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 crucial in gathering essential registration information and ensuring the accuracy of all data and documentation for inpatients, surgical, diagnostic, and clinical outpatients. The specialist will foster positive relationships and maintain effective communication with patients, guardians, 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 registration requests from patients, caregivers, or healthcare professionals and identifies the appropriate registration protocol based on the clinic type.
- Collects comprehensive and precise patient, demographic, and insurance details, identifying all payment sources and pre-admission certification requirements to enhance revenue cycles and minimize denials.
- Prepares necessary forms and patient packets.
- Converts pre-registrations to visits upon patient arrival and organizes patient charts as needed.
- Verifies demographic information in the Epic registration system and communicates updates to relevant parties.
- Gathers essential data at the bedside for patients when appropriate, supporting their medical needs.
- Secures authorization for medical treatment or admission from guardians and seeks sociological information for signing authorization forms, referring to Social Workers for legal guardianship issues.
- Distributes Privacy Notices to guardians and obtains written acknowledgment of receipt.
- Communicates NeHii disclosures and documents them in the registration systems.
- Collects co-payments, deductibles, or deposits from patients at the time of registration, if not previously collected.

ADMISSIONS:
- Receives notifications for admissions from healthcare providers and assembles necessary forms.
- Places wristbands with verified demographic information on patients at the point of admission.
- Collects comprehensive patient information to enhance revenue cycles and prevent denials.
- Prompts collection of admission co-payments identified during insurance verification.
- Coordinates bed assignments with Clinical Nurse Coordinators and monitors bedside registrations.
- Secures authorization for medical treatment or admission from guardians and documents appropriately in Epic.
- Creates admission visits with the correct status and bed type upon patient arrival.
- Assesses if patients are adults in Nebraska for Advance Directive completion and provides necessary information.
- Follows up on Access work queues to ensure timely insurance information collection.

FINANCIAL RESPONSIBILITIES:
- Identifies and collects co-payments and payments during registration, while also addressing existing balances.
- Posts payments to accounts according to system protocols.
- Reviews all balance sources upon patient arrival and attempts to collect outstanding amounts.
- Completes Self-Pay Forms for self-pay accounts and forwards them to Patient Advocates.
- Manages daily deposits and cash drawers in accordance with departmental policies.
- Develops knowledge of insurance company requirements and verifies Medicaid eligibility.
- Utilizes electronic eligibility tools for determining patient responsibilities.
- Documents all patient transfers, discharges, and physician notifications in Epic.
- Answers and directs multi-line phone calls promptly.
- Completes necessary forms for physicians not in Epic and follows through with updates.
- Coordinates outpatient ancillary services and identifies specific registration protocols.
- Completes opening and closing routines for the department.
- Facilitates registration for limited English proficiency customers with interpreters.

QUALIFICATIONS:
- Knowledge of medical terminology and billing CPT/ICD coding preferred.
- Ability to type 40 words per minute with high accuracy.
- Strong attention to detail and a welcoming demeanor.
- High school diploma or GED required, with a minimum of one year of customer service experience.
- Previous experience in a healthcare or insurance setting preferred.
- Current Basic Life Support (BLS) certification preferred.

WORKING CONDITIONS:
- Position requires coverage 24/7, with the ability to work various shifts including days, evenings, nights, weekends, and holidays.

EOE/Vets/Disabled

About Us

At Children's, the region's only full-service pediatric healthcare center, our team is dedicated to making a meaningful difference in the lives of children. We foster an environment of excellence and inclusion, where professional development is supported and valued. Opportunities for career growth abound as we expand our services and facilities.

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