With energy and purpose, Cooley Dickinson Health Care, a member of the Mass General Brigham system, is advancing health care in western Massachusetts, and has been since 1886. Our network employs more than 2,000 medical professionals and support staff, at our main Hospital campus in Northampton and additional locations in twelve towns throughout the Pioneer Valley.
MAIN FUNCTION:
The Patient Access Services Coordinator is responsible for performing various duties involved in admitting in-patients, out-patients, emergency patients, and clinic patients. This includes cashiering and pre-certification verification, acting as a custodian of patient valuables and safekeeping, maintaining petty cash fund, assisting in the resolution of admission, billing, or other problems related to the collection of an account balance, as well as maintaining Patient Access Services Department records and statistics.
ESSENTIAL JOB FUNCTIONS:
Interview incoming patients, or their representative, to obtain all pertinent and financial information required for the proper preparation of all forms and records. Obtain required signatures on the financial agreements form.
Perform admitting duties and register patients via hospital computer system. Enter daily orders/charges via the Order Entry System on each outpatient and inpatient as required. Receive orders from patient care units and respond accordingly.
Assign patients to a room based on diagnosis, precautions, and type of accommodations available or requested. Escort or arrange to have patient transported to appropriate room. Transfer and discharge patients as requested by Nursing Service.
Perform scheduling duties. Receive referral information from patients, physicians, and therapists. Schedule patients according to current systems and keep all systems and involved parties up-to-date throughout each day. Track cancellations and no-shows.
Interact effectively with medical and nursing staff in the Emergency Department in order to gather correct, complete data necessary to ensure that clinical and fiscal responsibilities are facilitated for both the patient and the Hospital. Follow manual procedures when computer system is not functioning properly.
Accept pre-admission orders from physicians either in writing or orally. Schedule pre-admission testing in accordance with Hospital regulations and guidelines.
Schedule all elective admissions. Notify physician's office that an admission type may be inappropriate according to insurance guidelines. Alert the physician's office when prior approval is needed for a patient. Schedule necessary pre-admission appointments and patient assessments.
Call patients at home to verify information prior to admission and call physician's office if a patient has not arrived for his/her pre-admission visit. Visit patient(s) or family on Hospital unit if necessary to complete data.
Stay current with new admission regulations of the many public and private insurance companies which patients carry such as Medicare pre-admission approval guidelines, Master Health Plus prior approval, and others.
Recognize and take action when a patient is scheduled inappropriately or does not follow necessary procedures so as not to leave the Hospital at a financial risk. Contact an insurance plan for authorization, if necessary, prior to admission. Determine which insurance plan is to be billed as primary or secondary.
Explain over the phone and in person, hospital and insurance regulations relating to surgery, visiting hours, charges, pre-admission testing requirements, clinic appointment verification, and other related issues to patients as necessary. Listen to complaints and concerns of patients and the public, assisting to solve problems if possible and escalating to a supervisor when necessary.
Transmit required information to appropriate departments. Use phone system to page physicians and technologists and park calls as needed. Utilize keyfile system for faxing reports to physician's offices online. Utilize optical imaging system to retrieve radiology reports.
Provide patient information in accordance with regulations governing divulgence of information, such as providing ambulance personnel with necessary information.
Distribute federal and state-mandated information to patients.
Verify benefits on all designated patient types. When necessary, assist with pre-certifications with insurance carriers. Notify patients and/or appropriate medical personnel of outcome.
Notify insurance carriers of admissions, observations, or other patient visits as required.
Receive payments from patients or their representative. Assist patients with short form Free Care applications.
Post and total all Hospital receipts in standard Cash Receipt Journals. Balance cash against receipts. Prepare bank deposits. Maintain petty cash. Act as a custodian of patients' valuables for safekeeping.
Maintain confidentiality of all patients' records and data. Interface with medical records department as required based on department, hospital, and patient care needs.
Maintain census statistics and index of assigned and vacant beds.
Requisition office supplies and forms when necessary.
When triage nurse is not on duty, prioritize the admitting needs of patients. Alert medical personnel of patients needing immediate attention.
Provide coverage for extra shifts in the case of an unexpected absence of a staff member or for vacation coverage to provide coverage for patient care needs. Work a flexible schedule as needed and be able to work in other satellite facilities such as Amherst. Regular and reliable job attendance is an essential job function.
Maintain established hospital and departmental policies and procedures, objectives, confidentiality, quality improvement program, safety, compliance and environmental standards.
Meet annual competency and retraining requirements.
Attend meetings as required.
Perform other functions/duties as requested.
Qualifications
MINIMUM REQUIREMENTS:
High school diploma or equivalent required
One (1) to three (3) years administrative and in-person customer service experience required, preferably in a health care setting; patient access services experience preferred.
Familiarity with and understanding of hospital admissions, patient account systems, and major health insurers and general coverage issues preferred
Previous cashiering experience preferred
Demonstrated typing proficiency, personal computer, and CRT experience required; Enterprise Scheduling System experience preferred
Demonstrated interpersonal, oral and written communication skills required
EEO Statement
It is the policy of Cooley Dickinson Health Care to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Cooley Dickinson Health Care will provide reasonable accommodations for qualified individuals with disabilities.
Cooley Dickinson Health Care embraces diverse skills, perspectives and ideas, and encourages people of color, veterans, people with disabilities, LGBTQ candidates, and people from other underrepresented groups to apply.
