staff.
  • Prepares necessary forms.
  • Applies wristbands with verified demographic information upon admission.
  • Collects comprehensive patient demographic and insurance information, identifying all payment sources and pre-admission certification requirements.
  • Facilitates the collection of admission co-payments as identified during the insurance verification process.
  • Gathers complete and accurate data at the bedside for all unscheduled admissions, when appropriate.
  • Coordinates bed assignments with nursing staff and monitors registration processes.
  • Secures authorization for medical treatment or admission from parents or legal guardians.
  • Creates admission visits with appropriate status and notifies relevant staff.
  • Documents Advance Directive status for adult patients in Nebraska.
  • Follows up on Access work queues to ensure timely collection of insurance information.
FINANCIAL RESPONSIBILITIES:
Identifies and collects co-payments and payments at the time of registration, while also addressing any existing balances.
  • Posts payments to accounts according to established protocols.
  • Reviews all sources for outstanding balances upon patient arrival and attempts to collect.
  • Completes Self-Pay Forms for applicable accounts and forwards them to Patient Advocates.
  • Obtains necessary forms when applicable.
  • Manages cash drawer and ensures balancing and posting requirements are met.
  • Develops knowledge of insurance companies and their requirements.
  • Verifies Medicaid eligibility through appropriate channels.
  • Utilizes electronic eligibility tools for all applicable payors.
  • Documents all patient transfers, discharges, and physician notifications in the system.
  • Handles multi-line phone calls efficiently.
  • Completes necessary forms for physicians not listed in the system.
  • Coordinates outpatient services and identifies specific registration protocols.
  • Completes departmental routines including report management and shift change documentation.
  • Facilitates specimen transport as required.
  • Coordinates with interpreters for patients with limited English proficiency.
QUALIFICATIONS
  • Knowledge of medical terminology.
  • Familiarity with billing CPT and ICD coding preferred.
  • Typing proficiency of 40 words per minute with high accuracy.
  • Attention to detail.
  • Ability to present a welcoming demeanor to all individuals.
  • Proficient in reading, writing, and following instructions.
  • Ability to work independently.
EDUCATION AND EXPERIENCE
  • High school diploma or GED required.
  • Minimum one year of customer service experience required.
  • Experience in a healthcare or insurance setting preferred.
CERTIFICATIONS
  • Current Basic Life Support (BLS) certification preferred.
ADDITIONAL REQUIREMENTS
  • Position requires availability 24/7. Must be able to work assigned shifts, including nights and weekends.
  • Staff may be required to be on call for areas that operate 24/7.
EOE/Vets/Disabled

About Us

At Children's Hospital & Medical Center, we are dedicated to making a significant impact on the lives of children. Our team is committed to providing exceptional pediatric healthcare services. We foster an environment of excellence and inclusion, where our team members are valued and supported. Opportunities for professional growth are abundant as we expand our services and facilities, including the innovative Hubbard Center for Children.

About the Team

The Patient Access team is essential in delivering quality care through efficient patient registration and support processes. This team plays a crucial role in ensuring that healthcare visits proceed smoothly.

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