Patient Access Specialist, Patient Access Services

Job Overview:

Maintains current knowledge of financial assistance guidelines. Attends state meeting related to the uninsured, track changes to existing state and federal medical assistance programs and consistently look for opportunities to reduce bad debt write-offs.

Qualifications:

Required:

• 2-3 years experience in a hospital patient registration setting
• 2-3 years experience in a doctor's office, handling patients scheduling, obtaining pre-certifications, authorizations and referrals
• 2-3 years in a patient services environment (billing/collections-must have a working knowledge of more than one provider such as Medicare, Medicaid, HMO's and others
• 2-3 years experience in completing medical assistance application (family care, PE's, PAIC's or charity care)
• Well developed interpersonal skills with the ability to understand and communicate with persons of varying acuities
• Must be able to work with the public and maintain poise under difficult situations; Knowledge of medical technology preferred
• Good typing and computer skills required
• High School Diploma or equivalent
• Ability to organize and manage time effectively to optimize productivity

Preferred:

• Bilingual a plus

Scheduling Requirements:

• Shift- 7:00am-3:00pm or 8:00am-4:00pm
• Monday-Friday including every other weekends/Holidays
• Full Time/ Day

Essential Functions:

• Provides and promotes professional, efficient and congenial customer service thru all communication and interaction with patients, clients, guests and co-workers
• Receives a copy of face sheet, patient I.D., insurance cards, copies of electronic and address responses to audit the registrations of the uninsured patients and reviews eligibility for financial assistance. Refers those eligible for Medicaid as appropriate
• Verifies benefits, obtains pre-certification / pre-authorization or referrals as needed
• Notifies patients of any pre-requisites such as notification to insurance provider required by their insurance
• Notifies patients of any pre-requisites such as notification to insurance provider required by their insurance plan
• Estimates an approximate balance of services explains rates, charges, services, discounts contracts and hospital policy regarding payment of bills to patients/ families
• Ensures we obtain signatures including presumptive eligibility forms
• Checks the ADT system for previous accounts informing patients of account balances
• Collects patient payments to include deposits, co pays or deductibles. Follows cashiers guidelines for receipts, lock box and reconciliation of monies received

• Enters notes in the patient record recording pertinent information for those who will follow up on accounts. Notes to include dates and times of interviews, amount requested and patient comments

• Assists the supervisor/manager in the quality monitoring process examining whether the registration data fields are accurate and complete and if not complete, whether the reason is stated in the notes section
• Interviews/registers patients and/or customers assuring accuracy of information and verifying any previous encounters in the system.
• Registers the patients into the computer to create and encounter with a patient account number and enter information onto a daily admission sheet for daily and monthly statistics
• Makes copies of all insurance cards (front and back) upon registration and distributes them to assigned department
• Inputs/update all Advance Directive information that all fields are answered and Advance Directive is channeled through all the proper areas
• Puts together patients charts and account folders for all scheduled procedures and admissions
• Follows downtime procedures when the computer system is down or on standby and notifies the Systems Coordinator
• Answers the telephone within three (3) rings and responds to requests in a timely manner; identifies self and the location the caller has reached always remembering to ask "How may I help you?"

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.

Equal Opportunity Employer