Job Description
The Patient Access Coordinator is an established, non-clinical healthcare
professional dedicated to facilitating seamless patient experiences and
optimizing operational efficiency while ensuring compliance with regulatory
standards. Leveraging strong organizational skills and advanced knowledge of
patient registration protocols, the PAC delivers exceptional customer service,
supporting Luminis Health's goals of financial reimbursement and overall
excellence in patient care.
1. Patient Interaction and Identification:
· Greet patients and visitors courteously, always maintaining empathy
and professionalism.
· Accurately identify patients in the Master Patient Index to reduce
erroneous duplicate medical records, maintaining a 98% accuracy rate in medical
record creation.
- Update demographics per legal identification.
- Verify the information on armbands before placing them on patients.
- Explain all required documents verbally, obtain signatures
appropriately, and document any inability to obtain signatures correctly,
including immediate scanning into EMR, per process.
· Process all ‘unable to sign’ consents per process, including following
legal algorithms to research and communicate with patient contacts to obtain
appropriate surrogate; escalate to next steps (Care Management) when unable to
find surrogate.
2. Patient Registration and Insurance Verification
· Conduct face-to-face interviews to accurately obtain and process
patient demographic and financial information, maintaining a minimum accuracy
rate of 97% for error-free registrations.
· Process and act on Real-Time Eligibility (RTE) messages, including
adding, terminating, and correcting coverages.
· Identify all true self-pay patients accurately and forward to Medicaid
eligibility and application staff, ensuring only true self-pay patients are
screened.
· Scan all required documents into patient records and place HAR notes
on accounts when necessary.
· Identify and resolve insurance verification issues, informing patients
of available options, including financial assistance.
3. Regulatory Compliance:
· Ensure all patients receive necessary regulatory information and enter
appropriate documentation in the EMR (e.g., HIPAA, Patient Rights Brochure, IMM,
NOOS, ABN, etc.)
· Explain hospital policies, procedures, and financial responsibilities
to patients and their families, providing excellent customer service.
4. Financial Communication:
· Communicate financial responsibilities to patients and collect funds
accordingly.
· Make referrals to Charity Care and Medical Assistance when needed.
5. Workflow Management:
· Independently prioritize PAC workflow, including work queue
management, patient registrations, insurance verification, and other assigned
tasks to meet personal performance and productivity metrics within department
deadlines.
· Identify and correct errors in accounts using appropriate
tools.
· Answer and direct incoming and external calls promptly.
6. Appointment Scheduling:
· Schedule appointments, surgeries, and other medical procedures
according to patient and provider preferences.
· Verify insurance coverage and obtain pre-authorizations as needed.
7. Training and Mentoring:
· Assist with training new staff following all processes and procedures
in the training program.
8. Shift Coordination:
· Act in a Shift Coordinator role as needed and assigned under the
direction of the Supervisor.
9. Meeting and Training Participation:
· Attend all departmental staff meetings and stay current with
departmental updates.
- Read and respond to emails during each shift.
- Attend all required in-person training/in-services and complete all
educational assignments within the required timeframe.
10. Adherence to Policies:
· Adhere to hospital policies and procedures, including timely arrival,
minimal absences, appropriate attire, readiness for work, and minimal personal
electronic usage.
· Adhere to the RISE values. Contribute to a positive work environment
that promotes teamwork, collaboration, professionalism, and continuous
improvement.
11. Coordination with Other Departments:
· Contact physician offices for patient care orders and seek faxed
orders when necessary.
· Communicate with Nursing and EVS regarding bed placements and
discharges for inpatients.
· Communicate with Discharge Planning when demographic or insurance
changes are made for patient registrations.
- Conduct bed assignment duties accurately and quickly.
- Interview patients face-to-face or by phone to obtain registration
information.
12. Additional Responsibilities:
· Perform other duties as assigned by the Director, Manager, or
Supervisor.
Requirements:
- High School Diploma
- Minimum 8 months in patient access role
- Excellent communication and interpersonal skills
- Strong attention to detail and accuracy
- Proficiency with computer systems and electronic health records.
- Ability to work independently and collaboratively in a fast-paced
environment
· Compassionate attitude and a commitment to providing exceptional
patient care.
· Certified Patient Access Specialist (CPAS):
External Candidates: Must obtain within 4 months of employment
Internal Candidate: CPAS obtained as part of initial 8 months of employment
There is a reasonable expectation that employees in this position will be
exposed to blood-borne pathogens.
Physical Demands – Light Work – Exerting up to 20 pounds of force occasionally
and/or up to 10 pounds of force frequently, and/or a negligible amount of force
constantly to move objects.
The physical demands and work environment that have been described are
representative of those an employee encounters while performing the essential
functions of this position. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions in accordance
with the Americans with Disabilities Act.
The above job description is an overview of the functions and requirements for
this position. This document is not intended to be an exhaustive list
encompassing every duty and requirement of this position; your supervisor may
assign other duties as deemed necessary.
Pay Range
$18—$25 USD
Luminis Health Benefits Overview:
- Medical, Dental, and Vision Insurance
- Retirement Plan (with employer match for employees who work more than 1000
hours in a calendar year)
- Paid Time Off
- Tuition Assistance Benefits
- Employee Referral Bonus Program
- Paid Holidays, Disability, and Life/AD&D for full-time employees
- Wellness Programs
- Employee Assistance Programs and more
*Benefit offerings based on employment status
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Job Tags
Full time, Part time, Immediate start, Shift work