Patient Access Coordinator

Who We Are

To empower our senior participants to age at home with dignity through personalized, comprehensive care plans that deliver high-quality health and human services along with strong community support.

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid sick time
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Under the supervision of the Operations Manager, the Patient Access Coordinator is responsible for various aspects of the department including but not limited to order entry, the authorization process, scheduling, and confirmation calls. Responsibilities include collecting all necessary documentation, contacting the referring provider office for additional information and completion of the required prior authorization form in order to proceed with the request.

The Patient Access Coordinator will serve as a liaison between patients and medical staff. Must display excellent communication, organization, and follow-up skills with the ability to handle multiple assignments simultaneously. In addition, demonstrates good judgement as well as attention to detail.

• Works towards the organization’s goal of providing timely outside provider access for our participants.
• Ensure timely and effective scheduling of new patient consults and/or continuous outside care in accordance with physician and/or office guidelines.
• Obtain prior authorization information in accordance with established guidelines.
• Verify prior authorizations and/or pre-service requirements are met.
• Order Entry of Prior Authorization Requests received.
• Timely completion for all prior and retroactive authorization requests.
• Documenting authorization status and demonstrating proficiencies with Electronic Health Records systems.
• Appropriately schedule all specialty appointments
• Coordinate transportation and interpretation services for all specialty appointments as needed.
• Confirm new patients and return appointments in computer system in accordance with physician and/or office guideline.
• Make confirmation calls to both outside providers and participants per office guidelines.
• Provide outstanding customer service to participants and develop and maintain positive working relationships with internal and other external customers.
• Uses customer service principles and techniques to deal with patients, physicians and medical office staff calmly and pleasantly.
• Meet or exceed all daily, weekly and monthly production goals.
• Document all activity and correspond to inquiries in a timely manner.
• Identifies prior authorization trends and/or issues resulting in delayed processing.
• Identifies scheduling trends and/or issues resulting in delays.
• Communicates and works effectively with colleagues from other departments.
• Follows written and verbal communications.
• Follows all Innovative Integrated Health (IIH) health and safety policies and procedures.
• Follows policies and procedures to contribute to the efficiency of the department.
• Performs other administrative tasks and/or projects required to meet performance and customer services standards.
• Performs other related duties as required or assigned.

• Computer skills including typing and knowledge of applications such as Microsoft Office Suite (Outlook, Word, Excel, PowerPoint, etc.) and Windows is required.

• Ability to effectively present information and respond to questions from management, participants, auditors and coworkers.

• Track and schedule patient referrals
• Process authorizations
• Order entry for Prior Authorization requests
• Confirmation calls of appointments to both outside providers and participants
• Abilities
• Ability to read, understand and follow oral and written instructions.
• Ability to use multi-line phone system, including transferring calls.
• Ability to provide consistent follow-through to guarantee completion of all assigned duties.
• Ability to establish and maintain effective working relationships with patients, physicians, other clinical staff and the public.