Patient Access Operations Coordinator Hospital

Patient Access Department Coordinator

Coordinates staffing and functions within the Patient Access Department in order to achieve SRCO goals and objectives. Serves as a department resource for testing and training new or improved Patient Access technology systems and processes. Supports department KRAs by collecting or compiling data for department manager. Maintains department inventory and orders supplies through appropriate systems. Edits associate payroll activity in Advocateworks. Monitors and records attendance occurrences. Brings attendance patterns to the attention of the manager. In manager's or supervisor's absence, provide service recovery as needed. Generates daily work schedules for associates to provide maximum efficiency and patient throughput. Shift staffing to accommodate peak patient volume hours. Monitor work processes to ensure that best practices are deployed to enhanced customer services, leveraged use of technology. Ensure that standard processes as identified by the SRCO are effectively implemented at the Patient Access points in an effort to achieve the goals of maximized cash flow and decreased cost of collections. Identifies potential barriers to these goals at the unit level and recommends appropriate and effective solutions. At the request of the Department Director or Manager, serves on site teams and committees involved with revenue cycle, government compliance and audits. Perform quality reviews to ensure that process changes to address reimbursement, coding, regulatory and compliance initiatives and issues are implemented and maintained within department processes. Provides performance and behavioral feedback to manager for probationary and annual associate performance reviews. Perform duties of front line associates in the Patient Access department including: pre-registration, insurance verification/pre-certification and registration (IP/OP/ED). Scheduling: Performs limited patient scheduling for hospital services under the direct control of Patient Access. Ensures that a minimum data set is collected at first point of patient contact to facilitate insurance verification. Pre-Registration: Validate patient information, collect patient liabilities, provide patient estimate and perform POS Collection per SRCO policy. Insurance Verification/Pre-Certification: Responsible for the identification and evaluation of benefits and determining patients out of pocket expenses after insurance; responsible for securing authorization and precertification; customer service interaction with physicians, physicians offices, and patients. Registration (IP/OP/ED): Responsible for validation of patient information, collection of patient liabilities, obtain required signatures and following WE-ID process for patients presenting for service. Participates in and supports overall SRCO efforts surrounding the development and integration of new and innovative approaches to using people, processes, and technology to increase cash collections and income statement improvement from revenue cycle operations. Supports tactics, policies/procedures that interface with other functional areas to improve SRCO operations. Assists manager with compiling and utilizing statistical information to be used for current operations and future planning. Promote activities that align to the SRCO goals, standards, and target time frames for initiative implementation and completion.

Education/Experience Required: High School Diploma or equivalent. Minimum of five years plus recent work experience in registration or related healthcare department. 1-2 years lead or supervisor registration experience. Strong medical terminology background preferred, certification in medical terminology within one year of employment. Knowledge of third party payers. Knowledge of Allegra system and related registration required.

Knowledge, Skills & Abilities Required: Ability to proficiently interact over the phone with the public, physicians and hospital staff. Excellent verbal and written communication skills. Proficiency in computer based data entry. CHAA certification within one year of employment.

Physical Requirements and Working Conditions: Occasional local travel for SRCO workgroups or events. Ability to work hours that verify based on needs of the organization including evenings and weekends. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis.