Patient Access Coordinator - FT (59736)

Livingston Hospital; Salem (KY); On-site; USD 28,000 - 34,000; Full time

Job summary

Livingston Rehab & Therapy Services in Salem, KY seeks a Receptionist to verify insurance, authorize outpatient treatments, and register patients. You will serve as the department's telephone operator, manage chart accuracy, and collect payments according to hospital policy.

The role requires attention to detail, good communication, and proficiency with EMR systems. Prior clerical experience and CPR certification are preferred for this full-time position.

Qualifications

• High school diploma or equivalent.
• Six months' experience preferred.
• Strong interpersonal and communication skills.
• Ability to stay organized in a busy clinical setting.
• Basic computer skills and familiarity with EMR systems.
• CPR certification.
• Flexibility to work in a fast-paced environment.

Responsibilities

• Verify insurance benefits for outpatients at initial visit and as active patient.
• Oversee authorizations for treatment and retro authorizations as needed.
• Register patients in EMR at initial visit and prepare billing information.
• Answer and route telephone calls; provide information to staff and patients.
• Post charges and collect payments per hospital policies.
• Prepare monthly billing cycles and assist with end-of-month reconciliations.

Skills

Communication

Customer service

Basic computer skills

CPR certification

Education

High school diploma or equivalent

Job description

Job DetailsJob Location: Livingston Hospital Rehab & Therapy Services - Salem, KY 42078Education Level: High School/GEDTravel Percentage: NoneJob Shift: DayJob Category: Admin - Clerical

POSITION SUMMARY:

Responsible for insurance verification, all outpatient treatment authorizations, and registration of Livingston Rehab & Therapy Services patients and visits. Responsible as the telephone operator for the department. Answers telephone in polite manner and communicates information to the appropriate personnel/patient or family member. Ensures that all patient information is collected, follows all relevant policies and procedures for registration, and admits all patients on EMR system. Receptionist is the first contact that a patient has with the department and must provide a positive environment for the patients and others who visit the department. Records co-pays, deductibles, co-insurance, and other insurance information in physical chart and EMR. Collects payments when applicable as per hospital's collection policies.

PRIMARY RESPONSIBILITIES & AUTHORITIES:

• Verify insurance benefits for outpatients at their initial visit and at each month as active patient.
• Oversee all authorizations as required for treatment approval and retro authorizations as needed.
• Keep track of all visit limitations, expiration dates, modality limits, and other policy-specific requirements. Ensure clinical staff are aware of all clinical requirements by the insurance that affect patient care.
• Keep track of all Medicare requirements and limitations for physical therapy in chart and on computer.
• Contact other physician's offices/medical practices to obtain appropriate imaging and records as needed. Obtain updated orders from physicians when appropriate.
• Supervise all information in patient's physical chart: Maintain correct chart order, ensure all needed information is in chart at time of service, prepare all charts for visit dates, and audit all charts after patients' discharge of treatment.
• Register all patients on EMR at initial visit and update information as needed. Prepare all billing cycles for active patients on EMR at the end of each month which includes providing needed information to prepare each claim to bill.
• Supervise the cycle of all Medicare 10th visit progress and re-evaluations by keeping track of date due, alerting appropriate clinical staff, and putting any insurance-required forms in chart to be filled out.
• Keep up with Plan of Care/Certification by putting form for clinician (ei PT, OT, SLP) to fill out at initial evaluation and when duration expires and verifying physician signature dates.
• Post all patient charges for both outpatient and inpatient treatments. Outpatient charges are cross-referenced with physical chart for accuracy before posting the charges on EMR.
• Accept and post payments in EMR and give payment and receipt to PFS.
• Work in conjunction with Billing department providing chart notes and obtaining authorizations when needed. Prepare patient's monthly billing cycle. Also does end of month billing spreadsheet to check all active patients' accounts for each month and ensure all are prepared to bill.
• Update Policy and Procedures manual and assist with developing and implementing.
• Assist with scheduling, handling new patient paperwork, and inventory when needed.
• Accept and screen telephone calls and/or route calls appropriately.
• Check voice mail upon arrival to clinic each morning and follow up appropriately.
• Must attend all mandatory in-services.

OTHER DUTIES AND RESPONSIBILITIES:

Responsible for monthly cleaning of appropriate equipment and curtains

Other duties as assigned.

MINIMUM QUALIFICATIONS (EDUCATION, EXPERIENCE, SKILLS, ABILITIES):

• High school diploma or equivalent.
• Six (6) months experience preferred but not mandatory.
• Ability to interact and communicate with the public in a positive manner.
• Ability to be flexible, organized and function well in stressful situations.
• Basic computer knowledge
• Basic knowledge of office equipment usage (phone, fax, copier, etc)
• CPR certification

OTHER SPECIAL REQUIREMENTS (LICENSES, CERTIFICATIONS, REGISTRATIONS, ETC.):

BLS CPR

PHYSICAL DEMANDS:

• May have to remain seated for long periods of time.
• Some walking, standing, bending, or stooping required at times.
• Light lifting, no more than 20-25 pounds, very sporadically.

WORK ENVIRONMENT:

Work is typically performed in an adequately lighted and climate-controlled department or patient room.