Pre-Access Coordinator

Under general direction from the Executive Director, the Pre-Access Coordinator streamlines the patient experience by handling registration, insurance verification, scheduling, and financial counseling. Their clear communication, compliance with regulations, and collaboration with healthcare teams ensure a seamless start to each patient's care journey.

Essential Duties And Responsibilities

• Check In Patients for Regional Surgicenter.
• Review patient information to confirm accurate demographic and insurance information is on file.
• Maintain accurate check-in times in the practice management system.
• Patient Funds Collection: Collect patient copayment as indicated and communicate with the Pre-Access Supervisor for problem resolution in the event the copayment is uncollectable. Process patient payments on accounts accurately in A/R management system and the credit card equipment.
• Patient Registration: Scan accurate insurance information into the practice management system. Proof data to confirm transfer is accurate. Review patient demographic forms to ensure data is accurate and complete in the practice management system.
• Patient Chart Preparation: Follow protocol in assembling new patient charts and updating existing patient charts.
• Insurance Verification Analysis: Use available tools to verify insurance, which includes the verification of active coverage, covered benefits, patient liability and needed pre-service administrative tasks that must be completed. Demonstrate knowledge of provider credentialing to ensure patients are scheduled with a provider in their specific insurance network.
• Knowledge and adherence to Pre-Access Policies and Procedures: The Pre-Access Coordinator demonstrates a high level of knowledge of the Pre-Access Policies and Procedures, including but not limited to, Verification and Funds Collection, Self-Pay and other policies.
• Knowledge and demonstrated effective use of Pre-Access Documents: The Pre-Access Coordinator shall demonstrate expert knowledge and usage of pre-access documents, including but not limited to, Patient Information/Patient Financial Agreement, Notice of Privacy Practices and any existing or to-be-developed patient documents.
• Check Out Patients for Regional Surgicenter and Heartland Clinic: Make follow up appointments for patients as indicated by the provider. Maintain accurate check out times in the practice management system.
• Verification of Coverage: Proper analysis of insurance coverage for upcoming services includes, but may not be limited to, active coverage, covered services, patient/primary guarantor liability, and pre-authorization or pre-notification. Maintain records verification completed.
• Scheduling Patients: Follow protocol for patients who did not keep appointments. Contact patients from referring providers.
• Opening and Closing Duties: Demonstrates knowledge of policies and procedures regarding opening and closing of the office. Can work independently and accurately at carrying out these duties.
• Phone Room: Answer inbound calls and route accurately. Work with referring providers to schedule appointments. Follow protocol of preparing charts for upcoming appointments. Follow protocol to maintain the referral appointments.
• Referral Management: Receive incoming referrals from referring providers. Register patient and schedule patient for office visit or send to the appropriate scheduling staff.
• Pre-Access Continual Process Improvements: Sustain open communication with all departments impacted. Responsible for communicating Revenue Cycle issues to appropriate personnel with the goal of minimizing waste and inefficiency and maximizing efficiency and patient care.
• The Pre-Access Coordinator may perform other duties as developed internally or reasonably assigned by the Pre-Access Supervisor.
• Understands and abides by all HIPAA policies and procedures.
• Maintains inventory of office supplies.
• Performs other duties as requested or assigned.

What We Offer

As a valued member of USPI, your health and well‑being are important to us. We are proud to provide you and your dependents with valuable and significant benefits. USPI knows the value of well-rounded, balanced employees, which is why we offer a variety of additional benefits to help manage life’s daily stresses.

• Competitive wages 
• Opportunities to better yourself professionally 
• Health, Dental & Vision Coverage 
• 401(k) retirement plan 
• Paid Time Off (PTO) 
• Company Paid Holidays 
• Employee Assistance Programs 
• Health Savings Account/ Flexible Spending Account 
• Education Assistance 
• Short Term Disability and Long Term Disability Insurance 
• Free parking

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and health care systems to provide first class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

• Knowledge of healthcare revenue cycle management: Understanding the processes involved in managing the financial aspects of healthcare services.
• Knowledge of patient registration: Familiarity with the procedures and systems for registering patients.
• Knowledge of insurance verification: Ability to verify patient insurance coverage and eligibility.
• Experience using third-party payer systems: Proficiency in working with systems used by insurance companies or other third-party payers.

• High School Diploma or equivalent: The basic educational requirement for the position.
• Past experience in healthcare billing and/or pre-access: Previous work in healthcare billing or pre-access is an added advantage.