Precertification Coordinator Jobs in Decatur, GA

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•  Comprehensive health benefits that start day 1  

• Student Loan Repayment Assistance & Reimbursement Programs  

• Family-focused benefits  

• Wellness incentives 

• Ongoing mentorship, development, leadership programs 

• And more 

JOB DESCRIPTION:

• The function of the Coordinator, Patient Access Services is responsible for the coordination, communication, and training of the patient access teams for Emory Hospitals in conjunction with the training team.
• Assists (Supervisor/Manager) to define duties and responsibilities of staff; assigns work, monitors progress of work, and ensures timely completion of assigned tasks. The Coordinator, Patient Access Services provides continuity during the initial and ongoing training of employees throughout the patient access teams for Emory Hospitals.
• Provides ongoing performance feedback, addresses problems to new and existing employees. Assists with departmental workflow as needed, ensures timely registrations by staff, and cross-trains in other Access Departments and Facilities. Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up. Monitors daily/monthly collections, patient flow and wait times.
• Identifies, handles, and notifies leadership of issues and initiates appropriate action for resolution. Serves as point person for employee questions. Coordinates and/or leads team huddles, meetings and coordinates workflow. Reviews and monitors reports and identifies trends.
• Obtains demographic and insurance information for preregistration/registration on all patients.
• Communicates hospital's financial policies to all patients. Identifies patients who require early financial counseling intervention. Collects on self-pay accounts, co-pay and deductibles. Documents financial arrangements. Schedules procedures/follow up appointments.
• Ensures and reviews all demographic data for hospital visits. Cross-trains in other Access Departments and Facilities. Schedules procedures/follow up appointments in General Patient Registration Millennium Scheduling. Provides patients with exam information.
• Familiar with Advance Beneficiary Notice, precertification, ICD-10 coding, Medical Terminology. Communicates with Physician Offices, Staff, and other departments. Position requires self-motivated individual who can handle high patient volumes and fast pace.
• Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up. Maintains knowledge of departmental applications and other systems utilized by Patient Access.
• Works cooperatively with the Patient Access Leadership, other patient access representatives and leadership from other departments.
• In addition, the Coordinator, Patient Access Services is responsible for knowing/doing all aspects of the Patient Access Representative job duties. Performs other duties as required.

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent.
• Three years healthcare, customer services or related job experience preferred. Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred.
• The following certifications are preferred: CHAA (Certified Healthcare Access Associate), CFC (Certified Financial Counselor) and CPAR (Certified Patient Account Representative). Associate or bachelor degree may be accepted in lieu of certification requirements. Typing skills with a minimum of 35 wpm, have working knowledge of Medical terminology, ICD-9/10 and CPT-4 basics, Detailed-oriented, effective communication skills, leadership, problem solving, interpersonal and customer service skills. PHYSICAL REQUIREMENTS: (Light); 11-20 lbs ,0-33% of the workday (occasionally); 01-10 lbs 34-66% of the workday (frequently) Negligible 67-100% of the workday (constantly), Lifting 20 lbs max, Carrying of objects up to 10 lbs, Occasional to frequent standing & walking; Occasional to frequent sitting; close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.