Patient Access Coordinator/Registration - AHN Fed North - Full Time (Rotational Shifts)

About the Role

This role is responsible for completing one or more of the following processes within Patient Access: scheduling, pre-registration, financial clearance, authorization and referral validation, and pre-serviceability estimations and collections. It creates the first impression of AHN's services to patients, families, and other external customers, ensuring they understand their financial responsibilities and what to expect. The role also involves training and assisting other team members as necessary.

Responsibilities

• Conducts scheduling and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code, and COB order.
• Obtains limited clinical data based on service required and corrects/updates necessary data for 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.
• Identifies patient financial responsibilities, calculates estimates, collects liabilities, and posts payment transactions in the ADT system.
• Escalates complex liability calculations to Financial Counselors as appropriate.
• Delivers a positive patient experience and maintains excellent working relationships with patients, AHN leadership, staff, physician offices, and external agencies/vendors.
• Maintains focus on attaining productivity standards and recommends innovative approaches for enhancing performance.
• Adheres to AHN organizational policies and procedures, completes mandatory training, and communicates team barriers to the team lead.
• Assists team members with operational support, training, and resolving patient issues requiring additional oversight.

Qualifications

• Minimum: High school diploma or GED; or one – three months related experience and/or training; or equivalent combination of education and experience.
• Two previous years of related experience, preferably within a medical setting, financial services setting, 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.