Department: Patient Access/Admitting

Location: Hospital

Reedsport, OR 97467

JOB SUMMARY:

The Patient Access/Pre-Service Coordinator is responsible for handling activities related to orders, referrals, authorizations and financial counseling both prior to and after the service being rendered. Assists with projects and assignments directly related to patient access and the revenue cycle.

ESSENTIAL DUTIES:

1. Process orders and referrals received; obtain, document and verify referral, pre-authorization, or pre-certification information to ensure financial reimbursement for service rendered.

2. Financial counseling to advise patients of estimated costs and patient liability such as deductible, co-pay or deposit required. Contact self-pay patients to make payment arrangements or discuss charity options; may assist with Medicaid application process.

3. Verify Insurance Benefits Eligibility using system, web-based and telephone resources.

4. Schedule or coordinate scheduling of procedures for multiple departments; communicate issues with ordering physicians’ staff as needed.

5. Provide support for the department by participating in special projects and assignments as needed.

6. Daily review census for emergency room with inpatient visits; notify insurance by phone or fax; coordinate information with Utilization Review department.

7. Back up Switchboard operator.

8. Other duties as assigned.

QUALIFICATION REQUIREMENTS:

Education and License:

High School Diploma or Equivalent, required.

Certifications

Experience

Minimum of one year directly transferable medical office experience utilizing data entry skills, insurance websites, and various software applications.

Utilizing ICD-10 and CPT Coding, required.

Experience working in a medical office or scheduling center.

Additional Qualifications:

1. Must demonstrate an ability to work with various office machines and equipment such as computers, printers, copying machines, multi-line telephones, paging systems, and fax machines.

2. Knowledgeable in pre-authorization procedures and reimbursement denial follow up.

3. Excellent clerical skills including computer terminal knowledge and correct spelling and grammar.

4. Medical terminology

5. Strong organizational and multi-tasking skills working under pressure in a high-volume environment.

6. Must have excellent interpersonal communication and public relation skills.

7. Must have appropriate manner, conduct and grooming for a business office setting.

8. Must be capable of working under pressure with continuous telephone calls, projecting a friendly and professional image.

9. Must have the ability to hold in confidence any information regarding patients, personnel, or any other matters which are confidential in nature.

10. High level of understanding related to medical terminology and anatomy.

11. Must be able to type 40 WPM.

WORK ENVIRONMENT:

Works indoors in an air-conditioned environment.

PHYSICAL DEMANDS:

Frequent use of computer and phone, and other standard office machines. Must be able to stand, sit, stoop, twist, kneel, reach, push, pull using proper body mechanics and move/lift varying amounts of weight to a maximum of 50 lbs.

This is a Full-Time position that is eligible for benefits.