Patient Access Coordinator

New Season; Town of Florida (NY); On-site; USD 48,000 - 72,000; Full time

Job summary

New Season seeks a Patient Access Coordinator I to support front-end revenue cycle operations. You will obtain authorizations and referrals, communicate with payers and clinical teams, and ensure compliant processes to enhance patient access and clinic workflow.

The role emphasizes accuracy, HIPAA privacy, and collaboration across departments to reduce denials and improve patient experience.

Qualifications

• Experience Required: 2+ years in healthcare third party insurance verification and authorizations.
• Education: High School Diploma or GED; CPC/CPC-A preferred.

Responsibilities

• Obtain and process authorizations and referrals from third-party payers to ensure compliance.
• Communicate benefits, authorizations, and referrals with payers and clinical partners.
• Act as liaison between patients, clinical teams and payers to resolve issues.
• Ensure submission of clean claims and reduce payer denials per policies.
• Assist with special projects using Excel/Google Sheets and report results.
• Protect PHI in accordance with HIPAA standards.
• Provide coverage for sites without a Patient Registration Coordinator and verify insurance.

Skills

Insurance policies

CPT

ICD-10

Payer requirements

Authorization processes

Communication

Organization

Education

High School Diploma or GED

CPC or CPC-A, or equivalent

Tools

EMR systems

Microsoft Office

Google Docs/Sheets

Job description

PATIENT ACCESS COORDINATOR I

Job Description

New Season

Employee Name: Reports to: Patients Access Supervisor Job Code: Department: Revenue Cycle ManagementFLSA: Non-Exempt Direct Reports: 0

Job Summary

The Patient Access Coordinator I plays a critical role in ensuring a smooth and efficient patient experience by obtaining necessary authorizations and referrals and facilitating compliance between patients, payers, and clinical teams. This position requires a detailed-oriented professional who can manage tasks related to front-end revenue cycle operations and clinic functions, ensuring adherence to established policies and procedures.

Essential Functions

• Obtain and process the appropriate authorizations and referrals from third-party payers to ensure compliance with payer requirements.
• Provide detailed, timely communication to payers and clinical partners regarding benefits, authorizations, and referrals.
• Act as a liaison between patients, clinical teams, and third-party payers to facilitate effective care and resolve any issues related to benefits or authorizations.
• Ensure submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policy and procedures.
• Perform special projects and other duties as needed. Assist with special projects by utilizing Excel/Google spreadsheets and communicate results.
• Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Other duties as assigned by the management team.

Periodic Functions

• Provide coverage for our facilities that do not have a Patient Registration Coordinator (i.e. position open, on PTO, call-ins, etc).
• Verify patient insurance coverage and benefits, ensuring accurate information is obtained and documented.

Essential Qualifications

Experience Required:

This position requires a minimum of 2+ years experience in healthcare third party insurance verification and authorizations.

Education/Licensure/Certification Required:

• High School Diploma or GED

Education/Licensure/Certification Preferred:

• CPC or CPC-A, or equivalent

Skills Required:

• Strong knowledge of insurance policies, CPT and ICD10, payer requirements, and authorization processes.
• Excellent communication and interpersonal skills, with the ability to interact effectively with patients, payers, and clinical staff.
• Detail-oriented with strong organizational and problem-solving skills.
• Strong understanding of and ability to use software and systems, including but not limited to electronic medical record systems, Microsoft Office, and Google Docs/Sheets; daily use of laptop for email, note taking, and other tasks required.

Job Or State Requirements

HS Diploma or GED, This position requires a minimum of 2+ years experience in healthcare third party insurance verification and authorizations.