PATIENT ACCESS COORD II

Position Function: 

Customer service liaison for the first impression of the health Center.  Greets patients, answers telephones, schedules patient appointments and obtain referrals. Responsible for registering and verifying insurances.  Obtains and prints regulatory paperwork for patient signatures and directs patients to appointment location. 

Assures eligibility of insurance data along with collection of copays.  

Assists all Clinical departments in facilitating the accurate registration of patients for areas to be able to do their job functions. 

Referrals: 

• Under the direction of the Manager, Central Business Office at SEHC is responsible for managing, processing, and tracking all referrals and authorizations that are required.  Both internal and external.

Scheduling and registration:

• Responsible for scheduling and recording appointments.
• Activates pre-registered patients.
• Registers patients in Meditech and Athena Systems, processing all necessary appointment paperwork, collection of co-pays and checking insurance eligibility at time of service. 

Job Relationships: 

• Clinical Coordinators
• Providers
• Ambulatory Care Coordinators
• Medical Records
• Coding/Charge Entry

Authority:  

• Schedules and registers patients per policies and procedures. 
• Maintain Referral Process and Authorizations both internal and external.

A. Responsibilities/Essential Functions:   

• GENERAL
  • "Provides superior customer service to internal and external clients, customers, and patients as referenced in the Service Excellence Standards."
  • Greets and receives patients in a kind and courteous way, introduces self to patient.
  • Answer telephone with name and department and respond to requests in accurate & timely manner.
  • Informs Practice Manager or designee of any problem / issue relating to all areas of responsibility as appropriate.
  • Explains and distributes HIPAA information, Health Care Proxies (Advanced Directives) and patient rights to patients as appropriate.
  • Maintains professional demeanor with patients, medical staff, and employees.  Interacts in a friendly, courteous and helpful manner.
  • Participates in orientation and training of other Patient Access Coordinators in the department.
  • Creates and sends no-show / cancellation letters, as appropriate
  • Translates for the Registration Department if fluent in another language.
  • Assists Manager in special projects.  Performs other duties as assigned by Manager
  • All other activities as directed.

• SCHEDULING AND REGISTRATION:
  • Responsible for scheduling and recording appointments, maintaining bump lists and provider schedule changes.
  • Registers all patients following policies and procedures: determines insurance eligibility, registers patients, assigns correct medical record number.  Updates patient information as needed.
  • Prints Registration form, photocopies patient identification for each patient registered.
  • Scans Photo ID and Copy of Insurance Card into electronic medical record and Athena.
  • Scans facesheet and insurance eligibility into electronic medical record.
  • Monitors interface between Meditech and Athena systems.  Report problems to Help Desk and Manager.  Follows up as needed.
  • Prints out daily “SEHC Alphabetical and Time driven Registration" list.  Ensures that all necessary cases are activated in Meditech and that downloads to Athena are successful.  If not, update Athena manually as needed for as long as needed.
  • Assist Medical Records in obtaining valid case numbers for Billing Summary form processing.
  • Maintains log of duplicate medical record numbers found.  Contact SEMC Medical Record Department for correction of duplicates.
  • Assists Medical Records in future appointment processing if needed.

• REFERRALS:

• Manages and tracks all Referrals and Authorizations within SEHC.  This requires access and understanding of documentation in Athena Clinicals.
• Interfaces with both providers and patients to ensure timely flow of Referral Process.

• Is the liaison between SEHC providers and all HMO Managed Care Programs and other insurer contacts regarding policies and procedures. Tracks, trends and reports on referral measurements.

B.  Responsibilities/Non-Essential Functions:

• Maintains levels of office supplies, paper, and other necessary provisions in the Registration Department
• Support SEHC as directed

Reporting Requirements:

• Reports directly to the Manager Central Business Office.

Accountability: 

• Accountable for exceptional customer services
• Accountable for accurate demographical and revenue cycle data entry Accountable for confidentiality
• Accountable for all regulatory requirements
• Accountable for getting appropriate signatures and paperwork generated / Consent of treatment.
• Accountable for SEHC Referral Management

Qualifications:

Minimum Education: 

• High School education
• BA/BS preferred.

Minimum Experience: 

• 2-3 years experience in a health care environment with medical terminology and registration/check in experience as well as Insurance Referrals and Authorizations.

Minimum skills/abilities:

• Ability to Multi task
• Computer skills.
• Excellent Customer Service skills
• Excellent communication skills
• Knowledge of medical terminology.
• Managed care experience working with referrals.

Certification/Licensure: 

Training: 

Computer:

     -  Athena Collector

     -  Athena Clinicals

     -  MEDITECH

     -  Microsoft Office

     -  MS Access

Special Qualifications: 

Equal Opportunity Employer/Disabled/Veterans