Health Access Rep

Capital Health•Hopewell, NJ

5d•$18 - $26

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. Pay Range: $18.21 - $26.46 Scheduled Weekly Hours: 40 Position Overview Follows computer system and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, and insurance information on each registration. Registers established goal of minimum required patients per employee shift as measured by productivity reports. Presents forms and obtains signatures using approved scripts. Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms. Follows payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to department procedures and the Insurance Card Database and Insurance Verification guidelines. Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care. Supports department performance improvement initiatives. Assists with accurate data collection in support of quality performance improvement initiatives. Attend all mandatory department meetings. Follows patient identification policy. Acts as a resource for Patient Access department. Acts as a liaison for physician office and ancillary departments.

Requirements

High school diploma or equivalency.
One year experience in a healthcare setting or one year customer service experience.
Strong customer service skills.
Excellent verbal and written Communication skills.
Strong interpersonal skills.
Basic computer skills.
Ability to work independently and as a team.

Nice To Haves

Medical terminology and medical insurance knowledge preferred.

Responsibilities

Follows computer system and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, and insurance information on each registration.
Registers established goal of minimum required patients per employee shift as measured by productivity reports.
Presents forms and obtains signatures using approved scripts.
Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms.
Follows payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to department procedures and the Insurance Card Database and Insurance Verification guidelines.
Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
Supports department performance improvement initiatives.
Assists with accurate data collection in support of quality performance improvement initiatives.
Attend all mandatory department meetings.
Follows patient identification policy.
Acts as a resource for Patient Access department.
Acts as a liaison for physician office and ancillary departments.

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