Patient Access Coordinator

3 days ago

San Antonio, Texas, United States Baptist Neighborhood Hospital Full time
About Baptist Neighborhood Hospital

We are a leading healthcare provider in the community, dedicated to delivering high-quality patient care and exceptional service. Our team of healthcare professionals is committed to fostering a work environment that values diversity, promotes equity, and ensures equal access to information, development, and opportunity for all.

Job Summary

The Patient Access Specialist plays a critical role in ensuring the smooth operation of our hospital's revenue cycle. As a key member of our team, you will be responsible for facilitating patient tracking and billing by obtaining and verifying accurate and complete demographic information, financially securing, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

Key Responsibilities
  • Compliance and Regulatory Requirements
    • Maintain compliance with EMTALA, DNV, HIPAA, and all other hospital and government regulations applicable to the Admissions settings and in handling of Medical Records
  • Customer Service
    • Provide excellent customer service at all times by effectively meeting customer needs, understanding who the customers are, and building quality relationships
  • Patient Safety
    • The Patient Access Specialist plays a role in protecting patient safety by ensuring each patient is properly identified and triaged when they arrive to the hospital
  • Communication and Documentation
    • Answer telephone in a professional and courteous manner, record messages, and communicate to appropriate medical staff
    • Provide and obtain signatures on required forms and consents
    • Obtain, verify, and enter complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle
  • Insurance Verification and Authorization
    • Verify insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into the patient accounting system
    • Obtain insurance authorizations as required by individual insurance plans where applicable
  • Collection and Cash Handling
    • Maximize the efficiency and accuracy of the collection process by pursuing collections at the time of service in a customer service-oriented fashion
    • Scan all registration and clinical documentation into the system and maintain all medical records
  • Additional Responsibilities
    • Assist with coordinating the transfer of patients to other hospitals when necessary
    • Respond to medical record requests from patients, physicians, and hospitals
    • Maintain cash drawer according to policies
    • Maintain log of all patients, payments received, transfers, and hospital admissions
    • Maintain visitor/vendor log
Requirements
  • Education and Experience
    • High School Diploma or GED, required
    • 1 year of patient registration and insurance verification experience in a healthcare setting, required; 2 years preferred
    • Emergency Department registration experience, strongly preferred
  • Knowledge and Skills
    • Knowledge of various insurance plans (HMO, PPO, POS, Medicare, Medicaid) and payors, required
    • Basic understanding of medical terminology
    • Excellent customer service
    • Working knowledge of MS Office (MS Word, Excel, and Outlook), strongly preferred

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