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General Information


Job title: Patient Access Coordinator - Gynecologic Oncology Center
Job location: Houston, TX 77030 United States
Requisition code: 7262
Date posted: 01/18/13
Job type: Full-Time

Job Classification

Job Category:Registered Nurse

Job Description

Job description:
The Primary responsibilities of the Patient Access Coordinator is to facilitates patient medical and financial clearance using oncology nursing knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access and authorization of services.

Key Functions
Patient Access
Consistently and accurately utilizes medical acceptance criteria to screen and schedule appointments for new patients in a way to ensure optimal efficiency in clinic operations. Provides financial counseling options to patients including cost estimates, payment plans, discounts, and supplemental financial assistance; utilizing medical overrides and account reviews as appropriate.

Revenue Integrity
Collects complete and accurate financial data during intake process to ensure appropriate financial screening of new patients and verifies data during new patient registration to ensure compliance with required forms and consents. Uses technical expertise to obtain insurance information, verify benefits, and secure authorizations.

Clinical Reviews
Performs clinical review of new patient referrals to determine medical acceptance and communicates with patients, referring professionals and MDACC physicians regarding patients who failure to meet medical criteria for acceptance. Uses clinical knowledge to assist with obtaining medical overrides, developing cost estimates, gaining authorization for services, and coordinating pre-determination processes.

Oral and Written Communication
Uses excellent oral communication and listening skills to communicate with patient, referral source, MDACC physician and MDACC clinical staff regarding obstacles to access or financial clearance. Responds to voicemail and myMDAnderson messages within one business day and answers phone calls in a timely manner (within 3 rings). Completely and accurately documents communications with payors, patients, and the treatment team.

Job Description-Requirements Education
Required: Graduation from an accredited school of nursing
Preferred: Bachelor of Science in Nursing (BSN)

Required: Current State of Texas Professional Nursing License (RN)
Preferred: Case Management Certification or Certified Healthcare Access Manager

Required: Two years experience in clinical nursing.
Preferred: Two years oncology nursing experience. Two years experience in utilization review with external payors within a hospital or insurance setting.

Job Requirements

Education, training, experience:
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