Patient Access Coordinator Job Description

Patient Access Coordinator Job Description

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Patient access coordinator provides if requested) letter of medical necessity for hospital stay and for family on length of recovery.

Patient Access Coordinator Duties & Responsibilities

To write an effective patient access coordinator job description, begin by listing detailed duties, responsibilities and expectations. We have included patient access coordinator job description templates that you can modify and use.

Sample responsibilities for this position include:

ICD-10, CPT, medical terminology
Upfront Payment Collection
Knowledge in Microsoft Word, Excel and Internet skills
Ability to deal effectively with the public and Staff
Ability to work and willingness to work flexible schedules, including nights, weekends and holidays
Ability to Maintain Staffing Schedules
Previous experience in a medical setting, ie
Working Knowledge of Medicare, Medicaid, Managed Care and other third party insurance
Three years' experience in a Patient Access Service Environment (Preferred)
Coordinates appointments and ancillary services

Patient Access Coordinator Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Patient Access Coordinator

List any licenses or certifications required by the position: CHAM, CHAA, CRCS, CRCE, BLS, CAC

Education for Patient Access Coordinator

Typically a job would require a certain level of education.

Employers hiring for the patient access coordinator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Education, Associates, Medical, Faculty, Patient Care, Sciences, Graduate School, Medicine, Religion, Healthcare

Skills for Patient Access Coordinator

Desired skills for patient access coordinator include:

Medical Terminology
Co-pays
Deductibles and patient responsibilities as the covered party
Insurance Companies and requirements to obtain authorizations
Medicare Medical Necessity requirements
Hospital codes and how to respond
On call personnel
Switchboard/hospital protocol for call dispatching
Collections functions

Desired experience for patient access coordinator includes:

Coordinates patient instructional/educational activities relevant to the patient’s referral
Coordinates purchase of materials and/or the rental of medical equipment relevant to the patient’s referral
Maintains oversight of the PAC rollouts at various markets and associated KPIs
Identifies and assists in the resolution of workflow issues and system queues
Welcomes patient and family members in a professional manner
Maintains a electronic patient log

Patient Access Coordinator Examples

1

Patient Access Coordinator Job Description

Job Description Example
Our innovative and growing company is hiring for a patient access coordinator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient access coordinator
  • Register lab specimen registrations (i.e labouts)
  • Communicate closely with the 4 Registration clerks in Admitting as to number of patients waiting
  • Key patient status changes per phone calls received
  • Interview incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information
  • Escort patient to his/her destination or refer patient to an available escort
  • Work with physician offices and ancillary departments, obtaining or providing information when necessary
  • Responsible for the daily operations and planning of workflow for the Patient Care Coordinators (PCC) to ensure that all team members know what their priorities are, daily
  • Assist with scheduling surgeries and/ or procedures or services needed in the ambulatory management of the patient's care
  • Responsible for evaluating the efficiencies of the team identifying barriers and move to eliminate them where possible
  • Acts as the liaison between the patient and the various clinic areas and ancillary services to coordinate activities involved in pre-operative planning and preparation or planned hospitalization
Qualifications for patient access coordinator
  • Schedules patient appointments Utilizes tools within the practice management system to expedite the appointment scheduling process
  • Adheres to scripts and protocols for handling various types of appointment requests
  • Under direction, may distribute work assignments staff
  • Prioritizes work in alignment with the needs of the patients, family members, caregivers and colleagues
  • Ability to maintain a high level of professionalism and handles all situations diplomatically and courteously
  • Minimum required education is high school diploma and/or GED equivalent
2

Patient Access Coordinator Job Description

Job Description Example
Our innovative and growing company is looking to fill the role of patient access coordinator. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for patient access coordinator
  • Routes calls or messages to appropriate clinical staff for proper triage
  • Serves as the primary assistant to clinical physicians
  • Facilitates direct communication & specific patient care-related activities relevant to assigned physician’s needs
  • Work closely with clinical teams and provide high quality financial services assistance to patients based on their needs and those of the clinicians
  • Proactively obtain precertification for scheduled services requiring insurance authorization and review and input demographic, financial and insurance information into Center system
  • Advise patients of potential self-pay responsibility and procedures that go along with this responsibility
  • Collaborate on various departmental projects and pilots with management and clinicians
  • Inform patients of their insurance benefits and explain hospital financial policies
  • Identify process improvement opportunities in all areas of Patient Financial Services and offer recommendations to management
  • The Patient Access Coordinator is responsible for collecting and verifying insurance, reviewing payment options, reviewing financial and insurance information, determining financial eligibility, obtaining pre-certification requirements and completing registrations as needed
Qualifications for patient access coordinator
  • Third party insurance experience preferred
  • Direct patient customer service experience preferred
  • Maintain all documentation in an appropriate manner
  • Supports office coordinators as needed
  • Completes scheduling as needed
  • Ensure ease of patient access and quality service
3

