Patient Access Coordinator III - 8A -4:30P
: Job Details :

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. SOVAH Health - Danville is a 250 bed hospital with the region's only designated Chest Pain Center & Certified Advanced Primary Stroke Center. We are an academic teaching site for residents, medical students, nurses, nurse practitioners, pharmacists, and physician assistants.

Where We Are:

From our beautiful rolling countryside to our thriving downtown, Danville offers big city amenities with quaint, small town charm. We are home to a thriving arts and entertainment scene, numerous local restaurants and shops, diverse educational institutions, and vast recreational opportunities.

Why Choose Us:

· Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

· Competitive Paid Time Off / Extended Illness Bank package for full-time employees

· Employee Assistance Program – mental, physical, and financial wellness assistance

· Tuition Reimbursement/Assistance for qualified applicants

· Professional development, Growth opportunities, and Mentor-based training

· And much more…

Position Summary:

Sovah Health is looking for the ideal candidate who will perform receptionist, registration, and clerical duties associated with direct and scheduled patient admissions. Greets patients, obtains demographic and financial information, obtains necessary signatures and collects payment from patient. Assists in all phases of the scheduling, pre-registration and registration processes.

· Ensures that all necessary demographic, billing and clinical information is obtained and entered into the registration system with timeliness and accuracy.

· Distribute forms, documents, and educational handouts to patients and/or family members.

· Meets with patients and or caregivers to exchange necessary information and documentation. Provides explanation of process and address concerns and questions.

· Communicates with admitting physician's office, nursing unit staff and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.

· Schedules appointments and communicates scheduling changes with appropriate departments and co-workers.

· Verifies insurance benefits and validates authorizations/pre-certifications.

· Review's physician's orders for completeness and compliance requirements, i.e. covered tests, prior authorizations, and ensures forms and record completeness.

· Completes estimations, reviews upfront collections process, processes payments, establish payment arrangements, and reviews patient's propensity to pay and escalates accordingly.

Minimum Qualifications:

Minimum Education

High school diploma or equivalent Required.

Required Skills

Must have a basic knowledge of CPT & ICD10 codes. Knowledge of Medicare, Medicaid and Managed Care Payers, as well as Medical Terminology.

Must be able to type 30 WPM; with high degree of accuracy.

Decisive judgement and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Medium Critical Thinking Skills

Cross-trained in 2 or more areas of Patient Access and willing to be re-assigned to fit the needs of the department. Must be cross trained and willing to work in the Emergency Department.

Must be able to assess applicable CPT & HCPCS codes and obtain appropriate authorizations when applicable. An active member of the team to reduce Denials through scheduling and authorization processes. Continuously submits process ideas to reduce denials. Serves as a hospital liaison to external physician practices.

Requires flexibility in scheduling and ability to work all shift patterns including week-ends and holidays to ensure appropriateness and continuity of care for the patients of Sovah Health on all units.

Minimum Work Experience

Three plus years customer service and/or health care experience

EEOC Statement:

SOVAH Health - Martinsville is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.