Healthcare Access Coordinator

2 weeks ago

Tahlequah Oklahoma, United States Cherokee Nation Full time

Position Overview:
The Healthcare Access Coordinator plays a crucial role in gathering patient details, confirming current insurance status, and validating coverage. This role involves the creation and maintenance of precise electronic health records, as well as the collection of consent, privacy, and authorization documentation. The Healthcare Access Coordinator is also tasked with managing patient appointments, including scheduling, canceling, and rescheduling as necessary.

The ideal candidate will exhibit outstanding customer service abilities and efficiently address patient concerns in a professional manner.


Key Responsibilities:


Welcomes and assists all patients and visitors courteously, whether in person or over the phone; addresses general inquiries or issues; conducts patient appointment reminder calls; directs calls or takes detailed messages.

Assesses the eligibility of patients seeking care, particularly those who have not previously received treatment within the Cherokee Nation Health System, by obtaining necessary documentation such as a Certification of Degree of Indian Blood (CBID) card or proof of tribal membership.

Aids patients in completing new or updated forms and secures necessary signatures. This includes managing information for inpatient, outpatient, emergency, and after-hours patients. Engages with new and existing patients to collect essential registration details to uphold healthcare standards. For pre-registration, this process may occur via phone. Validates patient billing information through automated systems, registration interfaces, and direct communication with patients and payers as needed.

Scans third-party health cards and clarifies to patients the necessity of billing for services rendered.

Maintains up-to-date knowledge and adheres to the Privacy Act, Health Insurance Portability and Accountability Act (HIPAA), and other relevant patient confidentiality regulations.

Inputs Medicare, Medicaid, and private/commercial insurance details into the electronic records system.

Reviews documentation and collaborates with the Patient Benefits Advocate/Coordinator to exchange billing information and ensure proper coordination of patient eligibility and benefits.

Manages scheduling, cancellations, and rescheduling of patient appointments; makes appropriate designations within scheduling queues to ensure timely appointment management.

Utilizes automated appointment reminder applications and reports daily. Ensures patient appointment slots are allocated sufficient time as determined by medical staff. Sends correspondence from the clinic/department to patients. Maintains acceptable production and quality assurance standards. Acts as the primary contact for patients.

Must proficiently operate computerized programs and databases to enter, modify, and retrieve sensitive information within electronic health record applications; such as scheduling and registration systems.

Monitors scheduling queues and waitlists to ensure timely handling of patient referrals. Evaluates patient status, secures authorization for hospitalization and outpatient services prior to service delivery. Provides retroactive reviews and appeals to insurance companies as necessary. Responds to inquiries from insurance companies, medical offices, hospitals, and patients with exemplary customer service.

Documents pre-certification numbers as required in electronic health records applications for easy access by other departments.

Coordinates efforts with providers, case management, insurance carriers, patient access billing, and patients to secure necessary authorizations and payments for services rendered.

Expedites emergency-based referrals as recommended by medical personnel. Communicates effectively and courteously with patients when rescheduling appointments. Completes daily logs for productivity tracking. Utilizes strong interpersonal skills to deliver exceptional customer service to patients and colleagues, both internal and external. Directs patient inquiries to the appropriate personnel (i.e., medical staff). Verifies all patient information for accuracy and completeness (demographic, insurance, emergency contacts, and eligibility).

Files and retrieves applications and records in accordance with established procedures; investigates lost or missing applications or records as needed.

Compiles data as required; organizes and repairs records and files as necessary. Orders and distributes supplies as appropriate. Operates office equipment such as copiers and fax machines. Assists and trains new team members. Adheres to defined call-in procedures as established by the supervisor. Additional duties may be assigned.

SUPERVISORY RESPONSIBILITIES
None

Qualifications:

EDUCATIONAL REQUIREMENT


High School diploma or general education degree (GED); or at least six (6) months of specialized training, education, or experience.


EXPERIENCE REQUIREMENT


At least six months experience in a related field and familiarity with Medicaid, Medicare, and third-party billing guidelines preferred.


COMPUTER SKILLS
Proficiency in database software is required.

CERTIFICATES, LICENSES, REGISTRATIONS

None

OTHER SKILLS AND ABILITIES
None

OTHER QUALIFICATIONS


Employee must not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or the General Services Administration (GSA) and must not be listed on the OIG's Cumulative Sanction Report or the GSA's List of Excluded Providers.

