Patient Access Services Coordinator

Patient Access Services Coordinator, Rehab

With energy and purpose, Cooley Dickinson Health Care, a member of the Mass General Brigham system, is advancing health care in western Massachusetts, and has been since 1886. Our network employs more than 2,000 medical professionals and support staff, at our main Hospital campus in Northampton and additional locations in twelve towns throughout the Pioneer Valley. Cooley Dickinson's VNA & Hospital is also a vital part of our network, providing home-based services throughout Hampshire and Franklin counties.

The Patient Access Services Coordinator, Rehab is responsible for performing various duties involved in scheduling and registering Rehabilitation Services patients at all Cooley Dickinson Rehab locations.

Responsibilities include the procurement of all pre-certifications and referrals, collection of co-payments and transaction reconciliation, patient reception, answering phones, accountability of Medical Records as well as resolution of admission, billing, or other problems related to the collection of an account balance, and maintaining Rehabilitation Services Department records and statistics. This position reports to the Manager, Central Scheduling and operates within established organizational and departmental policies and procedures.

Qualifications

High school diploma or equivalent required

One (1) to three (3) years of administrative and in-person customer service experience required

Rehab office coordinators, front desk doctors office, and patient access services experience preferred

Familiarity with and understanding of hospital admissions, patient account systems, and major health insurers and general coverage issues preferred; previous cashiering experience preferred

Demonstrated typing proficiency, personal computer, and CRT experience required

Tempus One Scheduler experience and medical terminology preferred

Demonstrated interpersonal, oral, and written communication skills required

Additional Job Details

Essential Job Functions:

• Interview incoming patients, or their representative, to obtain all pertinent and financial information required for the proper preparation of all forms and records. Obtain required signatures on the financial agreements form, HIPAA forms, and cancellation policy.
• Work productively with all members of the Rehab Services Team. Develop, accept, and contribute to all goals and objectives established by the department.
• Perform admitting duties and register patients via hospital computer system. Enter daily orders/charges on each outpatient and inpatient as required. Receive orders from patient care units and respond accordingly.
• Perform scheduling duties. Receive referral information from patients, their representatives, visiting nurse associations, physicians office support personnel, and therapists. Schedule patients according to current systems and keep all systems and involved parties up to date throughout the process. Track cancellations and no-shows.
• Interact effectively with patients and doctors offices in order to gather correct, complete data necessary to ensure that clinical and fiscal responsibilities are facilitated, for both the patient and the hospital. Follow manual procedures when computer system is not functioning properly.
• Schedule all patients appointments via the Scheduling System. Notify physicians offices and insurance companies if a prior authorization is required. Educate patients and their representatives about insurance authorizations as needed. Follow insurance guidelines and keep up to date with all insurance requirements and stipulations in order to obtain reimbursement. Keep all clinicians informed of their patients appointments and insurance information.
• Call patients at home to verify information prior to admission as needed and call physicians office if a patient has not arrived for their therapy visit.
• Stay current with new outpatient therapy regulations of the many public and private insurance companies that patients carry, such as Medicare, Blue Cross HMOs, Health New England, Tufts, Workers Comp, and Liability - pre-authorization approval guidelines. Utilize Eligibility checkers such as Emdeon, MediFax, NEHEN and various websites. Follow guidelines in order to attain the appropriately benefit, eligibility, and co-payment information and update the hospital-based computer system accordingly.
• Recognize and take action when a patient is scheduled inappropriately or does not follow necessary procedures so as not to leave the hospital at a financial risk. Determine which insurance plan is to be billed as primary or secondary. Receive correct guarantor information.
• Explain, over the phone and in person, hospital and insurance regulations relating to therapy, such as co-payment amounts, deductibles, and other related issues to patients as necessary, keeping as transparent as possible. Listen to complaints and concerns of patients and the public, assisting to solve problems.
• Transmit required information to appropriate departments. Use auto-attendant phone system, page physicians, therapists, supervisors, department head, and technologists and park calls as needed.
• Provide patient information in accordance with regulations governing divulgence of information (HIPAA).
• Distribute federal and state-mandated information to patients.
• Verify benefits on all designated patient types. When necessary, assist with pre-certifications with insurance carriers. Notify patients and/or appropriate medical personnel of outcome.
• Maintain confidentiality of all patients records and data. Interface with medical records and billing department as required based on department, hospital, and patient care needs.
• Requisition office supplies and forms when necessary.
• Cross train and work a flexible schedule as needed, working in other satellite facilities such as Amherst, Southampton, Northampton, South Deerfield, Hatfield, and Worthington.
• Maintain established hospital and departmental policies and procedures, objectives, confidentiality, quality improvement program, compliance, safety, infection control, and environmental standards.
• Maintain professional growth and development through attendance at seminars, workshops, conferences or in-services, professional affiliations or journals to stay abreast of current trends in field of expertise.
• Meet annual competency and retraining requirements.
• Attend meetings as required.
• Perform other functions/duties as requested.

Onsite

8 Atwood Drive

40 hours

Regular

Day (United States of America)

Cooley Dickinson Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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