What are the responsibilities and job description for the Lead Healthcare Access Specialist position at Cooper University Hospital?
About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
The Lead HCA Patient Access Specialist will be responsible for the duties and skills of an HCA Patient Access Specialist.
The Lead HCA Patient Access Specialist plays an essential role in ensuring a smooth and efficient experience for patients navigating the healthcare system. Under supervisory direction, the Lead will help to oversee the operations of the team responsible for Admissions and Insurance Verification. This individual ensures that patients receive timely and respectful service, from registration to insurance verification. Their leadership ensures that the team operates cohesively, maintaining a high standard of accuracy and confidentiality in handling patient information. Through their guidance, the HCA Patient Access Specialist Lead supports not only the operational efficiency of healthcare facilities but also enhances patient satisfaction, making the initial steps of healthcare access as seamless as possible.
The Lead will help with the training and development of the HCA Patient Access Specialist team ensuring new and existing staff are up to date with the latest policies and procedures. They will assist with problem solving and monitoring performance metrics. The Lead will assist in completing audits and quality monitoring of completed accounts.
Knowledgeable of state and federal government funding programs such as Medicare, Medicaid, and requirements to satisfy timely notification of rights as it pertains to these programs. Additionally, securing and delivering proper correspondence needed to satisfy those requirements such as CMS IMM, CMS MOON, NJ Observation, and CMS NSA forms.
Uses all modes of electronic insurance verification, RTE, portals such as NaviNet, Availity, PEAR, Notivasphere, insurance verification websites as well as telephonic verification as needed. When appropriate, ensures the payer receives a Notice of Admission on all admissions, scheduled and non - scheduled, within 24 - hours or the next business day. Submits notice of admissions to all payors via electronic portal or fax transmittal as appropriate and timely.
The Lead HCA Patient Access Specialist communicates as appropriate with the physicians, NJ Medical Examiners, the Sharing Network, and Funeral Directors to ensure timely handling of deceased patients. Initiates electronic death record via NJ EDRS.
Experience Required
- 3-5 years of experience required:
Preferred Experience includes:
- Minimum three years of registration or billing experience working in a medical facility with special considerations.
- Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations, and referrals
- Epic experience preferred
Education Requirements
High School /GED Required; Associate degree preferred
License/Certification Requirements
- NAHAM Certified Healthcare Access Associate (CHAA) certification or
- HFMA Certified Revenue Cycle certification
Special Requirements
- Excellent verbal and written communications skills
- Experienced in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration, and billing systems.
- Exceptional customer service and interpersonal skills
- Proficiency in working with payor on-line portals, i.e., NaviNet, Passport, Availity, and other third-party eligibility systems preferred.
