The Christ Hospital Health Network Access Coordinator - Redbank Imaging Center - The Christ Hospital in CINCINNATI, Ohio

There are many ways to define excellence. For us at The Christ Hospital, it’s all about our patients...And making healthcare what they want it to be. Accessible. Personal. Affordable.

Our commitment to exceptional outcomes, affordable care and the finest patient experiences is recognized yearly with numerous awards from leading healthcare organizations and publications. At the top of our list of honors are the 17 consecutive years that we’ve been named to U.S. News & World Report’s list of Best Hospitals and being named the Most Preferred Hospital by the Greater Cincinnati community for 21 consecutive years (National Research Corporation).

What does this mean for you?

GROWTH- opportunities to learn, develop, and impact.

VALUE- a robust employee package that provides you the ability to maintain a healthy work-life balance, competitive compensation, flexible and meaningful benefits, development opportunities so you can be your best self, and a culture of compassion.

PRIDE- from all that we have accomplished in our past, and all that we’re positioned for in the future.

CHALLENGE- we are in one of the most competitive markets in the nation, yet continue to rise to the top through our incredible employees and transformational results. We seek individuals motivated by what it takes to be a part of a winning team.

Named #24 on Forbes 500 America’s Best Employers for 2017, we are transforming care…inspired by you.

Title: Access Coordinator - Imaging Center

Shift: Part Time, Evenings

This position will be scheduled 20 hours per week in the Redbank Imaging Center located at 4440 Red Bank Road, Suite 100, Cincinnati, Ohio 45227.

Job Overview: The Access Coordinator is responsible for obtaining and verifying appropriate personal, demographic and financial information for the purposes of ensuring quality patient care through proper patient identification, and maximal reimbursement for all billable clinical services rendered. Obtain authorization for all applicable accounts as well as communicate with QMS to assure maximum reimbursement.

The Access Coordinator may perform the following duties:

  • Analyze patient accounts, evaluate financial data for establishment of current accounts and documents comments to reflect actions taken regarding accounts to maximize reimbursement.

  • Maintain knowledge of current HMO/PPO/Medicaid/Medicare/commercial insurance regulations and requirements. Requires working knowledge of Insurance Plans the Christ Hospital participates in.

  • Determine all insurance coverage’s as primary, secondary, tertiary, etc.

  • Complete required MSP questionnaires for all appropriate patients.

  • Obtain and document clinical referrals from other providers.

  • Coordinate patients in need of financial assistance to pay for present and/or future services to appropriate Financial Counselor.

  • Collect and deposit according to specified protocols, all required and mandatory insurance co-payments.

  • Initiate on-line verification and authorization of third party Insurance Carriers and Plan Administrators to assure payment.

  • Evaluate and prepare chart documentation to establish that Medical Necessity guidelines have been met.

  • Prepare and complete documentation that establishes Medicare Compliance such as Medicare Secondary Payor Questionnaire and Advance Beneficiary Notice.

  • Document appropriate data in account doc and guarantor notes. Determine cause of denial and process to over turn.

  • Interview patients and obtains, verifies and enters into database complete and accurate demographic and financial information. Assesses and updates information as it relates to each encounter. Determines financial plan and coverage priority. (Data collected directly impacts financial and clinical systems,)

  • Must maintain facility established productivity standards and Patient Accounts Quality Guidelines (i.e. 100% accuracy of 95% of all registrations).

  • Schedule maintenance functions, meets with other departments to determine scheduling needs.

  • Builds and maintains appropriate Epic schedule templates.

Education: High School Diploma, Associates Degree preferred or equivalent combination education and experience.

Experience: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. Must have/gain knowledge of the Hospital Medical Staff rules and infection control policies to be effective in this position.

Other Skills: Analytical skills required to make decisions based on the facility and clinical situation at hand. Computer Literacy – use of multiple systems Epic, Passport, IDX, Microsoft Office products and Vision Shared, Midas. Ability to use Internet Access and utilize third party payor systems for eligibility and verification. Knowledge of health insurance coverage, requirements. Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial. Ability to be flexible, organized and function well in stressful situations. Ability to interact independently to resolve Customer Service issues.Must understand medical terminology.

Typing (minimum of 35 words per minute or equivalent key strokes).

Weekend/Holiday: Every other weekend & holidays