Patient Access Coordinator II - Neurosurgery - Erie - FT

About the Role

This position completes one or more Patient Access processes—scheduling, pre-registration, financial clearance, authorization and referral validation, and pre-serviceability estimations and collections—while creating the first impression of AHN’s services to patients, families, and external customers. The role ensures patients and guarantors understand what to expect and their financial responsibilities, and assumes clinical and financial risk for the organization when collecting and documenting patient information.

Responsibilities

• Conducts scheduling and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code, and coordination of benefits (COB) order.
• Obtains limited clinical data based on required service and corrects/updates all necessary data to ensure timely, accurate bill submission.
• Verifies insurance information through payor contacts via telephone, online resources, or electronic verification systems.
• Identifies payor authorization/referral requirements and provides appropriate documentation and follow-up to physician offices, case management, and payors regarding deficiencies.
• Identifies all patient financial responsibilities, calculates estimates, collects liabilities, posts payment transactions in the ADT system, and performs daily reconciliation.
• Identifies self-pay and complex liability calculations and escalates accounts to Financial Counselors as needed.
• Delivers a positive patient experience and maintains excellent working relationships with patients, AHN leadership, staff, physician offices, and external agencies/vendors.
• Performs written or verbal communication to exchange information and promote working relationships with designated contacts.
• Maintains focus on productivity standards and recommends innovative approaches for enhancing performance.
• Adheres to AHN organizational policies and procedures, completes mandatory training and education sessions within approved guidelines and timeframes.
• Communicates team barriers, process flow, or productivity issues to team leads and assists team members with operational support and training.
• Assists in resolving patient issues requiring additional oversight in a concise and informative manner.
• Performs other duties as assigned or required.

Requirements

• Minimum: High school diploma or GED; or one to three months of related experience and/or training; or equivalent combination of education and experience.
• Two years of related experience, preferably in a medical setting, financial services, and/or a demanding customer service environment.
• Experience operating a PC and using software applications.

Preferred Qualifications

• Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative.
• Call/Service Center experience.