Patient Access & Eligibility Coordinator

The Christ Hospital Health Network; Cincinnati (OH); On-site; USD 35,000 - 55,000; Full time

Job summary

The Christ Hospital Health Network is seeking a Registration Specialist to obtain and verify patient demographics, insurance details and financial information for accurate billing and reimbursement. The role supports compliance with Medicare/Medicaid and other plans, and requires coordination with a Financial Counselor for patient assistance as needed.

Typical duties include online verification of third-party benefits, data entry into the database, and ensuring accuracy of information at every

Qualifications

• Education: High School Diploma, Associates Degree preferred or equivalent combination education and experience.
• YEARS OF EXPERIENCE: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment.
• REQUIRED SKILLS AND KNOWLEDGE: Analytical skills required to make decisions based on the facility and clinical situation at hand.
• Computer Literacy - use of multiple system
• Epic, Passport, OnBase, Microsoft Office products and Midas.
• Ability to use Internet Access and utilize third party payor systems for eligibility and verification.
• Knowledge of health insurance coverage, requirements.

Responsibilities

• Analyze patient accounts; evaluate financial data for establishment of current accounts and documents comments to reflect actions taken regarding accounts to maximize reimbursement.
• Initiates on-line verification of third party Insurance Carriers and Plan Administrators to verify patient benefits.
• Evaluates and prepares chart documentation to establish that Medical Necessity guidelines have been met.
• Documents appropriate data in account doc and guarantor notes.
• Interviews patients and obtains, verifies and enters into database complete and accurate demographic and financial information.

Skills

Analytical skills

Communication

Customer service

Medical terminology

Cultural sensitivity

Education

High School Diploma

Associates Degree preferred

Tools

Epic

Passport

OnBase

Midas

Microsoft Office

Job description

The Christ Hospital Health Network is seeking a Registration Specialist to obtain and verify patient demographics, insurance details and financial information for accurate billing and reimbursement. The role supports compliance with Medicare/Medicaid and other plans, and requires coordination with a Financial Counselor for patient assistance as needed.

Typical duties include online verification of third-party benefits, data entry into the database, and ensuring accuracy of information at every