Role Description
The Patient Financial Access Facilitator is responsible for all functions and processes related to patient check-in, check-out, registration, and scheduling. Key responsibilities include:
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Obtaining and updating the patient's demographic and financial information in a sometimes demanding atmosphere utilizing multiple applications to assure timely processing of the patient visit.
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Performing a variety of functions including accurate patient identification while adhering to Red Flag procedures to ensure patient safety.
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Staying abreast of all insurance changes and adhering to managed care requirements and all other information legislated for Health Care as it relates to the health system.
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Understanding the various insurance carriers' options and completing insurance entry accurately, satisfying billing requirements to ensure a payable account.
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Verifying eligibility of insurances, identifying and collecting co-pay balances, and initiating other funding referrals as outlined by departmental policy when appropriate.
Qualifications
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High school diploma or GED required; Associate degree preferred.
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One (1) to two (2) years of work experience in a customer service environment, preferably in a hospital/physician office with emphasis on registration, third party insurance verification, and financial clearance dealing with all aspects of medical insurance and eligibility requirements preferred.
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Self-directed, well organized, and exhibiting excellent interpersonal and team-oriented skills.
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Strong ability to interpret insurance benefits and apply them to hospital services.
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Basic computer skills and the ability to adapt to various programs/systems.
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Capable of balancing appropriate level of intervention and partnering with clinical staff to ensure the highest quality of patient care.
Requirements
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Registration: Initiates and completes patient visit information in accordance with YNHH department protocol.
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Scheduling: Accurately and promptly schedules patient appointments per department standards.
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Insurance: Ensures appropriate financial information is accurately obtained and documented to ensure proper reimbursement to the health system.
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Customer Service: Follows Customer Service guidelines in accordance with YNHH department protocol.
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Resource Management: Utilizes Health System and Department resources to effectively support the patient experience.
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Supports Organizational and Departmental Goals: Performs all functions in accordance with established policies and procedures.
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Performs other duties as assigned by Supervisor.
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Identifies and recommends opportunities to improve Patient Access activities.
Company Description