Patient Access Coordinator

About the role

The Patient Access Coordinator (PAC) at Healogics plays a crucial role in managing patient registrations and financial clearance in post-acute settings. With an aging population and rising rates of obesity and diabetes, there's a significant demand for expert wound care services. The PAC coordinates patient registrations, handles insurance verification, and ensures accurate claims processing.

Responsibilities

• Coordinates patient registrations with Skilled Nursing Facilities
• Receives face sheets, SNF Consultation Requests via fax or e-mail and registers patients in I-Heal
• Obtains and verifies patient insurance information, including pre-certifications and pre-authorizations for services and enters data in appropriate databases
• Uploads documents to I-Heal
• Updates schedules in i-heal and notifies providers of schedule updates
• Updates patient demographics and insurance information in appropriate databases
• Fields questions from various facilities, personnel, and providers
• Works directly with outside agencies pertaining to SNF patient registrations
• Solves discrepancies in patient accounts in Billing System
• Maintains accuracy of Self-Pay accounts for possible insurance coverage and revises errors as needed
• Reviews and corrects front end claim rejections timely and consistently based on current policies
• Identifies systemic rejection patterns and escalates to management for permanent solutions
• Reviews and takes corrective action of claim denials originating from front-end demographic or related issue
• Identifies trends and advises Registration and Reimbursement Manager of the issues related

Requirements

• High School Diploma required; Associates Degree preferred; Minimum of two (2) years of Billing Office experience; or equivalent combination of education and experience from which comparable knowledge, skills and abilities are acquired
• Required Knowledge, Skills And Abilities:
• Ability to read and comprehend simple instructions, write short correspondence, and memos
• Ability to effectively present information in small group situations to employees of the organization
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals, compute rate, ratio, and percent
• The ability to work independently and collaboratively on projects
• Excellent written and verbal communications skills
• Ability to create channels of communication to obtain information necessary to perform job tasks, such as payers, clinical staff, collection agencies and billing department staff
• Ability to recognize individual and system problems and to communicate them to the Business Manager
• Proficient knowledge of MS Outlook, Excel, Word, Access software, internet and web-based database programs

Qualifications

Essential Functions/Responsibilities as outlined above.

Skills

• Strong organizational and time management skills
• Attention to detail
• Excellent communication skills, both written and verbal
• Ability to work independently and as part of a team
• Knowledge of healthcare regulations and billing processes

Benefits

Healogics offers competitive compensation and benefits packages, including health insurance, retirement plans, and paid time off.

Pay

Compensation is commensurate with experience and qualifications.

Schedule

Remote work is available.