Job Description

Patient Access Coordinator II, 40 HRs/Week, Evening Shift (3:00PM to 11:30PM), Weekends As Needed, Holidays Required

I. Position Function:

Works in one of the 3 patient access areas, scheduling, registration and pre certification and cross trains to the other two areas

Responsible for accurate booking/scheduling,demographical information, insurance requirements and regulatory requirements.

Improves the revenue cycle with front end processes such as insurance verification, referral, pre ceritification and co pay/ self pay

collection before or at the point of service. Quality of work is checked daily through revenue improvement logs. Excels at all

aspects of customer service.

II. Job Relationships:

Care Management

Medical Records

Billing

Patient Information

All in patient and outpatient locations in the medical center

Physician offices

III. Authority:

IV. A. Responsibilities/Essential Functions:

1.) "Provides superior customer service to internal and external clients, customers,

and patients as referenced in the Service Excellence Standards."

greeting patients/ answering phones/Confidentiality Policies are followed/HIPAA

2) Books/Schedules/Transfers:

Schedules appoints/ books beds/ transfers

3) Communications:

Patient communcations/physician offices/medical center internal and external

Account communication: to complete revenue cycle: scheduling/registration/precertifcation/medical records/billing

4) Team Work:work as a team to complete revenue cycle: helping with any task that assures the bill goes our accurately

5) Demogaphical Information: Obtains accurate information

Patient Identification/Patient's medical record number/address/next of kin

6) Insurances

Insurance verification/eligibility: assures all patient's insurance is active and verified according to criteria

Insurance policy numbers and type of insurance are accurate

ABN's: Uses Iatric system to assure patient's test that is ordered meets medical necessity

Referrals: Assures patient has referral number in system according to criteria

Pre Authorization: Assures all episodes of care that require precertication it is obtained according to payor requirements

Payor Requirements: learn payor requirements and adhere to them from point of booking through precertification and registration

Subscriber: assure all subscriber information is accurate

Guarantor Addresses: assure all guarantor addresss are complete and accurrate

7) Self Pay Collections: identify pre appointment (scheduled) day of appointment (ED/add ons) for up front collections for copayments and deductables. Collect.

8) Regulatory Requirements: Learn and comply with all regulatory requirements for scheduling/registration and precertification

Consents

Health Care Proxy's

HIPAA

Subscriber

Medicare/BC 65/Secure Horizaons Rights

Patient Right

9) Accurate data: assure all aspects of data are accurate:

Physician Names /attending/admitting/primary care

Reason for visit

Admission status

Admission priority

Admission service

occurence codes

Registration status

10) Quality Checks and monitoring: assure daily work is checked for accuracy daily and measurement tools in place to monitor

Revenue Enhancement Log - ran and checked daily

Check lists: daily tasks that need to be done in each area as a team are completed

Schedules are checked for accuracy/ arranged for patients arrival

Follow up is done on all schedules/registration/precertification according to policies and regulations

11) Computers/Trainings

Training is done on all systems to accomplish your job resquirements: Meditech/Nehen/ Web MD/IDX

Attends staff meetings and reads email to keep up to date with changes

Takes competency tests as needed

Attends safety training yearly

works with trainer to enhance job performance

12) Departmental Policies

Follows all departmental and medical center policies

Attendance Guidelines

Request for time off and sick time policies

Dress code

Reads and understands departmental policies

B. Responsibilities/Non-Essential Functions:

1) Restocks desk and area working in as needed for next shift

2) Clears off printers and faxes daily

3) Consistently assures department areas are neat

V. Reporting Requirements:

- Leads, supervisors and managers of patient access department

- Administrative Director of Patient Access

VI. Accountability:

- Accountable to cross train to scheduling/pre certification/ patient access

- Accountable for exceptional customer service

- Accountable for accurate data entry and verification/along with requirements

- Accountable for confidentiality

- Accountable for all regulatory requirements

- Accountable for all essential and non essential functions

- Accountable for all policies and procedures of the department and medical center

- Accountable for all quality checks including the revenue improvement logs

VII. Qualifications:

Minimum Education:

high school diploma / college preferred

Minimum Experience:

1 year in Patient Access

Minimum skills/abilities:

Excellent customer service skills

Excellent communication skills

Application Instructions

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