ED Patient Access Team Coordinator Weekends Sat & Sun

POSITION SUMMARY:

Key Responsibilities:

   1. Support and Coordination:

• Act as a resource to the Patient Access Supervisor and the leadership team.

• Provide assistance and support to front-line Patient Access Representatives (PAS) in various areas.

•  Ensure all areas within Patient Access Services (PAS) are adequately covered, offering assistance to front-end team members.

• Assist with bed planning to ensure efficient patient flow and resource allocation.

• Assist with Kronos for scheduling updates and management.

2.    Patient Registration, Enrollment, and Financial Assistance:

• Ensure completeness and accuracy of patient registration and billing information.

• Assist uninsured and underinsured individuals in accessing affordable insurance coverage through various programs such as MassHealth, Out of State Medicaid, Health Safety Net, or the hospital's Charity Care Program.

• Act as a Certified Application Counselor to provide patient advocacy and support for pending applications.

• Assist patients in appealing denied applications and guide them in applying for the hospital's Charity Care Program when necessary.

• Follow up on self-pay accounts with open financial counseling trackers.

• Contact patients to obtain necessary documentation for determining eligibility for healthcare coverage.

• Verify the accuracy of patient information submitted on applications and track application status until a final eligibility decision is made.

• Collect insurance copays from patients as required.

• Screen patients for eligibility through the hospital's Charity Care Program.

• Process Charity Care Program applications and issue written notifications regarding application status.

• Collect and post payments on patient accounts with outstanding balances.

3.    Quality Assurance and Training:

• Maintain a high-quality assurance score (95% or greater) to ensure accurate and compliant patient registration and enrollment.

• Assist in the interviewing and hiring of new team members.

• Provide support in new hire orientation, in-services, daily huddles, and refresher training for existing team members.

• Monitor call quality assurance, workqueues, and in-basket messaging for operational efficiency.

Position: ED Patient Access Team Coordinator

Department: PAS - 2A

Schedule: 24 Hours, Weekends Sat & Sun

ESSENTIAL RESPONSIBILITIES / DUTIES:

Customer Service and Communication:

• Provide exceptional customer service to internal and external customers.

• Serve as a resource for patients and others with questions regarding registration, insurance eligibility, and patient admission.

• Communicate effectively with various types of customers.

• Recognize and respect cultural diversity for all customers.

Data Integrity and Documentation:

• Ensure accuracy and integrity of patient demographic, insurance, and admission information.

• Document accurate information on all patient accounts.

Flexibility and Problem Solving:

• Work both independently and as part of a team in a fast-paced environment.

• Maintain flexible availability to accommodate work coverage requests, including holidays.

• Demonstrate effective problem-solving skills, especially in handling difficult situations.

Certification and Policy Adherence:

• Complete MassHealth's curriculum for Certified Application Counselor and renew certification annually.

• Understand and adhere to the hospital's Credit and Collection Policy.

Application Processing and Follow-Up:

• Use work queues to identify patient accounts requiring follow-up assistance.

• Contact patients to obtain required verification documents for enrollment applications.

• Track the status of submitted applications until final decision is reached.

Software Utilization and Reporting:

• Use protected software programs to track pending applications and verify approvals.

• Submit written reports of work activity as requested.

Training Support and Confidentiality:

• Assist with the orientation and training of new staff.

• Protect patient and family confidentiality at all times.

Quality Assurance and Additional Duties:

• Review and remedy all identified quality assurance errors promp