Patient Access Coordinator Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of patient access coordinator. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient access coordinator
  • Effectively works in a group/team setting, promotes teamwork and contributes to overall goals
  • The Coordinator will assist staff in difficult patient situations/complaints, including educating patients regarding insurance benefits and financial responsibility
  • He/she will update/involve the Supervisor/Director of pertinent issues on a daily basis
  • This position also requires involvement in hospital performance improvement activities
  • He/she will contribute to staff annual evaluations and participate in and provide employee disciplines/warnings under the guidance of the Supervisor/Director
  • 35 wpm avg net typing speed
  • 2+ years prior supervisory experience / team lead / training / coaching or similar role and/or has progressed through the department’s career ladder criteria
  • 2+ years prior experience with registration, insurance verification in a hospital/physician office/collections role/insurance company
  • Explains hospital charges and payment options and programs
  • Consistently meet or exceed established collection goals
Qualifications for patient access coordinator
  • High school graduation or equivalent is required
  • Six (6) months experience in a hospital/physician setting, obtaining insurance benefits and pre-certification is preferred
  • Prior collection experience is preferred
  • One year applicable experience
  • CHAA certification or obtained within one year of hire (as applicable)
  • Demonstrates leadership skills in effectively coordinating daily work for staff completion
4

Patient Access Coordinator Job Description

Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of patient access coordinator. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for patient access coordinator
  • Specific Patient Access or medical front office leadership experience
  • Prior sales and/or collections experience is required
  • Prior experience with guest service industry particularly with a high-end hotel, airline (Preferred)
  • College training, professional certifications through AAHAM, NAHAM which may be relative to the position (Preferred)
  • May initiate reminder phone calls for next day appointments
  • Creates and maintains schedules for coverage at applicable regional Patient Access sites
  • Rotates with an on call schedule
  • Monitors and updates time and attendance for assigned staff in order for Regional Manager to approve payroll with ease
  • Serves as a super user for hospital information system and stays up to date with all information pertaining to department and job functions
  • Understands all Patient Access workflows and is able to provide coverage if needed to those locations
Qualifications for patient access coordinator
  • Responsible for adequate coverage on all shifts
  • Assists with schedules and obtains coverage for all shifts
  • Maintains appropriate staffing levels working with supervisor to insure proper levels
  • Assists Supervisor in conducting yearly and periodic performance reviews on a timely basis
  • Assists with coverage in times of shortage
  • Ensures that staff are following Hospital and Departmental policies, and communicates any deviation of such to supervisor
5

Patient Access Coordinator Job Description

Job Description Example
Our company is searching for experienced candidates for the position of patient access coordinator. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for patient access coordinator
  • Maintains working knowledge of policies and procedures pertaining to Patient Access and Revenue Cycle
  • Ensures precerts and referrals are obtained for services
  • Works in tandem with other department staff and management to ensure any issues are addressed appropriately and professionally
  • Participates in the training/orientation of new employees to the department
  • Monitors and maintains inventory supplies for the department
  • Handles day to day customer service and employee concerns
  • Accurately complete assigned reports
  • Contribute to the overall quality of the department measured by reports and audits
  • Collects and assists with quality screening for staff and or unit reports as it relates to compliance and regulatory requirements
  • Oversees staff assigned error report management and tracking as part of data flow and quality
Qualifications for patient access coordinator
  • Monitors, analyzes, and reports staff productivity, and makes recommendations for improvement
  • Assists with the orientation and training process for all new hires performing patient access functions
  • Promotes good customer relations with other internal departments, outside healthcare facilities, and physician offices
  • Coordinates activities other departments/offices
  • Works with providers to improve procedures to expedite patients' services
  • Able to work independently and make responsible decisions

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