Patient Access Coordinator

The Patient Access Coordinator manages the insurance verification and authorization process for clients beginning services at Washburn Center for Children. This position enters and maintains accurate insurance and financial information in the electronic health record (EHR) system, and serves as a point of contact for families with questions about their insurance benefits, account balances or eligibility for the sliding fee program. The Patient Access Coordinator works closely with clinicians and the Finance and Billing team to help clients access services without unnecessary delays.

What you’ll do

Insurance Verification (70%)
The Patient Access Coordinator manages the insurance verification process for clients in assigned programs, including:

Process

• Obtain insurance information for clients as part of the intake process
• Verify client insurance coverage and benefits
• Secure authorization for services as needed
• Process insurance changes in client charts as needed, in coordination with the Patient Access Lead
• Process sliding fee applications

Data entry

• Enter financial review information, third-party coverage and insurance authorizations into the EHR system
• Enter and update information in the EHR according to the uninsured client workflow
• Complete data integrity projects as needed

Communication

• Communicate results of sliding fee applications and the uninsured client workflow
• Compile and forward insurance paperwork to the appropriate clinician
• Communicate with staff and guardians to obtain and clarify insurance information

Client Accounts (20%)
The Patient Access Coordinator assists the Reimbursement Specialist with managing client accounts, including:

• Respond to client phone calls and written requests
• Set up client payment arrangements
• Obtain payer authorizations

Additional Duties (10%)
The Patient Access Coordinator supports the Billing team as needed, including:

• Serve as backup for the Patient Access Lead:
  • Understand the Lead’s job duties and fill in when they are unavailable
  • Understand specialty service benefits and promptly inform staff about coverage when the Lead is unavailable
• Participate in Billing team meetings and other agency meetings as needed
• Complete other duties and projects as assigned by the Billing Supervisor

• High school diploma or equivalent
• 1 year of experience working with an electronic health record (EHR) system or in a health care setting
• Intermediate experience with Microsoft Excel

Strongly preferred experience

• Associate or bachelor’s degree in a related field
• Experience using Microsoft Access