Patient Access Coordinator

North Mississippi Health Services; Winfield (AL); Presencial; USD 36 000 - 48 000; Tempo integral

Resumo da oferta

North Mississippi Health Services is seeking a Patient Access Coordinator to support the organization’s financial health by handling insurance information, point of service collections, and financial arrangements through direct patient contact.

The role requires strong analytical, organizational, and communication skills to manage demographic and insurance data, resolve denials, and interface with internal and external stakeholders to promote timely patient flow and accurate billing.

Responsabilidades

• Schedule/reschedule, pre-certify, check medical necessity, and pre-register patients for appointments, diagnostic tests, and outpatient procedures as ordered by referring providers
• Obtain necessary information required for scheduling, pre-certification, and pre-registration
• Obtain and verify patient demographics, insurance information/eligibility, and benefits
• Inform patients and/or clinical staff of proper preparation and instructions for tests ordered
• Maintain HIPAA compliance while obtaining confidential patient information
• Explain NMHS revenue cycle policies, estimates, charity plans and payment options to patients
• Provide bedside registration to collect insurance and consent forms for accurate medical record data entry compliant with CMS and regulators
• Ensure estimates to guarantors are provided for elective procedures and collections occur at pre-registration or point of service
• Administer ABNs when necessary and ensure accounts are financially secure prior to service
• Correct front-end errors to minimize denials and analyze trends to inform leadership
• Maintain familiarity with payer methodologies to ensure accurate estimates and communicate variances to leadership
• Develop strategies with the business office to ensure accurate estimates and transparency
• Assist in preparation of monthly error and collections reports
• Communicate effectively with staff and clients to provide excellent customer service
• Serve as liaison with payers to resolve front-end errors causing denials
• Identify trends and provide solutions to leadership

Descrição da oferta de emprego

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 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

• 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
• Assists in preparation of monthly collections reports and other collection reports as requested