Patient Access Coordinator

The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we are committed to supporting and compensating our employees for the tremendous service they provide.
 

Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, the company is working to provide our differentiated, quality outcomes to as many patients that would benefit through our out-patient clinic partnerships.

The Patient Access Coordinator (PAC) remotely manages a variety of processes related to the registration, scheduling, and financial clearance of new patients receiving care in post-acute settings. Additionally, the PAC contributes to the review, problem identification and correction of both claim rejections and denials.

All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Essential Functions/Responsibilities:  

• Coordinates patient registrations with Skilled Nursing Facilities

• Receives face sheets, SNF Consultation Requests via fax or e-mail and registers patients in I-Heal

• Obtains and verifies patient insurance information, including pre-certifications and pre-authorizations for services and enters data in appropriate databases

• Uploads documents to I-Heal

• Updates schedules in i-heal and notifies providers of schedule updates

• Forward face sheets to providers once patients have been registered

• Updates patient demographics and insurance information in appropriate databases

• Fields questions from various facilities, personnel, and providers

• Work directly with outside agencies pertaining to SNF patient registrations

• Resolve discrepancies in patient accounts in Billing System.

• Monitor and verify accuracy of Self-Pay accounts for possible insurance coverage and revise errors as needed.

• Review and correct front end claim rejections timely and consistently based on current policies.

• Identify systemic rejection patterns and escalate to management were indicated for permanent solutions,

• Review and take corrective action of claim denials originating from front-end demographic or related issue.

• Identify trends and advise Registration and Reimbursement Manager of the issues related.

• Performs other duties as required

Required Education, Experience and Credentials:

• High School Diploma required; Associates Degree preferred;

• Minimum of two (2) years of Billing Office experience; or equivalent combination of education and experience from which comparable knowledge, skills and abilities are acquired

Required Knowledge, Skills and Abilities:

• Ability to read and comprehend simple instructions, write short correspondence, and memos

• Ability to effectively present information in small group situations to employees of the organization

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals, compute rate, ratio, and percent

• The ability to work independently and collaboratively on projects

• Excellent written and verbal communications skills

• Ability to create channels of communication to obtain information necessary to perform job tasks, such as payers, clinical staff, collection agencies and billing department staff.

• Ability to recognize individual and system problems and to communicate them to the Business Manager

• Proficient knowledge of MS Outlook, Excel, Word, Access software, internet and web-based database programs

This range is an estimate, based on potential employee qualifications: education, experience, geography as well as operational needs and other considerations permitted by law. 

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