Health Access Rep - Lead

Capital Health•Hopewell, NJ

1d•$20 - $29

About The Position

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 five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 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: $19.71 - $28.63 Scheduled Weekly Hours: 40 Position Overview Assists in training, problem solving, and quality review with subordinate health access representatives. Assigns duties to registrars as directed by Supervisor or Manager. Follows compliance with computer system procedures, department procedures, and training guidelines to accurately complete each registration. Serves as a resource for company protocols. Audits charts for accurate demographics, Medicare compliance, authorizations and referrals, necessary signatures, and completion of forms and charts. Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, Patients Rights, and the Interpreter flag as measured by quality assurance and observation. Follows and monitors staff compliance with following payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to Insurance Card Database, and Insurance Verification guidelines. Audits charts for final billing. Ensures accurate demographics, authorizations or referrals, necessary signatures, and completion of forms and charts. Follows Self Pay procedure regarding No Surprise Billing Act and referrals to Medicaid and charity. Assists with training and education of patient access staff. Communicates effectively with Health Access team members and is open to feedback and suggestions in order to identify opportunities for improvement. Identifies and seeks out members of the registration department as a resource to increase knowledge and seek validation of department guidelines and procedures. Reports to Management Team regarding department deficiencies to include faulty equipment, supplies and concerns. Identifies unit and department goals and supports the culture of organization. Supports department performance improvement initiatives. Initiates ideas to meet department goals. Attends all mandatory department meetings. Follows patient identification policy. Serves as a resource for Health Access department. Leads department through daily workload and divides work as needed. Provides coverage in working areas as required when on-call duties apply. Acts as a liaison for physician office and ancillary departments as needed.

Responsibilities

Assists in training, problem solving, and quality review with subordinate health access representatives.
Assigns duties to registrars as directed by Supervisor or Manager.
Follows compliance with computer system procedures, department procedures, and training guidelines to accurately complete each registration.
Serves as a resource for company protocols.
Audits charts for accurate demographics, Medicare compliance, authorizations and referrals, necessary signatures, and completion of forms and charts.
Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, Patients Rights, and the Interpreter flag as measured by quality assurance and observation.
Follows and monitors staff compliance with following payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to Insurance Card Database, and Insurance Verification guidelines.
Audits charts for final billing.
Ensures accurate demographics, authorizations or referrals, necessary signatures, and completion of forms and charts.
Follows Self Pay procedure regarding No Surprise Billing Act and referrals to Medicaid and charity.
Assists with training and education of patient access staff.
Communicates effectively with Health Access team members and is open to feedback and suggestions in order to identify opportunities for improvement.
Identifies and seeks out members of the registration department as a resource to increase knowledge and seek validation of department guidelines and procedures.
Reports to Management Team regarding department deficiencies to include faulty equipment, supplies and concerns.
Identifies unit and department goals and supports the culture of organization.
Supports department performance improvement initiatives.
Initiates ideas to meet department goals.
Attends all mandatory department meetings.
Follows patient identification policy.
Serves as a resource for Health Access department.
Leads department through daily workload and divides work as needed.
Provides coverage in working areas as required when on-call duties apply.
Acts as a liaison for physician office and ancillary departments as needed.

Benefits

Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA
Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child
Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program