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Search Results Patient Access Coordinator Location:

MAITLAND, FL, United States Zip Code:

32751

Job ID:

2236

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PATIENT ACCESS COORDINATOR I

Job Description New Season Employee Name:

Reports to:

Patients Access Supervisor Job Code:

Department:

Revenue Cycle Management FLSA:

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, ens uring 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.

Job or State Requirements HS Diploma or GED, This position requires a minimum of 2+ years experience in healthcare third party insurance verification and authorizations.

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