Patient Access Coordinator, Variable Shift

North Mississippi Health Services; Tupelo (MS); On-site; USD 42,000 - 56,000; Full time

Job summary

North Mississippi Health Services in Tupelo, MS seeks a Patient Access Coordinator to support the organization’s financial health by completing daily activities related to insurance information input, point-of-service collections, and financial arrangements. You will interact with patients and families, ensuring accurate data entry, timely collections, and adherence to HIPAA guidelines.

Under the supervision of the Patient Access Manager, the role requires strong analytical, organizational, and

Qualifications

• Experience collecting and verifying demographic and insurance information.
• Familiarity with patient billing processes and HIPAA guidelines.
• Excellent communication and organizational abilities.

Responsibilities

• Schedule, pre-certify, and pre-register patients for appointments and tests.
• Verify patient demographics and insurance eligibility and benefits.
• Communicate financial policies and estimates to patients and families.
• Assist in collecting at point-of-service and arranging payment options.
• Support denial and dispute resolution to improve revenue cycle efficiency.

Skills

Analytical skills

Organizational skills

Communication skills

Job description

Posting Description

At North Mississippi Health Services, our mission is to “continuously improve the health of the people of our region.” Our vision is to “provide the best patient and family-centered care and health services in America.” We believe that fulfilling our mission and vision calls us to embrace the best people that form incredible connections to our patients and families. We take pride in celebrating everything that makes you uniquely you – your talents, your perspectives, and your passions. At North Mississippi Health Services, we believe in connecting your passion with a purpose. When you are part of our team, you knowwhat connected feels like.

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
• Patient Experience: Effectively communicates NMHS’ organizational revenue cycle and financial policies including estimates, charity plans and payment options to patients and patient representatives
• Patient Experience: 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
• Collections & Financial Arrangements: Ensures team members are administering ABNs when necessary
• Collections & Financial Arrangements: Ensures accounts are financially secure prior to service
• Collections & Financial Arrangements: 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
• Denials Management: Develops strategy for consistently obtaining accurate, timely, and beneficial patient demographic information
• Denials Management: Review post service denials to assist in developing front end strategies to reduce denial inflow
• Denials Management: Identifies trends and reports potential significant and recurring issues along with possible solutions to leadership
• Denials Management: 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
• Contract Management: Manages expected reimbursement to ensure appropriate patient portion is collected prior to service
• Contract Management: Develops strategy for partnering with business office to ensure estimates & transparency are accurate
• Contract Management: Analyzes estimate variances to understand where/why deviations occurred
• Contract Management: 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
• Communication: Creates strong customer service orientation and collaboration
• Communication: Provides excellent customer service to all internal and external customers
• Liaison: Contacts insurance companies, patients, and providers regarding authorizations, medical necessity, and financial responsibility
• Liaison: 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
• Reporting: Assists in preparation of monthly collections reports and other collection reports as requested