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Healthcare Access Coordinator I
2 months ago
Join Fisher-Titus and contribute to the well-being of our community
Benefits of working at Fisher-Titus:
- Flexible Work Hours - PRN - Hospital Clinics
- Comprehensive Benefits Package - Includes Medical & Dental coverage, 401K matching, paid time off, tuition assistance, and more
- Shift, Weekend & PRN differentials
Fisher-Titus is dedicated to serving over 70,000 residents in the greater Huron County area by offering a complete range of health and wellness services, from specialized care to outpatient services like laboratory, imaging, and rehabilitation.
Vision: To be the preferred choice for healthcare and employment in our community.
Mission: To provide compassionate and convenient care at the highest standards, promoting lifelong health and wellness for our community.
Position Overview:
The Patient Access Specialist plays a crucial role in delivering exceptional customer service for Fisher-Titus, ensuring successful financial outcomes for all patient services. This role encompasses essential responsibilities such as patient registration, insurance verification, call handling, data entry, managing protected health information (PHI), patient referrals, and point-of-service collections, all while fostering positive patient relations and satisfaction.
Key Responsibilities:
- Efficiently manages incoming calls, addressing patient and staff inquiries, and initiating patient triage slips when necessary.
- Prepares all registration and admission documents for patients to complete upon arrival.
- Exhibits excellent customer service skills by welcoming and treating all patients and staff with respect and confidentiality.
- Collects and verifies confidential health and financial information from patients, utilizing various software to ensure payment for authorized services.
- Updates and verifies patient records, ensuring the electronic medical record (EMR) is complete and accurate, making necessary changes, and filing records according to Fisher-Titus's system.
- Adheres to all organizational, state, and federal regulations regarding patient privacy and confidentiality, including the Health Insurance Portability and Accountability Act (HIPAA).
- Confirms insurance eligibility and benefits within a specified timeframe, obtaining pre-authorizations from third-party payers as required.
- Assesses medical necessity in line with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage information to patients.
- Identifies patients requiring Medicare Advance Beneficiary Notices (ABNs) for non-coverage and maintains accurate records of authorizations within the electronic health record (EHR).
- Possesses a solid understanding of insurance protocols for referrals, co-payments, and deductibles.
- Performs additional clerical tasks as assigned.
- Demonstrates knowledge of safety policies and procedures, ensuring a safe environment.
- Maintains professionalism in appearance, communication, and conduct, ensuring services comply with state and federal regulations, as well as organizational standards.
- Other duties as assigned.
