Health Access Rep Lead - FT - Night - Patient Access Services Pennington NJ

Capital Health (US)•Hopewell, NJ

8d•$20 - $26•Onsite

About The Position

Functions as subject matter expert to ensure department compliance with system and operational changes and assists in training to support ongoing staff education and development. Able to perform all registration functions independently. Registers patients accurately, efficiently, and professionally to ensure database integrity and facilitate claims processing. Applies financial screening guidelines to ensure collectable accounts. Utilizes standards, guidelines, and written procedures for performing registration functions. Communicates effectively and works cooperatively with others. Utilizes standards, guidelines, and written procedures for performing registration functions.

Requirements

High school diploma or equivalency.
Two-year patient access experience.
Knowledge of all Capital Health departments required.
Excellent verbal and written skills.
Strong customer service and problem-solving skills.
Proficient computer skills.
Advanced health insurance and prior authorizations knowledge.
Possesses ability to work independently and as a team member.

Responsibilities

Assists in training, problem solving, and chart review with subordinate patient access representatives.
Assigns duties to registrars as directed by Supervisor or Manager.
Demonstrates ability to independently manage all assigned responsibilities.
Able to troubleshoot any department issues.
Expert in all Patient Access department needs.
Provides coverage in working areas as required when on-call duties apply.
Advanced in registering patients quickly and accurately, exceeding productive levels of a Patient Access Rep III.
Acts as a liaison for physician offices and ancillary departments as needed.
Serves as a resource for Patient Access department.
Leads department through daily workload and divides work as needed.
Follows compliance with computer system procedures, department procedures, and training guidelines to accurately complete each registration.
Reviews charts for accurate demographics, Medicare compliance, proper CPT codes, authorizations and referrals, necessary signatures, and completion of all forms.
Performs follow up with physician office, central scheduling and insurance companies to obtain any required authorization, referrals or to obtain update physician orders
Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity, Advance Beneficiary Notice, Advance Directives, Patients’ Rights, and the Interpreter flag as measured by review and observation.
Follows and monitors staff compliance with following payer requirements for authorization, pre-authorization, referrals, coordination of benefits, and in-network verification according to Insurance Database, and Insurance Verification guidelines.
Follows Self Pay procedure regarding No Surprise Billing Act and referrals to Medicaid and charity.
Assists with departmental training and education of patient access staff.
Communicates effectively with Patient 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.
Supports department performance improvement initiatives.
Communicates ideas to meet department goals.
Attends all mandatory department meetings.
Follows patient identification policy.
Performs other duties 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