Patient Access Coordinator I - Part-Time, Evenings
Tufts MedicineAbout the role
Hours: 24 hours per week; Monday through Thursday from 3:00 PM to 8:00 PM at Westford Urgent Care. Every other weekend (Saturday and Sunday) from 4:00 PM to 8:00 PM at Tewksbury Urgent Care.
Location: Onsite at Westford and Tewksbury Urgent Care sites.
Requirements: Ability to attend 1 full-time week of training/orientation during the day shift Monday through Friday your first week
Job Profile Summary
This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Patient Access duties: Performs the administrative and financial-clearance duties necessary to facilitate the procurement of clinical services by patients. Collects patient's necessary demographic and financial information from physician offices, acute-care entities, or the patients themselves, schedules services for patients, and handles referrals from primary care doctors to ensure patients are scheduled for recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a “hands on” environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is closely supervised, and communicates information that requires little explanation or interpretation.
Job Overview
This position is responsible for interviewing inpatient and outpatients with a courteous and professional demeanor in order to obtain accurate and complete patient registration data. Responsible for collecting and documenting in hospital registration system demographic and financial information for scheduled visits and completing pre-service collection of patient liability (including, but not limited to deductibles, co-insurances, co-payments, etc.) and/or bad debt. This position is also responsible for verifying patient insurance, confirming benefits eligibility, performing pre-authorization, pre-certification, and/or notification as required by third party providers.
Job Description
Preferred Qualifications:
1. High school diploma
2. One (1) year of medical office, insurance, physician’s office practice, or hospital. registration experience.
3. Bilingual.
Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.
1. Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service including: collects demographic, financial, and clinical information necessary for financial clearance of scheduled patients; obtains missing insurance information via patient’s family or physician offices; and completes insurance verification using online electronic verification system or contacting payor directly.
2. Obtains consent for treatments and authorizations as necessary. Explains signature requirements to patients and patient’s representatives in a manner that is easily understood by the patient or their representative.
3. Verifies the validity of insurance coverage via eligibility tools. Ensures the appropriate plan codes has been added to registration based on the information provided in the eligibility response. Educated on different insurance plans and coordination of benefits. Able to identify if any concerns with coverage after checking insurance eligibility.
4. Collects the app
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