Patient Access Coordinator I / Registration - AHN Breast Imaging Center - Jefferson - Full Time

Essential Responsibilities

• Counsels patients, guarantors, and family members about their financial responsibilities.
• Validates patient demographic data, identifies and verifies medical benefits, and accurate plan codes.
• Corrects and updates necessary data to ensure timely and accurate bill submissions.
• Verifies insurance information through payor contacts, online resources, or electronic verification systems.
• Identifies and documents payor authorization and referral requirements.
• Follows up with physician offices, case management departments, and payors regarding authorization and referral issues.
• Calculates patient financial responsibilities, collects liabilities, and handles post-payment transactions.
• Escalates accounts with complex liability calculations to Financial Counselors.
• Provides a positive patient experience by maintaining excellent working relationships with patients, AHN leadership, staff, and external agencies.
• Communicates effectively with designated contacts to exchange information and promote working relationships.

Qualifications

• High School/GED equivalent
• Excellent customer service and communication skills
• Experience operating a PC and using software applications

Preferred Qualifications

• Associate's degree
• Call center experience in healthcare revenue cycle, preferably within a financial clearance setting

Disclaimer

This job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.