Pre-Access Coordinator

JOB SUMMARY: Working on site in our CBO, scrubbing practice schedules, verifying Medicaid eligibility, updating insurance policies in our Practice Management system and ensuring TPL is updated on patient’s accounts. This position’s focus is lowering Medicaid eligibility denials by ensuring Medicaid claims are sent to the correct carrier SPECIFIC RESPONSIBILITIES:

• Daily scrubbing of patient schedules to ensure accurate Medicaid carrier
• Contacting patients to ensure up to date demographic information
• Facilitates collections of co-pay, coinsurance, deductibles, and past due balances
• May serve as a point person from within as well as outside of the department
• Advance technical skills to master and stay proficient in fast paced payor requirement

This role description is a general description of the essential job functions. It is not intended to describe all the duties the Pre-Access Coordinator may perform. KEY COMPETENCIES:

• Communication Skills

Effectively and respectably communicate with other individuals, whether it be a colleague, patient, or patient’s family member and appropriately enumerate information in a manner easily understood by all parties. We do this to foster a culture of understanding between all parties, especially in complex and difficult situations, to ultimately provide the best care possible to our patients and their families

• Decision Making

Ability to make the most appropriate decision in a given situation and then taking the next steps to ensure appropriate and timely completion. This requires conflict resolution skills, critical thinking skills, confidence in your ability to make the right decision in most situations. This also includes ability to prioritize your workday appropriately to ensure the most important tasks are completed on time

• HealthCare Knowledge

Having the drive to keep yourself abreast and up to date on the new breakthroughs in your area of expertise and communicating them to the rest of the team, as appropriate. This also includes keeping up with your licensure and yearly training requirements within your area expertise along with MAHEC’s organizational training. Finally, the ability to apply the depth of knowledge maintained and gained through this process in real life scenarios as appropriate

• Interpersonal Skills

Showing the ability to meet difficult situations with grace, professionalism, and understanding. Within your area of expertise, showing respect and showing empathy where appropriate with your colleagues, patients, and their family at all times, even when its most difficult to do so. This is done, in part, by effective listening, being your authentic self, showing responsibility and dependability, and being patient with others

• Organizational Values

Adherence to MAHEC’s founding principles and incorporating them every day. This includes, among others, having integrity and accountability, reverence for other cultures and equitable practices, ability to manage change, and displaying a clear understanding of organizational dynamics. Doing these things creates a culture where people want to do the best for each other and gives personal ownership towards the goal of helping people in their time of need

• Problem Solving

Having an analytical mind and ability to work autonomously to solve complex problems that may arise. The wherewithal to think logically through a difficult problem and come to an appropriate resolution for a given issue. This helps to drive continuous improvement by thinking through where we can improve in a novel way. Measures success by understanding where we are currently and where we want to go and then applying those new ideas to affect positive change SPECIFIED SKILLS

• COMPUTER
  • Excellent skills in Microsoft Office including Word, Excel, and database applications required.
  • Advanced skills in a Medical Office Management software program, preferably Allscripts.

• FOREIGN LANGUAGE
  • Spanish-speaking skills preferred

PHYSICAL DEMANDS

• Not Applicable.

SUPERVISORY RESPONSIBILITIES:

• Not Applicable.

EDUCATION AND EXPERIENCE

• MINIMUM QUALIFICATIONS:
  • Associate Degree in Business, Health Administration, or a related field or Two (2) years of relevant experience or a comparable combination of education and/or experience.

REQUIRED LICENSES:

• Not Applicable.

SCHEDULE: Regular attendance on-site is an essential function of this position. Typical business hours are Monday – Friday, 8:00 am to 5:00 pm (or flexed to best meet the needs of the clients and/or the Division); 40 hours per workweek; weekend, holiday, or evening coverage is occasionally required. Work hours will need to be flexible in order to respond to special work assignments, or evening activities, as requested by the team leader POSITION COMPENSATION: $20.43/hour, full time with full benefits available At MAHEC, we strive to equip all team members with Total Rewards (pay + benefits) to honor their service, support their health, manage their financial security, build their career, and thrive All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption MAHEC Talent Management is located at 121 Hendersonville Road, Asheville, NC 28803. Equal Opportunity Employer If you are interested in this role, and you have related experience and qualifications, we encourage you to apply or reach out to [email protected] for support in your job search process. You could be the talent we are seeking for this or other opportunities.