Responsible for the provision of complex patient access activity for all 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:
Performs 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
Performs 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
Resolves complex patient issues, responds to questions on reimbursement and serves as a resource to patient access specialists as needed, including on-the-job training
Demonstrates the components of the Children's Health System Vision, Mission and The Children's Way Values
Possesses the ability to interpret and demonstrates compliance with performance standards, regulations and policies and procedures and third party contracts, guidelines
Provides significant input for and assistance with 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
Two - three years of customer service experience with two years of healthcare experience including Patient Access operations activities, required
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, preferred
Healthcare Financial Management Association CRCR Certification, preferred
Light - Exerting up to 20 lbs. occasionally, 10 lbs. frequently, or negligible amounts constantly and may require walking or standing to a significant degree.
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Point of Care Coordinator