Patient Access Coordinator
Hialeah Hospital
Hialeah , FL
04.1986 - Active
- Greeted patients, verified patient identification and collected demographic information.
- Scheduled appointments for outpatients using the electronic health record system.
- Verified insurance eligibility and ensured coverage of services to be provided.
- Processed referrals from primary care physicians and other healthcare providers.
- Assisted in obtaining prior authorizations from insurance companies.
- Maintained accurate patient records, including registration data in computer systems.
- Coordinated with clinical staff to ensure timely completion of registration process.
- Answered incoming calls, responded to inquiries, resolved customer complaints and provided assistance as needed.
- Provided financial counseling services to patients regarding payment options.
- Collected payments for services rendered and processed credit card transactions accurately and efficiently.
- Ensured compliance with all relevant laws and regulations governing patient access activities.
- Adhered to HIPAA guidelines when handling confidential patient information.
- Performed quality assurance checks on patient data entered into system.
- Researched discrepancies between insurance company information and hospital records.
- Reviewed medical documents for accuracy prior to submission for billing purposes.
- Prepared reports related to patient access activities such as average wait times or number of patients served per day.
- Audited accounts receivable balances for assigned accounts regularly.
- Participated in training sessions related to new software programs or changes in policies and procedures.
- Collaborated with other departments within the organization to ensure seamless transition of patients through their healthcare journey.
- Applied HIPAA privacy and security regulations while handling patient information.
- Verified demographics and insurance information to register patients in computer system.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Assembled registration paperwork and placed identification bands on patient.
- Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Submitted fees and claims to insurance companies manually or digitally.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
- Communicated financial obligations to patients and collected fees at time of service.
- Explained various admission forms and policies, acquiring signatures for consent.
- Reviewed eligibility responses to assess patient benefit level and prepare estimates.
- Checked stock to determine inventory level and placed orders for needed supplies.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Collaborated with clinical and administrative staff to meet patient needs.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
- Explained policies, procedures and services to patients.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
- Obtained informed consent and payment documentation from patients and filed in system.
- Received patient inquiries or complaints and directed to appropriate medical staff members.
- Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
- Organized timely and accurate referrals to help patients obtain health care services and access available resources.
- Instructed patients on policies and required actions for different types of appointments and procedures.
- Counselled patients on potential financial liabilities and payment requirements.
- Accessed programs and set up correct payment strategies based on patient means and needs.
- Reported liabilities and risk management concerns to supervisor for review.
