Patient Access Coordinator - 995411

Primary Purpose

Performs functions that include patient registration, appointment scheduling, insurance verification, referral processing, billing coordination, and patient account management. Supports clinic operations by coordinating patient flow and assisting with student/resident patient management. Provides high-quality customer service while ensuring compliance with established quality assurance standards, HIPAA regulations, and NSU policies and procedures.

Essential Job Functions

• Coordinates patient access operations, including registration, insurance verification, scheduling, and patient flow, while maintaining accurate demographic, insurance, and account information in electronic systems to ensure compliance and a positive patient experience.
• Schedules patient appointments and manages provider schedules to maintain efficient clinic flow and support operational and educational requirements.
• Verifies insurance eligibility, processes referrals and authorizations, and ensures required documentation is completed prior to patient visits.
• Collects patient payments, explains financial responsibilities, and supports patient account management including payment plans and account inquiries.
• Enters, reviews, and updates patient data within electronic medical records and billing systems to ensure accuracy of patient information and financial transactions.
• Monitors patient flow and patient queues to assist in coordinating timely care and efficient use of clinic resources.
• Responds to patient inquiries and resolves concerns while providing high-quality customer service in accordance with institutional standards and HIPAA regulations.
• Communicate effectively with faculty, students, residents, and administrative staff to coordinate patient scheduling and operational needs.
• Assists with insurance billing processes and ensures accurate documentation for third-party insurance and self-pay patients.
• Performs other duties as assigned to support clinic operations.

Required Knowledge, Skills, & Abilities

Knowledge: Proficient knowledge of MS Office Suite (Outlook, Word and Excel). General knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar. General knowledge of principles and processes for providing customer and personal services, including needs assessment, meeting quality standards for services, and evaluation of user satisfaction.

Skills: Proficient skills in active listening, critical thinking, complex problem solving, judgment and decision making, and service orientation. Advanced skills in speaking, reading comprehension, and writing. Excellent verbal and written communication skills, with the ability to create engaging content.

Abilities: Problem sensitivity (the ability to tell when something is wrong or is likely to go wrong). Deductive reasoning (the ability to apply general rules to specific problems to produce answers that make sense). Inductive reasoning (the ability to combine pieces of information to form general rules or conclusions, including finding a relationship among seemingly unrelated events). Ability to work effectively with colleagues and supervisors. Ability to enter and verify information with accuracy. Ability to maintain confidential information.

Physical Requirements & Working Environment

• Must be able to identify and understand the speech of another person (speech recognition).
• Must be able to speak clearly so others can understand you (speech clarity).
• Must be able to see details at close range (near vision).
• Must be able to travel on a daily and/or overnight basis.
• May be required to work nights or weekends.
• May be exposed to short, intermittent, and/or prolonged periods of sitting and/or standing in performance of job duties.
• May be required to accomplish job duties using various types of equipment/supplies, to include but not limited to pens, pencils, and computer keyboards.

Required Education & Experience

High School Diploma or Equivalent with a minimum of two (2) years of related experience in customer service, patient access, medical office, or administrative operations. -OR- Associate's degree with one (1) year of related experience.

Preferred Qualifications

• Experience working in a dental, healthcare, or academic clinical environment.
• Experience with Electronic Medical Record (EMR) systems.
• Experience with insurance verification and patient billing processes.
• Bilingual (Spanish/English or Creole/English) preferred.