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Patient Access Coordinator
Washburn Center For ChildrenMinneapolis, United Statesfull_timeVerifiedPosted 17 Sept 2024
About the role
All are welcome! People of color, people with disabilities, and LGBTQIA+ individuals are strongly encouraged to apply!
Washburn Center for Children is a leading children’s mental health center, caring for a wide variety of children’s needs associated with anxiety, depression, behavioral difficulties and trauma. The 141-year-old nonprofit offers critical mental health intervention to help children - and their families - realize hope. Washburn Center for Children serves almost 4,000 children ages 0-18 and approximately 9,000 family members each year. Washburn Center’s three office locations – Brooklyn Park, Edina, and Minneapolis – serve the entire Twin Cities metro area. The nonprofit also offers in-home services, and its school-based program serves 50+ schools in the Eden Prairie, Bloomington, Minneapolis, Savage, Burnsville and Eagan school districts.
The demand for therapeutic care has skyrocketed. Join our team to help children through the setbacks of life and create a better future. To learn more about how we do that work in homes, schools and clinic-based services, visit us online.
SummaryThe Patient Access Coordinator plays a critical role in ensuring a smooth process between our clients, their benefits and insurance companies. They obtain initial insurance verification and authorizations for clients, enter insurance and financial information into the Electronic Health Records (EHR) system, communicate with clients regarding their insurance benefits or eligibility for sliding fee programs and oversee client payments and collections process.
Responsibilities
Insurance Verification - 50% The Insurance Benefits Specialist coordinate the insurance verification process for clients. This will include the following responsibilities:Process· Obtain insurance information for clients as part of the intake process.· Verify insurance coverage of clients via telephone from insurance companies or on their websites· Secure authorization for services, as needed· Process insurance changes, as needed, in coordination with the Billing QA Coordinator
Data Entry· Enter financial review information, third party coverage, and insurance authorizations into the EHR system· Track completion of the Financial Agreement from clients and enter data in the EHR system· Complete Data Integrity projects as needed
Communication· Process and Communicate Results of Slide Applications· Compile and forward insurance paperwork to the appropriate clinician· Communicate with staff and/or guardian to obtain and clarify insurance information
Client Accounts - 40% The Insurance Benefits Specialist will manage client accounts including:Act as liaison between clients, clinicians, and third party payers as it relates to charges and insurance related questions:· Respond to client phone calls and written requests· Set client payment arrangements· Obtain payer authorizations· Notify clinicians of clients that are delinquent· Keep abreast of collection laws, rules, and regulations
Miscellaneous Duties - 10% The Insurance Benefits Specialist will assist the Billing team in various areas, as needed, including:· Back up for the Billing QA Coordinator:o Responsible for understanding job duties and able to fill in when the Billing QA Coordinator is not availableo Additional Program Verification: Responsible for understanding Crisis, IIH and Psych Testing benefits and inform Crisis, IIH and Psych Testing staff immediately regarding the coverage when the Billing QA Coordinator is not available· Participate in Billing team meetings and other Agency meetings as defined· Other duties and projects as assigned by the Billing and Accounts Receivable Supervisor
Washburn Center for Children is a leading children’s mental health center, caring for a wide variety of children’s needs associated with anxiety, depression, behavioral difficulties and trauma. The 141-year-old nonprofit offers critical mental health intervention to help children - and their families - realize hope. Washburn Center for Children serves almost 4,000 children ages 0-18 and approximately 9,000 family members each year. Washburn Center’s three office locations – Brooklyn Park, Edina, and Minneapolis – serve the entire Twin Cities metro area. The nonprofit also offers in-home services, and its school-based program serves 50+ schools in the Eden Prairie, Bloomington, Minneapolis, Savage, Burnsville and Eagan school districts.
The demand for therapeutic care has skyrocketed. Join our team to help children through the setbacks of life and create a better future. To learn more about how we do that work in homes, schools and clinic-based services, visit us online.
SummaryThe Patient Access Coordinator plays a critical role in ensuring a smooth process between our clients, their benefits and insurance companies. They obtain initial insurance verification and authorizations for clients, enter insurance and financial information into the Electronic Health Records (EHR) system, communicate with clients regarding their insurance benefits or eligibility for sliding fee programs and oversee client payments and collections process.
Responsibilities
Insurance Verification - 50% The Insurance Benefits Specialist coordinate the insurance verification process for clients. This will include the following responsibilities:Process· Obtain insurance information for clients as part of the intake process.· Verify insurance coverage of clients via telephone from insurance companies or on their websites· Secure authorization for services, as needed· Process insurance changes, as needed, in coordination with the Billing QA Coordinator
Data Entry· Enter financial review information, third party coverage, and insurance authorizations into the EHR system· Track completion of the Financial Agreement from clients and enter data in the EHR system· Complete Data Integrity projects as needed
Communication· Process and Communicate Results of Slide Applications· Compile and forward insurance paperwork to the appropriate clinician· Communicate with staff and/or guardian to obtain and clarify insurance information
Client Accounts - 40% The Insurance Benefits Specialist will manage client accounts including:Act as liaison between clients, clinicians, and third party payers as it relates to charges and insurance related questions:· Respond to client phone calls and written requests· Set client payment arrangements· Obtain payer authorizations· Notify clinicians of clients that are delinquent· Keep abreast of collection laws, rules, and regulations
Miscellaneous Duties - 10% The Insurance Benefits Specialist will assist the Billing team in various areas, as needed, including:· Back up for the Billing QA Coordinator:o Responsible for understanding job duties and able to fill in when the Billing QA Coordinator is not availableo Additional Program Verification: Responsible for understanding Crisis, IIH and Psych Testing benefits and inform Crisis, IIH and Psych Testing staff immediately regarding the coverage when the Billing QA Coordinator is not available· Participate in Billing team meetings and other Agency meetings as defined· Other duties and projects as assigned by the Billing and Accounts Receivable Supervisor
Required technical skills, knowledge, and abilities
- Organizational Skills, with attention to detail and ability to manage competing priorities
- Strong computer skills including experience with Microsoft Word, Excel, and Access
- Excellent Communication Skills
- Ability to handle confidential information
- Self-motivated and independent
- Ability to learn and assimilate new information
- High School diploma is required
- Associate Degree or Bachelor Degree in a related field is desired
- 1 year experience working with an EHR system or in a healthcare setting is required
- Intermediate experience with MS Excel is desired
- Experience using MS Ac
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