Patient Access Representative II - FT - Day - Patient Access Services Pennington NJ

Benefits

Additional Information

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates. The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time). Pay Range: $18.57 - $23.23 Scheduled Weekly Hours: 40 Position Overview Registers patients accurately, efficiently, and, independently to ensure database integrity. Maintains financial integrity of all of front-end registration and insurance verification functions while upholding the utmost in customer satisfaction. Applies all financial screening guidelines and maintains up-to-date knowledge and adheres to all payors and regulatory guidelines for medical insurance claims for processing and reimbursement. Develops and maintains solid relationship with physician offices and function as a liaison between offices at Capital Health. MINIMUM REQUIREMENTS Education: High school diploma or equivalent. Experience: Six months in Patient Access Rep I role at Capital Health or one year customer service experience with medical terminology. Other Credentials: Knowledge and Skills: Excellent communication, interpersonal and organizational skills. Ability to problem solve and multitask and manage frequent interruption. Expert and current knowledge of all aspects of insurance requirements. Special Training: Proficient computer skills. Familiar with medical terminology. A quality of knowledge of insurance plans and insurance experience preferred. Mental, Behavioral and Emotional Abilities: Ability to work independently and as a team. Maintains composure in high pressure or fast-paced environment. Usual Work Day: 8 Hours Reporting Relationships Does this position formally supervise employees? No If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. ESSENTIAL FUNCTIONS Expert in identifying participating CH insurance plans and ability to identify non-participating plans. Demonstrates service excellence by professionally assisting patients and customers with the utmost respect in a friendly, caring manner. Proficient in registering patients quickly and accurately, exceeding productive levels of a Patient Access Rep I. Correctly identify a patient according to policy, complete all patient registration types by collecting and entering accurate patient demographics, physician information, insurance information, and valid registration-specific codes. Obtains all necessary signatures. Assures insurance information is verified, and authorization is obtained if not done prior to the service. Essential registration forms are scanned into EMR, and chart follow-up is performed. Performs all job duties independently with minimal supervision. Follows all payor requirements and identifies needs for referrals and precertification. Performs verification of benefits on all patient encounters. Reviews chart for accuracy. Follows computer system, internet- based insurance applications, and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, authorizations/referrals, and insurance information on each registration. Works collaboratively with other departments, physicians, and physician office staff to obtain essential registration information such as insurance authorization, referrals, diagnosis and scripts to secure financial reimbursement and customer/patient satisfaction. Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity Regulations, Collection of co-pay, Advance Beneficiary Notice, Advance Directives and Patient's Rights. Ascertains and records appropriately the difference between primary care physician, referring physician, and attending physician. Utilizes Insurance Card Database and/or Insurance Verification guidelines. Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care. Assists and supports with staff departmental training. Attends all mandatory department meetings. Supports and participates in department performance improvement initiatives. Performs other duties as