Patient Access Coordinator

Job Summary

The Patient Access Coordinator at North Mississippi Health Services supports the organization's financial health by managing daily activities related to insurance information, point of service collections, and financial arrangements. This role requires an experienced individual with excellent analytical, organizational, and communication skills to manage demographic and insurance information, resolve real-time edits and denials, and interface effectively with internal and external stakeholders.

Job Functions

• Scheduling/Rescheduling, Pre-Certifying, Checking Medical Necessity, and Pre-Registering Patients
• Obtaining Necessary Information for Scheduling, Pre-Certification, and Pre-Registration
• Verifying Patient Demographics, Insurance Information/Eligibility, and Benefits
• Informing Patients and/or Clinical Staff of Appointments, Tests, and Procedures
• Ensuring Accurate Medical Record Data Entry Aligned with CMS and Regulatory Agencies
• Ensuring Timely and Accurate Processing of Accounts in Accordance with Best Practices, Defined Workflow, Procedures, and Applicable Legislation
• Correcting Front End Errors Real-Time to Minimize Denial Throughput
• Developing Strategy for Consistently Obtaining Accurate, Timely, and Beneficial Patient Demographic Information
• Reviewing Post-Service Denials to Assist in Developing Front End Strategies to Reduce Denial Inflow
• Identifying Trends and Reporting Potential Significant and Recurring Issues Along with Possible Solutions to Leadership
• Taking Proactive, Corrective Action Through Systematic and Procedural Development to Reduce Incoming Denials
• Maintaining Familiarity with Payer Methodologies to Ensure Accurate Estimates Communicated with Patients and System Variances Communicated with Leadership
• Managing Expected Reimbursement to Ensure Appropriate Patient Portion Collected Prior to Service
• Analyzing Estimate Variances to Understand Where/Why Deviations Occurred
• Assisting in Preparation of Monthly Error Reports and Other Error Reports as Requested
• Assisting in Preparation of Monthly Collections Reports and Other Collection Reports as Requested

Qualifications

• High School Diploma or GED Equivalent
• Work Experience: 1-3 years
• Knowledge Skills and Abilities:
• Working Knowledge of Registration Systems, Medicare/Medicaid/Third Party Liability/Workers Compensation Requirements
• Proficient in Microsoft Office (Word, Excel, and Outlook)
• Knowledge of Applicable State and Federal Regulations Relating to Registering Accounts and Collecting at Point of Service
• Excellent Negotiating and Analytical Skills
• Strong Verbal and Written Communication Skills
• Excellent Interpersonal Skills
• EFFECTIVELY AND EFFICIENTLY PRIORITIZING AND ORGANIZING TASKS
• PROVIDES SUPERVISION TO DIRECT REPORTS
• DEVELOPS, IMPLEMENTS/ EVALUATES PROJECTS (TIMELY & EFFICIENT MANNER)
• EVALUATES AND PROVIDES COACHING FOR ALL EMPLOYEES WITHIN THE SCOPE OF RESPONSIBILITY
• ENSURES ACCURATE AND TIMELY COLLECTION OF ALL APPROPRIATE PATIENT ESTIMATES
• ENSURES EFFECTIVE MONETARY MANAGEMENT OF DEPOSITS
• ENSURES TIMELY AND ACCURATE PROCESSING OF ACCOUNTS IN ACCORDANCE WITH BEST PRACTICES, DEFINED WORKFLOW, PROCEDURES, AND APPLICABLE LEGISLATION/REGULATIONS
• GATHERS AND RELAYS INFORMATION WITH KNOWLEDGE, TACT, AND DIPLOMACY
• EXHIBITS STRONG WRITTEN AND VERBAL COMMUNICATION SKILLS
• REFLECTS A POSITIVE, CARED ATTITUDE TOWARD CLIENTS, PATIENTS, STAFF, AND THE PUBLIC WE SERVE
• EVALUATES AND COACHES REPORTING EMPLOYEES TO ACCOMPLISH MAJOR GOALS AND OBJECTIVES
• DEVELOPS, IMPLEMENTS/ EVALUATES PROJECTS IN A TIMELY & EFFICIENT MANNER

Physical Demands

A thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Standing - Constantly Walking - Frequently Sitting - Rarely Lifting/Carrying - Frequently 50 lbs Pushing/Pulling - Frequently Climbing - Occasionally Balancing - Occasionally Stooping/Kneeling/Bending - Frequently Reaching/Overhead Work - Frequently Grasping - Frequently Speaking - Occasionally Hearing - Constantly Repetitive Motions - Constantly Eye/Hand/Foot Coordination - Frequently

Benefits

• A****vailable
• Continuing Education
• 403B Retirement Plan with Employer Match Contributions
• Pet, Identity Theft and Legal Services Insurance
• Wellness Programs and Incentives
• Referral Bonuses
• Employee Assistance Program
• Medical Benefits
• Dental Benefits
• Vision Benefits
• Licenses + Certifications Reimbursement
• Life, Long-Term and Short-Term Disability, Group Accident, Critical Illness and Hospital Indemnity Insurance
• Employee Discount Program
• Other: Early Access to Earned Wages
• Tuition Assistance
• Relocation Assistance
• Paid Time Away
• Special Employee Rates at NMMC Wellness Centers