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Patient Access Coordinator
2 months ago
We are seeking a highly skilled and detail-oriented Patient Access Specialist to join our team at Halifax Health. As a Patient Access Specialist, you will play a critical role in ensuring that patients receive timely and accurate access to healthcare services.
Key Responsibilities- Scheduling Responsibilities
- Maintain a thorough understanding of scheduling criteria for all procedures within the department.
- Work efficiently to ensure accuracy of details for each procedure scheduled.
- Schedule patient visits in a timely manner, ensuring that appointments are complete and accurate.
- Coordinate appointments as needed with other departments.
- Provide excellent customer service by answering phone calls and addressing patient inquiries.
- Maintain confidentiality when handling patient charts, records, and scheduling information.
- Pre-Registration Responsibilities
- Ensure confidentiality when handling patient charts, records, and scheduling information.
- Communicate with third-party payers to obtain authorizations/pre-certifications for patients' scheduled services as needed.
- Collaborate with patients, other patient access staff, clinical departments, and referring physician offices to ensure that all necessary information is obtained from patients before their scheduled services.
- Document all information obtained during pre-registration activities to ensure patients' accounts are complete for forwarding to other departments.
- Refer uninsured, underinsured, and low-income patients to patient financial advocates to secure financial arrangements prior to service.
- Registration Responsibilities
- Enter patients into the patient tracking system upon arrival per department procedure.
- Interpret physician orders to determine service needs.
- Collect and scan physician orders or verify that complete and valid orders are on file for each patient.
- Accurately and thoroughly collect, analyze, and record demographic, insurance, financial, and clinical data in computer system.
- Ensure information source is appropriate.
- Review and explain all registration forms prior to obtaining signatures from patient or appropriate patient representative.
- Ensure patient's identification band is securely fastened upon completion of the registration.
- Collect self-pay balances per department guidelines and post collections to system.
- Ensure that all monies collected are secured or turned over to appropriate associates and cash drawers are balanced before closing.
- Refer patients to financial counseling when needed.
- Provide patients with financial assistance applications per department guidelines.
- Identify payer requirements for medical necessity and pre-certification.
- Verify compliance or complete the screening process, following department procedures for payment or non-payment responses.
- Insurance Verification Responsibilities
- Advise patients and/or family members of their financial obligation via all modes of communication.
- Obtain payment in full or secure adequate payment arrangements/eligibility and benefit information for both inpatient and outpatient accounts.
- Advise patients on expenses associated with service and inform patients of payment requirements.
- Secure payments or payment arrangements on self-pay accounts.
- Discuss third-party coverage with patient and arrange disposition of out-of-pocket balances due.
- Advise patients as to their financial liability and assist them with insurance issues and activation of coverage.
- Provide superior customer service to the patient and family by assisting with completion of required paperwork and program applications.
- Serve as a resource to CEA staff, Social Workers, and other hospital staff for identification of funding sources for health services for patients.
- Financial Counseling
- Demonstrate compliance with the Statement of Organizational Ethics and all policies related to the organization's Corporate Compliance Program.
- Consistently carry out job responsibilities ethically and professionally.
- Exhibit ethical and professional workplace behavior and decision-making.
- Report any infractions using the appropriate chain of command and without fear of retribution.
- Complete annual learning requirements, reviewing fire safety and Isolation precaution policies, applicable code reviews, disaster plan reviews, policies on handling hazardous and toxic substances, and risk management issues.
- Demonstrate an interest in patient safety education and participate proactively in identifying problems and incidents in the department and throughout the hospital which place any patient, visitor, or staff member at risk or injury.
- Follow EMTALA, HIPAA, payer, and other regulations and standards.
- Demonstrate a positive and friendly demeanor even in stressful situations to ensure a positive experience for all customers.
- Communicate in a respectful, positive way with fellow colleagues.
- Demonstrate compliance with the Statement of Organizational Ethics and all policies related to the organization's Corporate Compliance Program.
Halifax Health is a leading healthcare provider in Volusia and Flagler counties, offering a continuum of health care services through a network of organizations. Our mission is to provide high-quality, patient-centered care to our community.
