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Patient Access Coordinator

North Mississippi Medical Center -
Winfield, AL

Apply Now

Job Details

Benefits

403(b) matching
License reimbursement
Disability insurance
Relocation assistance
Health insurance
Dental insurance
Tuition reimbursement
Employee assistance program
Vision insurance
Employee discount
403(b)
Referral program

Qualifications

Customer communication
Workers' compensation insurance knowledge
High school diploma or GED
Deposits

Full Job Description

Patient Access Coordinator

Job ID: 000EO4

Winfield, AL

Administrative Support - Business Svcs - Patient Access

PRN - Variable

Posting Description

We believe a career is more than just a career — it's a calling. Our teammates' "True North" is what calls them to health care; it’s their passion. At North Mississippi Health Services, we believe in helping you leverage and connect that passion with a much greater purpose that impacts people you know and love.

Job Description

JOB SUMMARY
The Patient Access Coordinator at North Mississippi Health Services is responsible for supporting the overall financial health of the organization by completing the daily activities of the collecting and input of Insurance Information, Point of Service Collections and Financial Arrangements, & Customer Service via Direct Contact with Patients and their family members. This role operates under the guidance of the Patient Access Manager and requires an experienced individual with excellent analytical, organizational, and communications skills to manage Demographic and Insurance Information. resolve real time edits & denials, and interface effectively wit h internal and externa l stakeholders to promote timely and accurate patient flow and collections.

JOB FUNCTIONS
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
Responsible for informing patients and/or clinical staff of the proper preparation and instructions for the tests ordered
Notifies patient of the location of the appointment date & time, test, and/or procedure
Patient Experience:
Obtains crucial confidential patient identification information including patient records, signatures, and payment information repeatedly and ensures HIPAA guidelines are enforced
Effectively 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
Ensures timely and accurate processing of accounts in accordance with best practices, defined workflow, procedures, and applicable legislation/regulations
Denials Management:
Corrects front end errors real time to minimize denial throughput
Develops strategy for consistently obtaining accurate, timely, and beneficial patient demographic information
Review 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
Takes proactive, corrective action through systematic and procedural development to reduce incoming denials
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

QUALIFICATIONS

Education
High School Diploma or GED Equivalent .

Licenses and Certifications

Work Experience
1-3 years
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 prioritizes and organizes 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 legislature/ regulations
Gathers and relays information with knowledge, tact, and diplomacy
Experiences daily contact with co-workers, patients, payers, and other NMHS/NMMC staff members
Exhibits strong written and verbal communication skills
Reflects a positive, caring 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. Occassionally
Balancing. Occassionally
Stooping/Kneeling/Bending. Frequently
Reaching/Over Head Work. Frequently
Grasping. Frequently
Speaking. Occassionally
Hearing. Constantly
Repetitive Motions. Constantly
Eye/Hand/Foot Coordinations. 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
License + 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

No additional requirements from any stated in the above description.

Education

You must have the following education to apply:

You must have a High School Diploma or GED or higher

Apply Now

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