Patient Access Coordinator, ER

Skill Summary

• Working knowledge of Registration systems
• 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 prioritizes and organizes tasks

Qualifications

• Education: High School Diploma or GED Equivalent
• Licenses and Certifications: 1-3 years of work experience
• Knowledge, Skills, and Abilities: Working knowledge of Medicare/Medicaid/Third Party Liability/Workers Compensation requirements; 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 prioritizes and organizes tasks

Responsibilities

• Scheduling:
• Responsible for scheduling/rescheduling, pre-certifying, checking medical necessity, and pre-registering patients for appointments, diagnostic tests, and outpatient procedures as ordered by referring providers
• Obtains necessary information required for scheduling, pre-certification, and pre-registration
• Obtains and/or verifies patient demographics, insurance information/eligibility, and benefits
• Notifies patient of the location of the appointment date & time, test, and/or procedure

• Customer Experience:
• Obtains crucial confidential patient identification information including patient records, signatures, and payment information repeatedly and ensures HIPAA guidelines are enforced
• Communicates NMHS’ organizational revenue cycle and financial policies including estimates, charity plans and payment options to patients and patient representatives
• Provides bedside registration to obtain consent form signatures, collect insurance, and other confidential information pertinent information to ensure accurate medical record data entry that aligns with CMS and other regulatory agencies

• Collections & Financial Arrangements:
• Ensures team members are providing estimates to guarantors for elective procedures and collection attempted at the point of pre-registration or point of service
• Ensures team members are administering ABNs when necessary
• Ensures accounts are financially secure prior to service
• Takes proactive, corrective action through systematic and procedural development to reduce incoming denials

• Denials Management:
• Corrects front end errors real time to minimize denial throughput
• Develops strategy for consistently obtaining accurate, timely, and beneficial patient demographic information
• Reviews post service denials to assist in developing front end strategies to reduce denial inflow
• Identifies trends and reports potential significant and recurring issues along with possible solutions to leadership

• Contract Management:
• Maintains familiarity with payer methodologies to ensure accurate estimates are communicated with patients & system variances are communicated with leadership
• Manages expected reimbursement to ensure appropriate patient portion is collected prior to service
• Develops strategy for partnering with business office to ensure estimates & transparency are accurate
• Analyzes estimate variances to understand where/why deviations occurred
• Identifies trends and reports potential significant and recurring issues along with possible solutions to leadership

• Communication:
• Effectively communicates information to staff, internal and external customers
• Creates strong customer service orientation and collaboration
• Provides excellent customer service to all internal and external customers

• Liaison:
• Contacts insurance companies, patients, and providers regarding authorizations, medical necessity, and financial responsibility
• Serves as liaison between payers and hospital departments/physician offices or patients in resolving front end errors which would result in denials

• Reporting:
• Assists in preparation of monthly error reports and other error reports as requested
• Assists in preparation of monthly collections reports and other collection reports as requested

Benefits

• 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 + Certification 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

Requirements

• Education: High School Diploma or GED Equivalent
• Licenses and Certifications: 1-3 years of work experience