Access Services Coordinator - ER
Company: Martin Memorial Health Systems, Inc.
Location: Stuart
Posted on: June 12, 2021
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Job Description:
I. Basic Purpose: Interviews patients to gather demographic and financial data.
Establishes a patient record and medical record number if
necessary. Provides information relative to Advanced Beneficiary
Notices, Patient rights and benefit assignments. Is knowledgeable
of compliance policies and requirements. Demonstrates the ability
to solve problems/issues independently. Obtains certification and
referrals from insurance companies as required. Analyze patient's
financial responsibilities and attempts to collect at time of
service. Provides these services in a manner that consistently
exceeds the expectations of the customers we serve. Maintain
customer confidentiality at all times. II. Major Duties and Responsibilities: Complies with established corporate and departmental policies,
procedures, objectives, quality assurance methods, and safety
codes. Demonstrates compliance with licensing, regulatory and
accrediting agency provisions as required. Consistently demonstrates appropriate and professional
communication behavior toward patients, customers, and coworkers.
Cooperates with Management and peers to promote an environment of
teamwork and collaboration. Process registration and pre-registrations on all patient types
utilizing the patient's social security number. Obtains/enters
complete and accurate demographic/financial/clinical information in
an expedient manner. If necessary, establishes patient medical
record number to minimize the medical risk to patients. Obtains
necessary signatures from patients or guardians authorizing
treatment. Demonstrates an understanding of insurance billing.
Determines/requests/collects self pay balances due and/or completes
appropriate financial forms when patients are unable to meet the
requirements. Demonstrates a clear understanding of Compliance issues and
Medicare medical necessity. Accurately screens all applicable
Medicare tests for complete orders and screening the diagnosis for
medical necessity. Completes an Advanced Beneficiary Notice (ABN)
for failed tests and explains the financial responsibility to the
patient. Reviews Medicare Secondary Payor (MSP) queries to
determine payor for Medicare and Medicare HMO patients. Responsible for analysis of physician written order. Ensures
order is complete and legible. Completes medical necessity checking
on all physician orders. Communicates with physician and patients
regarding written order whenever necessary. Accurately assembles, maintains and distributes patient's charts
to appropriate department. Maintain department records, reports and
files as required. Contacts physician offices for diagnosis if necessary. Contacts
physician offices/insurance companies for benefits/authorizations
and documents outcome in the system. Provides appropriates forms to billing and other
departments. Responsible for maintaining admission cash drawer and completing
the deposit at the end of the workday. Demonstrates outstanding customer service in all interactions
with internal and external customers. Recognizes patients who need
to be registered on a priority basis. Responds to patient problems,
complaints and inquiries. Ensures all complaints are resolved or
referred to appropriate personnel. Communicates clearly and
concisely with all levels of individuals while complying with
confidentiality criteria. Demonstrates ability to understand and
explain department and hospital policies and procedures. Identifies process improvement opportunities and actively
participates in improvement plans. Promotes the team concept with
coworkers by addressing issues in a constructive/proactive
manner. Attend all departmental meeting as required. Attends all
Admitting in-services and educational seminars as required.
Maintains passing score on annual Access competency assessment. Maintains annual mandatory education requirements specific to
position as mandated by Martin Health System. III. Minimum Requirements (experience, training, and
education): To effectively fulfill this position, candidate must meet the
following requirements: > High school graduate or equivalent, and have a minimum of
two years' experience in a healthcare/medical office
environment. > Must successfully pass: MHS Medical Terminology test,
Customer Service and Data Entry tests. Must score a minimum 35 wpm
on typing test. > Must obtain passing (90% or better) score on Medicare Fraud
& Abuse test during 90-day probationary period. Must maintain
passing (80% or better) score on annual departmental Access
competency assessment. Ability to effectively communicate with all levels of
associates, patients, families, physicians and general public.
Excellent customer service skills required.
Keywords: Martin Memorial Health Systems, Inc., Palm Beach , Access Services Coordinator - ER, Other , Stuart, Florida
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