Patient Access Coordinator Job at Health Care District of Palm Beach County

Health Care District of Palm Beach County West Palm Beach, FL 33401

Overview:
This position serves as a first line resource for all callers regarding program eligibility, benefit structure, and service availability for members, patients and providers. This position is responsible for accurate and timely written and/or verbal response to member, patient and provider inquiries for all health care programs administered by the Health Care District. Once an inquiry is received, the position must review and verify the current member status or provider participation. This position must research, analyze and prioritize the member and/or patient, or provider concern and determine appropriate action based on issue presented. This position is responsible for knowledge of the most current benefit structure and network availability for each program administered by the Health Care District. This position is responsible for conveying pharmacy benefit and troubleshooting skills to the membership and network participants to ensure access to needed medications through plan benefits and outside patient assistance programs not maintained by the Health Care District. This position is responsible for claims research and analysis to determine appropriate follow-up when network. This position is responsible for being the initial contact point regarding all health care plans complaint and grievance process. This position is responsible for all C.L. Brumback Primary Care Clinic and Dental Clinic and lab services patient registration, scheduling, inquiries, complaints and compliments. This position is responsible for maintaining current knowledge and adherence of the current HIPAA guidelines.


About the C. L. Brumback Primary Care Clinics

Our 10 Federally Qualified Health Centers across the county serve adults and children with or without insurance and regardless of ability to pay. We also operate three mobile clinics that provide medical services for the homeless and the underserved. In 2022, we served 39,000 unique adult and pediatric patients who received high-quality comprehensive health services including medical, dental, behavioral health, psychiatric care, women’s health, pharmacy services, outpatient substance use disorder treatment, and community resource programs.

Responsibilities:
  • Responsible for understanding the clinic’s scheduling habits and appropriately utilize the correct protocols to schedule the patient appointments.
  • Perform a pre-registration process to verify patient demographic, insurance information with referral requirement/authorization, appropriate co-payments and/or designated amount due.
  • Access appropriate system to ensure insurance eligibility has been verified.
  • Research database for patient duplication, updates records referencing duplication for claims processing.
  • Document, research and respond to callers’ inquiries, complaints, or concerns.
  • Respond to incoming calls and assists patients in a professional and friendly manner while demonstrating
    superior customer service over the phone.
  • Utilize the appropriate protocols to schedule appointments with medical and behavioral health providers.
  • Verify and update demographic and insurance data in Electronic Medical Record.
  • Gather pertinent information and transfer customer calls to appropriate staff.
  • Document, research and respond to callers’ inquiries, complaints, concerns, or grievances in a concise and professional manner.
  • Participate in Team huddles.
  • Learn and communicate up to date information regarding clinic services to callers.
  • Complete outbound call campaigns and assignments.
Qualifications:
  • High School Diploma or a GED required. Associates Degree is preferred.
  • 2-3 years demonstrated experience in Healthcare environment preferred.
  • Knowledge of various insurance types such as (Medicare, Medicaid and Managed Care Plans) preferred.
  • Experience with registration, scheduling, and communicating within an Electronic Record Keeping system.
  • Phone experience preferred.

Health Care District of Palm Beach County is proud to be an Equal Opportunity Employer and Drug Free Workplace. We embrace diversity and do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.




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