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Healthcare Access Coordinator
2 months ago
Part timeShift:
Day Shift
Position Overview:
In this role, you will operate under limited supervision to assess the necessity for and secure authorization for medical treatments and procedures, as well as the assignment of benefits required. You will provide patients with essential information regarding regulatory standards and outline estimated costs along with patient financial responsibilities, facilitating the collection of co-pays, deductibles, and outstanding balances. Your responsibilities will include the thorough and precise collection of patient demographic and financial data to establish a comprehensive patient and service-specific record for claims processing and the maintenance of an accurate electronic medical record. You will be responsible for registering and checking in patients while determining preliminary patient and insurance liabilities. Your duties will also involve account analysis, troubleshooting, and resolving patient account discrepancies. You will initiate billing and rebilling of accounts as necessary.
- Conduct interviews with patients to gather information ensuring accurate and timely claims submission.
- Analyze collected information to create detailed visit-specific billing records.
- Assess the need for and secure authorization for treatments/procedures and assignment of benefits as required.
- Enhance your skills by participating in both on-site and external training opportunities, applying learned skills to improve work processes and patient interactions.
- Deliver information to patients regarding hospital policies and regulatory requirements using effective interpersonal and guest-relations skills.
- Assist other Health System or physician office staff with registration, insurance verification, and authorization processes.
- Determine appropriate payments required at the time of registration (deposits, co-pays, minimum charges, and non-covered services) and collect payments accordingly.
- Provide estimated costs and patient responsibilities for both procedural and complex services based on planned services, documenting all communications related to estimates within the patient accounting record.
- Verify procedural and diagnosis codes submitted by service departments and physicians to ensure accuracy for claims submission and reimbursement adjudication.
- Confirm insurance eligibility with payors, determine benefits, and ensure authorization requirements are fulfilled, coordinating with ordering practitioners and patients to align service and insurance needs.
- Engage with patients to discuss eligibility, benefits, and requirements specific to clinical services, creating appropriate registration records and communicating their financial responsibilities and benefit statuses prior to clinical services.
- Facilitate cash collection as appropriate before and during service, including copays, deductibles, and private pay responsibilities.
- Obtain insurance authorization, patient liability acknowledgment, acknowledgment of non-covered services, and consent forms, explaining their purpose to patients and addressing any questions they may have. Complete all necessary documentation, ensuring signatures and approvals are obtained and that all information is accurate and complete.
Education: High school diploma or equivalent is required.
Experience: One to two years of relevant experience is preferred.
Certification/Licensure: CHAA certification from the National Association of Healthcare Access Management is preferred.
Required Skills and Abilities:
Proven experience with computerized systems. Strong critical thinking and problem-solving abilities. Analytical skills to effectively and efficiently resolve registration, insurance, and claims processing challenges. Knowledge of revenue cycle processes and terminology. Excellent interpersonal skills to communicate effectively with patients, team members, clinical colleagues, medical staff, third-party providers, and external agencies. Exceptional customer service skills and a positive demeanor. Patience when interacting with patients in various emotional states. Proficient use of telephones.
Our Commitment to Diversity and Inclusion:
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
