Patient Access Operations Coordinator

Job description

Department: 13538 Enterprise Revenue Cycle - Carolinas Medical Center NC Arrival Patient and Family Services Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Monday-Friday, first and second shift schedule will vary Pay Range: $22.90 - $34.35 Major Responsibilities: Coordinates staffing and functions within the Patient Access Department in order to achieve SRCO goals and objectives. 4)Serves as a department resource for testing and training new or improved Patient Access technology systems and processes. 5)Supports department KRAs by collecting or compiling data for department manager. 6)Maintains department inventory and orders supplies through appropriate systems. 1)Edits associate payroll activity in Advocateworks. Monitors and records attendance occurences. Brings attendance patterns to the attention of the manager. 2)In manager's or supervisor's absence, provide service recovery as needed. 3)Generates daily work schedules for associates to provide maximum efficiency and patient throughput (i.e. daily work assignments; break and lunch schedules; training and team meeting schedules.) Shift staffing to accommodate peak patient volume hours. Monitor work processes to ensure that best practices are deployed to enhanced customer services, leveraged use of technology. Ensure that standard processes as identified by the SRCO are effectively implemented at the Patient Access points in an effort to achieve the goals of maximized cash flow and decreased cost of collections. Identifies potential barriers to these goals at the unit level and reccommends appropriate and effective solutions. 1)At the request of the Department Director or Manager, serves on site teams and committees involved with revenue cycle, government compliance and audits. 2)Perform quality reviews to ensure that process changes to address reimbursement, coding, regulatory and compliance initiatives and issues are implemented and maintained within department processes. 3)Provides performance and behavioral feedback to manager for probationary and annual associate performance reviews. Perform duties of front line associates in the Patient Access department including: pre-registration, insurance verification/pre-certification and registraiton (IP/OP/ED). Models behaviors of excellence, including use of AIDET, and accuracy for front line associates. 1)Scheduling: Performs limited patient scheduling for hospital services under the direct control of Patient Access. Ensures that a minimum data set is collected at first point of patient contact to facilitate insurance verification. 2)Pre-Registration: Validate patient information, collect patient liabilities, provide patient estimate and perform POS Collection per SRCO policy. 3)Insurance Verification/Pre-Certification: Responsible for the identification and evaluation of benefits and determining patients out of pocket expenses after insurance; responsible for securing authorization and precertification; customer service interaction with physicians, physicians offices, and patients. 4)Registration (IP/OP/ED): Responsible for validation of patient information, collection of patient liabilities, obtain required signatures and following WE-ID process for patients presenting for service. Participates in and supports overall SRCO efforts surrounding the development and integration of new and innovative approaches to using people, processes, and technology to increase cash collections and income statement improvement from revenue cycle operations. 1)Supports tactics, policies/procedures that interface with other functional areas to improve SRCO operations. 2)Assists manager with compiling and utilizing statistical information to be used for current operations and future planning. Promote activities that align to the SRCO goals, standards, and target time frames for initiative implementation and completion. Education/Experience Required: High School Diploma or equivalent. Minimum of five years plus recent work experience in registration or related healthcare department. 1-2 years lead or supervisor registration experience. Strong medical terminology background preferred, certification in medical terminology within one year of employment. Knowledge of third party payers. Knowledge of Allegra system and related registration required. Knowledge, Skills & Abilities Required: Ability to proficiently interact over the phone with the public, physicians and hospital staff Excellent verbal and written communication skills Proficiency in computer based data entry CHAA certification within one year of employment Physical Requirements and Working Conditions: Occasional local travel for SRCO workgroups or events Ability to work hours that verify based on needs of the organization including evenings and weekends. If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06/01/2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting/movement situations will be assessed on a case-by-case basis. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview. About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.