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Location: MAITLAND, FL, United States
Zip Code: 32751
Job ID: 319
Description
PATIENT ACCESS COORDINATOR I
Job Description
New Season
Employee Name: Reports to: Patients Access Supervisor Job Code:
Department: Revenue Cycle ManagementFLSA: Non-Exempt Direct Reports: 0
Job Summary:
The Patient Access Coordinator I plays a critical role in ensuring a smooth and efficient patient experience by obtaining necessary authorizations and referrals and facilitating compliance between patients, payers, and clinical teams. This position requires a detailed-oriented professional who can manage tasks related to front-end revenue cycle operations and clinic functions, ensuring adherence to established policies and procedures.
Essential Functions:
● Obtain and process the appropriate authorizations and referrals from third-party payers to ensure compliance with payer requirements.
● Provide detailed, timely communication to payers and clinical partners regarding benefits, authorizations, and referrals.
● Act as a liaison between patients, clinical teams, and third-party payers to facilitate effective care and resolve any issues related to benefits or authorizations.
● Ensure submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policy and procedures.
● Perform special projects and other duties as needed. Assist with special projects by utilizing Excel/Google spreadsheets and communicate results.
● Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
● Other duties as assigned by the management team.
Periodic Functions:
● Provide coverage for our facilities that do not have a Patient Registration Coordinator (i.e. position open, on PTO, call-ins, etc).
● Verify patient insurance coverage and benefits, ensuring accurate information is obtained and documented.
Essential Qualifications:
Experience Required:
This position requires a minimum of 2+ years experience in healthcare third party insurance verification and authorizations.
Education/Licensure/Certification Required:
● High School Diploma or GED
Education/Licensure/Certification Preferred:
● CPC or CPC-A, or equivalent
Skills Required:
● Strong knowledge of insurance policies, CPT and ICD10, payer requirements, and authorization processes.
● Excellent communication and interpersonal skills, with the ability to interact effectively with patients, payers, and clinical staff.
● Detail-oriented with strong organizational and problem-solving skills.
● Strong understanding of and ability to use software and systems, including but not limited to electronic medical record systems, Microsoft Office, and Google Docs/Sheets; daily use of laptop for email, note taking, and other tasks required.
I have read and understand this job description and the accompanying explanation.
Employee Signature: __________________________________ Date: ______________
Employee Name: _____________________________________
Supervisor Signature: __________________________________ Date: _______________
Supervisor Name: _____________________________________
Revised: 2/5/21, 4/26/2021