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Healthcare Access Coordinator
2 months ago
Overview:
Administrative & Clerical
The primary objective of this role is to facilitate the registration of all patients seeking services. This position is accountable for gathering precise and comprehensive demographic, financial, and medical details. The individual in this role proactively addresses the needs of our clients to improve the patient experience. The working hours for this position are from 11:00am to 7:30pm, Monday through Friday, with a rotation every fourth weekend.
Key Responsibilities:
1. Engages with patients throughout the registration process to foster a welcoming and positive experience.
2. Ensures appropriate patient identification.
3. Collects accurate and thorough demographic data from patients.
4. Obtains and verifies insurance information, including eligibility and benefits.
5. Determines and collects patient financial responsibilities.
6. Refers patients to a Patient Financial Resource Specialist when necessary for financial counseling.
7. Completes patient registration and financial clearance at the bedside in emergency care situations.
Additional Responsibilities:
1. Accurately inputs required registration information into the electronic health record system, adhering to established procedures for patient identification and medical record number assignment to prevent duplication or errors.
2. Reviews demographic and insurance data for completeness, rectifying any deficiencies to avoid delays in collection efforts.
3. Ensures compliance with EMTALA registration protocols for emergency department patients.
4. Verifies that all necessary signatures and forms are completed, including but not limited to: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy Notice, Assignment of Benefits, and Medicare Important Messages.
5. Provides information and/or handouts regarding patient rights and responsibilities, HIPAA Privacy Notice, and financial assistance documentation.
6. Thoroughly documents insurance verification details in the ADT system, noting deductibles, copayments, coinsurance, and policy limitations. Obtains and records referral, authorization, and pre-certification information as needed in the electronic health record.
7. Confirms patient liabilities with payers, calculates patient payments, requests payment at the time of registration, and documents this in the electronic health record.
8. Consistently demonstrates excellent customer service skills to all patients and visitors, promoting a positive patient experience. Assists patients in navigating to their destinations as required and manages visitor flow in accordance with hospital policies and safety guidelines.
Qualifications:
EDUCATION:
Required:
High School Diploma or equivalent.
Preferred:
Associate Degree or Certification in Health Care Administration.
EXPERIENCE:
Required:
1 year of customer service experience in a healthcare or related environment; 6 months of experience in a healthcare office.
Preferred:
Familiarity with Medical Terminology; 1 year of experience in patient registration and/or revenue cycle management.
LICENSURE/CERTIFICATION:
REQUIRED:
PREFERRED:
Certification in Health Care Access (CHAA, CAA).