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Healthcare Access Coordinator

2 months ago


Chillicothe, Ohio, United States Ensemble Health Partners Full time
Position Overview:

ENTRY LEVEL CAREER OPPORTUNITY WITH:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement

About the Role:
We are on the lookout for a dedicated Healthcare Access Coordinator. This role is essential in managing the admission processes for all patients seeking services at our facility.

The Coordinator will execute these responsibilities while aligning with the organization’s mission and adhering to all regulatory compliance standards.

The role requires collaboration with various departments to ensure smooth operations throughout the organization.

Key Responsibilities:


The Healthcare Access team is tasked with accurately assigning Medical Record Numbers (MRNs), conducting medical necessity and compliance checks, delivering appropriate patient instructions, gathering insurance details, processing physician orders, and utilizing tools to provide exceptional customer service as measured by performance metrics.

Additionally, the Coordinator will manage the telephone switchboard to facilitate incoming, outgoing, and inter-office communications as necessary.

They are expected to follow established policies and deliver outstanding customer service with empathy in all interactions.

The Healthcare Access team will be accountable for achieving point-of-service objectives as designated.
The team is also responsible for employing quality auditing and reporting systems to ensure account accuracy. This may involve reviewing accounts for other staff members, departments, and facilities.

Conducting audits of accounts and ensuring that all documentation is completed accurately and promptly to meet audit standards is crucial, along with providing statistical data to leadership.

The Healthcare Access Coordinator will pre-register patient accounts before visits.

This includes making inbound and outbound calls to collect demographic, insurance, and financial information from patients, including collecting point-of-service payments and past due balances.

The Coordinator will explain general consent for treatment forms to patients or their guardians, securing necessary signatures and witness information.

They will also distribute patient education materials, such as Medicare messages, Tricare information, observation forms, and other relevant documents.

Reviewing eligibility responses in the insurance verification system and accurately entering benefit data to support billing processes is essential for maintaining a high clean claim rate.

Furthermore, the Coordinator will be responsible for screening medical necessity using the Advanced Beneficiary Notice (ABN) software to inform patients about potential non-payment of tests by Medicare and distributing the ABN as needed.

They will also handle the distribution and documentation of other required forms and informational pamphlets.

Preferred Experience:
1+ years in customer service roles

Educational Requirements:
High School Diploma or GED Required

Certifications:
CRCR Certification required within 6 months of employment (Company Sponsored)