Knowledge of interview techniques and billing office requirements is essential.

Familiarity with medical terminology is necessary due to the technical nature of healthcare processes related to access to care, policies, and procedures affecting patient flow, care, and revenue processes.


PHYSICAL DEMANDS


While performing the duties of this job, the employee is regularly required to sit; use hands to manipulate objects; and communicate verbally.

The employee must occasionally lift and/or move up to 10 pounds.

WORK ENVIRONMENT
The noise level in the work environment is typically moderate.

  • Healthcare Access Coordinator

    1 week ago

    Oklahoma City, Oklahoma, United States Healthcare Partners Investments Full time

    $500 Sign on Bonus for Full Time Patient Access Representative The Patient Access Representative plays a crucial role in ensuring the seamless and precise registration of all individuals seeking services at our facility. This position involves meticulously gathering and inputting patient data into the system as provided by the patient or their healthcare...

  • Healthcare Access Coordinator

    2 weeks ago

    Oklahoma City, Oklahoma, United States Oklahoma Medical Research Foundation Full time

    Overview:Established in 1946, the Oklahoma Medical Research Foundation (OMRF) stands as one of the nation's premier independent, nonprofit biomedical research institutions. OMRF is committed to advancing our understanding and developing more effective treatments for various human ailments, concentrating on vital research domains such as Alzheimer's disease,...

  • Healthcare Access Coordinator

    1 week ago

    Oklahoma City, Oklahoma, United States UMC Health System Full time

    Our Commitment to Patients and StaffAt UMC Health System, we prioritize the well-being of our patients and team members alike. Discover what makes us a leading employer in Texas.Position: Patient Access RepresentativeOverview:The Patient Access Representative is essential in facilitating the registration process for both inpatient and outpatient services,...

  • Healthcare Access Coordinator

    1 week ago

    Oklahoma City, Oklahoma, United States UMC Health System Full time

    Commitment to Patient CareAt UMC Health System, we prioritize the well-being of our patients and our team members alike. Explore what makes us a distinguished employer in Texas.Position: Patient Access RepresentativeOverview:The Patient Access Representative is essential in facilitating the registration process for both inpatient and outpatient services,...

  • Healthcare Access Coordinator

    1 week ago

    Oklahoma City, Oklahoma, United States UMC Health System Full time

    Commitment to Patient CareAt UMC Health System, we prioritize the well-being of our patients, which in turn fosters a supportive environment for our team members. Learn about our recognition as a leading employer in Texas.Position: Patient Access RepresentativeCompany: UMC Health SystemOverview:The Patient Access Representative is essential in facilitating...

  • Healthcare Access Coordinator Positions

    2 weeks ago

    Oklahoma City, Oklahoma, United States Mercy Full time

    Overview:The Healthcare Access Coordinator serves as a vital initial contact for patients, embodying the core values of Mercy through exceptional customer service and compassion. This role is essential in ensuring a seamless entry for patients into any Mercy facility, which includes responsibilities such as scheduling appointments, managing registrations,...

  • Healthcare Access Coordinator

    2 weeks ago

    Oklahoma City, Oklahoma, United States INTEGRIS Health Community Hospital Full time

    About INTEGRIS Health Community Hospital:SHIFT DETAILS:Swing (11a-11p)EMPLOYMENT TYPE:Full-timeFACILITY OVERVIEW: INTEGRIS Health Community Hospital is a 16-bed small-format healthcare facility, featuring 8 emergency and 8 inpatient beds. As a pioneer in community-focused healthcare, we are dedicated to providing exceptional, personalized care to our...

  • Patient Access Representative

    4 days ago

    Tahlequah, Oklahoma, United States Cherokee Nation Full time

    Job SummaryThe Patient Access Representative is responsible for collecting patient information, obtaining current insurance information, and verifying insurance coverage. This position creates and maintains accurate electronic health records and gathers consent, privacy, and authorization forms. The Patient Access Representative is responsible for...

  • Patient Access Representative

    1 day ago

    Tahlequah, Oklahoma, United States Cherokee Nation Full time

    Job SummaryThe Patient Access Representative is responsible for collecting patient information, obtaining current insurance information, and verifying insurance coverage. This position creates and maintains accurate electronic health records and gathers consent, privacy, and authorization forms. The Patient Access Representative is responsible for...

