Patient Access/Referrals Coordinator
Employment type: Full-Time
Department: Patient Access/Admitting
Location: Hospital
Reedsport, OR 97467
JOB SUMMARY:
The Patient Access/Pre-Service Coordinator is responsible for handling activities related to orders, referrals, authorizations and financial counseling both prior to and after the service being rendered. Assists with projects and assignments directly related to patient access and the revenue cycle.
ESSENTIAL DUTIES:
1. Process orders and referrals received; obtain, document and verify referral, pre-authorization, or pre-certification information to ensure financial reimbursement for service rendered.
2. Financial counseling to advise patients of estimated costs and patient liability such as deductible, co-pay or deposit required. Contact self-pay patients to make payment arrangements or discuss charity options; may assist with Medicaid application process.
3. Verify Insurance Benefits Eligibility using system, web-based and telephone resources.
4. Schedule or coordinate scheduling of procedures for multiple departments; communicate issues with ordering physicians’ staff as needed.
5. Provide support for the department by participating in special projects and assignments as needed.
6. Daily review census for emergency room with inpatient visits; notify insurance by phone or fax; coordinate information with Utilization Review department.
7. Back up Switchboard operator.
8. Other duties as assigned.
QUALIFICATION REQUIREMENTS:
Education and License:
High School Diploma or Equivalent, required.
Certifications
Experience
Minimum of one year directly transferable medical office experience utilizing data entry skills, insurance websites, and various software applications.
Utilizing ICD-10 and CPT Coding, required.