Patient Access Coordinator

City/State:

Nyack, New York

Department:

Patient Access_2

Bargaining Unit:

NH- SEIU-1199

Work Shift:

Evening

Work Days:

MON-FRI, ALTERNATING WEEKENDS AND HOLIDAYS

Scheduled Hours:

5:30 PM-10:30 PM

Scheduled Daily Hours:

5 HOURS

Hours Per Pay Period:

20

Hourly Rate/Range:

$23.37 / $24.09

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

Job Summary

Responsible for maintaining the hospital census to identify the facility's bed complement, patient's location, occupied beds and bed availability. Coordinates and controls the placement of all inpatients (urgent, emergent, and elective) between referring physicians, hospital personnel, and nursing. Responsible for registration, verification, collection of co-pays/deductibles, pre-certification or authorization of accounts, referrals to Financial Counseling for assistance in payment options. Flexible days/hours based on business needs.

Essential Functions

• C. Job Specific Contacts

  1. General Contacts: Department heads, supervisors. Interaction with patients, family members, physicians and their office staff, hospital personnel, employers, funeral homes, various governmental agencies, third party agencies (insurance companies) in person, by telephone, fax or internet.

  2. Job Provides Direction to: N/A

  D. Environment and Demands

  1. Environmental Demands: Describes the physical environment in which the job must be performed. Admitting, ER and/or Business Office environment. Requires light physical effort on a regular basis, as in viewing CRT, frequent standing, walking, bending, stooping or reaching and/or occasional lifting of light items.

  2. Essential Physical and Cognitive Demands, Manual Dexterity: Describes the physical efforts, manual dexterity and cognitive skills required for the job (i.e., hand/eye coordination, lifting, pulling, walking, concentration, analysis, customer sensitivity, etc.). Requires light physical effort on a regular basis, as in viewing CRT, frequent standing, walking, bending, stooping or reaching and/or occasional lifting of light items (i.e. up to 20 lbs.).

  B. MISSION/STRATEGIC PLAN:

  Participates in activities which support the mission of the hospital

  C. JOB SPECIFIC COMPETENCIES:

  Demonstrates the required job specific technical/professional knowledge, skills and abilities. *

  1. Maintains integrity, accuracy and completeness of demographic, clinical and insurance information from data collection through data entry.

  2. Gather claim data in compliance with governmental, third party and managed care requirements and/or for the subsequent maintenance of accounts to the point of payment or final resolution.

  3. Verifies benefits, calculates and collects co-payments or deductibles.

  4. Secure signature of the patient or representative for the release of information to the insurance company, the assignment of insurance benefits to the hospital, the authorization of the patient to receive treatment and any additional required permits or consents.

  5. Reviews patient’s prior visits to determine if there are outstanding balances and refers to appropriate personnel.

  6. Pre-register patients in anticipation of their arrival for services.

  7. Educates customers in registration related issues via phone, correspondence or in person.

  8. Advises, refers and assists patients in obtaining appropriate payment options, including Medicaid and Financial Assistance.

  9. Assists Bed Placement Coordinator (Nursing Supervisor) with assigning accommodations based on the physician’s admittance orders, patient’s preference, nature of illness, availability of space, and other information. Responsible for preparing and maintaining the patient’s records of admission, transfer and discharge review of patient accounts and insurance documentation.

  10. Escort direct admit patients to their rooms and complete signatures and missing billing information at bedside.

  11. Coordinates all ADT functions including bed assignments.

  12. Applies knowledge of computer functions and other available technology to facilitate accurate processing of claims by the payers.

  13. Reviews and applies patient charges directly to the Accounts Receivable file, through order entry, keying and posting processes.

  14. Responsible for the directing and control of daily registration activity and the interaction between physicians, nursing floors, ancillary departments, emergency department, patient finance, insurance companies and patients.

  15. Responsible for assuring quality information related to the care of both inpatients and outpatients through departmental quality control measures.

  16. Responsible for management of the morgue census and monitoring the completion of death certificates. In depth knowledge of expiration, autopsy protocols, and the state status regarding Medical Examiner and fetal demise cases.

  17. Provide assistance and coverage for the Emergency Room, Radiology Registration Desk, Pre-Admission Testing, Information desk, Women’s Imaging, and Pediatric registration.

  18. May perform other incidental tasks, as needed.

  19. Responsible for the promotion of Service Excellence within the Admitting Department.

  * Document on addendum age specific competency.

  Part II: Employee Performance Standards

  A. CUSTOMER SERVICE:

  1. Demonstrates the ability to create a positive interaction with the customer.

  2. Demonstrates positive communication with people of different cultures, values and beliefs.

  3. Demonstrates the ability to acknowledge customer concerns and takes corrective action.

  4. Demonstrates compliance with identified customer service behaviors.

  5. Provides escort to customers when necessary.

• B. PERFORMANCE IMPROVEMENT:

  1. Participates in Department/Hospital-wide activities which improve processes and/or outcomes.

  2. Utilizes resources to maintain and improve self development and knowledge.

  3. Complies with licensure and/or certification requirements.

  4. Participates in annual competency assessment.

  C. BUDGET:

  1. Demonstrates fiscally prudent use of equipment and supplies.

  2. Utilizes charge process for supplies/equipment.

  D. PROJECTS/ASSIGNMENTS:

  1. Completes projects/assignments within projected time frames and expectations.

Qualifications

• High School Required
• Associate Degree Preferred
• Related Patient Access experience preferred. Strong customer service experience required. Clerical/Billing experience preferred. PC experience required (Word/Excel.)
• Excellent verbal and written communication skills.

Montefiore Nyack Hospital is an equal employment opportunity employer. Montefiore Nyack Hospital will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law.