Patient Access Coordinator- Admitting Job

Children's Health - Patient Registration Careers

Job Number: 54141

Location: Dallas, TX

Date Posted: 4-12-2018

Description:

Position Summay:

Coordinates with the Access Center, referring facilities and internal providers to support appropriate patient assignment and progression for all in-house patients. Responsible for ensuring the appropriate levels of complex patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction.

ESSENTIAL FUNCTIONS AND JOB SPECIFIC RESPONSIBILITIES:

Ensures the appropriateness of complex registration activity including verifying patient demographic information, processing point of service payments, obtaining signatures for required consent paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol

Ensures the appropriateness of complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol

Acts as a liaison to resolve complex patient access and account issues, responds to questions on reimbursement and serves as a resource and systems expert for patient access specialists, including on-the-job training; assess DNB work queues for performance improvement and appropriateness of complex patient access transactions

Provides guidance, feedback and training to staff on multiple processes, payers and systems; monitors work queue assignments and assess productivity

Coordinates with clinical staff to ensure billing compliance and maximum reimbursement by facilitating a midnight patient census reconciliation of patient class and accommodation codes with physician orders in the medical record for in-house patients

Coordinates with all key stakeholders to minimize transfer delays associated with financial clearance, facilitate bed placement, admissions and coordinates with all hospital departments to facilitate scheduling, registration and service authorization functions after business hours

Demonstrates the components of the Children's Health System Vision, Mission and The Children's Way Values

Prepares consolidated payer-specific registration and reimbursement data for presentation

Possesses the ability to interpret and demonstrates compliance with performance standards, third party contracts, guidelines, regulations and policies and procedures; assists with maintaining specific procedural guidelines and policies

Initiates and coordinates the implementation of team-oriented process improvement initiatives for the department and organization

Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards

Performs other duties as assigned

EXPERIENCE:

Four years of customer service experience with three years of healthcare experience including Patient Access operations activities, required

Extensive knowledge of general procedures and guidelines used by health insurance companies, government agencies, employer benefit departments and internal departments as they relate to registration, required

Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and minimum of 40 words per minute, required

Ability to develop and maintain productive working relationships to fully integrate within a team , required

Proficient in English, written and verbal, communication skills, required

EDUCATION:

High school diploma or equivalent , required

Two-year Associate's degree or equivalent experience, required

LICENSES and CERTIFICATIONS:

National Association of Healthcare Access Management CHAA Certification, required

Healthcare Financial Management Association CRCR Certification, required

Epic Proficiency or Certification with ADT/Prelude, required

Epic Proficiency or Certification with Cadence, preferred

PHYSICAL DEMANDS:

Light - Exerting up to 20 lbs. occasionally, 10 lbs. frequently, or negligible amounts constantly and may require walking or standing to a significant degree.


Back to top