  • Patient Access Coordinator

    6 days ago

    Oklahoma City, Oklahoma, United States Emerus Full time

    About UsEmerus is a leading provider of innovative healthcare solutions, partnering with respected health systems to deliver high-quality patient care in the communities we serve.Job OverviewThe Patient Access Specialist plays a critical role in ensuring seamless patient flow and efficient revenue cycle management. As a liaison between patients, payers, and...

  • Patient Access Representative

    2 months ago

    Tahlequah, United States Cherokee Nation Full time

    Job Summary: The Patient Access Representative is responsible for collecting patient information, obtaining current insurance information, and verifying insurance coverage. This position creates and maintains accurate electronic health records and gathers consent, privacy, and authorization forms. The Patient Access Representative is responsible for...

  • Healthcare Service Coordinator

    2 weeks ago

    Tahlequah, Oklahoma, United States ZOLL LifeVest Full time

    Position Title: Patient Service Representative (PSR)Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis.Summary Description:ZOLL LifeVest, the manufacturer of the innovative LifeVest wearable defibrillator, is in search of a...

  • Healthcare Service Coordinator

    2 weeks ago

    Tahlequah, Oklahoma, United States ZOLL LifeVest Full time

    Position Title: Patient Service Representative (PSR)Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, MA, Phlebotomy, RCIS, CVT, EKG Technician, etc. All candidates reviewed on an individual basis.Summary Description:ZOLL LifeVest, the creator of the innovative LifeVest wearable defibrillator, is in search of a Patient...

  • Healthcare Services Coordinator

    1 week ago

    Tulsa, Oklahoma, United States PT Solutions Physical Therapy Full time

    Position Overview & Responsibilities:PT Solutions Physical Therapy is a therapist-owned private practice dedicated to enhancing patient recovery experiences. With locations throughout the United States, we prioritize building genuine connections with our patients to redefine their journey to wellness. As a Healthcare Services Coordinator (HSC), you will play...

  • Healthcare Systems Analyst

    4 days ago

    Tahlequah, Oklahoma, United States Cherokee Nation Full time

    Job SummaryAs a Healthcare Systems Analyst with Cherokee Nation, you will play a critical role in providing Electronic Health Record (EHR) support to end-users, assessing, planning, developing, designing, implementing, enhancing, maintaining, and supporting the Cerner Millennium Solutions associated with the position. You will analyze, evaluate, document,...

  • Healthcare Services Coordinator

    2 weeks ago

    Oklahoma City, Oklahoma, United States ResMed Full time

    Position Overview:We are seeking a dedicated Healthcare Services Coordinator to join our team on a temporary contract basis. This part-time role requires commitment for three days a week. Role Responsibilities:The primary focus of the Healthcare Services Coordinator is to deliver exceptional healthcare and customer service to our clients. Key...

  • Healthcare Administrative Specialist

    1 week ago

    Tahlequah, Oklahoma, United States Cherokee Nation Full time

    Job Overview:Provides essential administrative assistance to the designated administrative leader by delivering insights and reports pertinent to clinic or departmental operations.Key Responsibilities:Conducts studies on operational challenges and procedures, including organizational modifications, communication strategies, information flow, inventory...

  • Pharmacy Access Coordinator

    1 week ago

    Oklahoma City, Oklahoma, United States OU Health Full time

    Position Overview:Under the supervision of the clinical pharmacist and the Assistant Vice President of Clinical Pharmacy, the Pharmacy Benefits Navigator plays a crucial role in facilitating drug access for patients at OU Health. This position is essential in addressing various barriers such as prior authorizations, copay assistance, and delivery...

  • Patient Access Coordinator

    6 days ago

    Oklahoma City, Oklahoma, United States UMC Health System Full time

    Job SummaryWe're committed to creating a work environment that supports the well-being of our patients and employees alike. As a Patient Access Representative at UMC Health System, you'll play a vital role in ensuring seamless patient registration and admissions processes.Key ResponsibilitiesCollect and verify patient information for accurate registration...

  • Vascular Access RN

    1 month ago

    Oklahoma City, United States Dynamic Access LLC Full time

    Job DescriptionJob DescriptionWe will train Critical Care Registered Nurses to become Vascular Access RNs!Dynamic Access is excited to announce we are currently hiring for a dynamic Vascular Access Nurse (PICC RN)!LOCATION: Tulsa, OKSHIFT: Night shifts 4pm-6:00amDynamic Access provides a complete 24/7 vascular access service to all types of healthcare...