12 days old

Lead Access Coordinator - UC Medical Center - Clinical Documentation Improvement

Cincinnati, OH 45202
  • Job Code

Primary Purpose:

Acts as resource person for staff on their shift and insures smooth operation of the area.

Obtain and verify appropriate personal, demographic and financial information for the purposes of ensuring

(1) Quality patient care through proper patient identification and

(2) maximal reimbursement for all billable clinical services rendered.

Performs all Department functions as needed. Analyze patient accounts, evaluate financial data for establishment of current accounts and documents comments to reflect actions taken regarding accounts to maximize reimbursement.

Prioritize organizations participation in insurance contracts.

Maintain knowledge of current HMO/PPO/Medicaid/Medicare/commercial insurance regulations and requirements.

Requires working knowledge of Insurance Plans UC Health participates in. Determines all insurance coverage's as primary, secondary, tertiary, etc. Completes required MSP questionnaires for all appropriate patients.

Obtains and documents clinical referrals from other providers.

Coordinates Patients in need of financial assistance to pay for present and/or future services to appropriate Financial Counselor.

Collects and deposits according to specified protocols, all required and mandatory insurance co-payments.

Knowledge and Skills:

High school diploma, associate's degree preferred or equivalent combination education and experience.

Years of Experience: Must have one to three years' experience in registration, billing, customer service, or managed care organization work environment.

Required Skills and Knowledge: Analytical skills required to make decisions based on the facility and clinical situation at hand. Computer Literacy - use of multiple systems LastWord, OfficeMed, Envoy, OMNI, HDS, IDX, QUADRIS, and Florida Shared. 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. Typing (minimum of 35 words per minute). Must understand medical terminology and be able to determine bed placement based on condition, acuity levels and the contra indication of roommates/isolation needs.

Posted: 2019-11-23 Expires: 2019-12-22
Sponsored by:
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Sponsored by:
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Lead Access Coordinator - UC Medical Center - Clinical Documentation Improvement

Cincinnati, OH 45202

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