Job Information
Ascension Health Patient Access Coordinator in Pensacola, Florida
Details
Department: Renal Transplant Clinic
Schedule: Full Time Days, Monday to Friday 8 a.m. to 4:30 p.m.
Hospital: Ascension Sacred Heart Hospital Pensacola
Location: Pensacola, FL
This position will function as the clinic's Financial Coordinator
At least 1 year experience in insurance verification/processing and billing required.
Experience with Availity required.
Prior Transplant billing experience preferred.
Benefits
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
*Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics.
Responsibilities
Coordinate the daily operations of assigned area(s).
Coordinate patient access activities, such as registration, billing, and scheduling.
Assist management in establishing and implementing goals.
Serve as a liaison between clinical and administrative areas to ensure sound working relationships and cooperative arrangements.
Assist in monitoring budgets, staffing levels, quality measures, and/or regulatory compliance.
Requirements
Education:
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
Additional Preferences
Responsibilities:
Pre Transplant
Meet with the pre/annual and living donor patients for evaluation
Prepare evaluation note
Perform listing evaluations and appeal denials
Arrange for peer to peer when applicable
Apply with single case agreements with UHC for new patients and renew for annual listed patients
Process/return insurance correspondence regarding patient progress (evaluation, listing, transplant).
Review patients monthly for eligible insurance (based on current waitlist and work with front desk MA); resolve issues as they arise
Assess for, collect and monitor financial requirements. Update patient coordinator.
Attend MRB each week with summary of patients assessed for the week and any issues that arose that week
Assist with evaluation and procedure auths as needed (work with referral MA)
Assist with facility fee processing as needed (work with front desk MA)
Post Transplant
Meet with post transplant patients at intervals during first year (benefits change after transplant due to Medicare rules)
Provide assistance with billing issues, prescriptions coverage, AKF issues and loss of insurance
Email R1 registration and finance teams insurance for pending transplants
Fax insurance information to pharmacy (inpatient stay) to prepare for discharge
Provide transplant case managers with clinicals as needed
Round on inpatients as designated by protocol (CMS guidelines)
Provide copay coverage from pharmacy benefits investigation (see above)
Attend post transplant huddle each week with summary of patients assessed and any issues that arose that week
Submit post transplant acquisition fees to Powerchart
General Office
Assist with testing authorizations as needed (Front desk primary)
Charge reconciliation daily and monthly- review and correct in Powerchart/AS400 as needed for rebilling
Assist coders with transplant billing concerns/issues/provider issues
Attend ops and process huddles with the team weekly
Scan all financial documents in OTTR or EMR
Assist with assembling data for cardiology and radiology invoices for manager submission
Why Join Our Team
Ascension Sacred Heart is a leading provider of high-quality healthcare to children and adults in South Alabama and Northwest Florida communities and operates Northwest Florida's only children's hospital. Our faith-based ministry offers caregivers the opportunity to flourish personally and professionally in a variety of specialties, including cardiology, brain and spine, pediatrics, women's health, orthopedics and cancer care.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
Equal Employment Opportunity Employer
Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf) poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf)
Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
E-Verify Statement
This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
E-Verify (https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf)