Health Access Specialist - FT - Day - Patient Access Services Hamilton NJ

Capital Health (US)•Hamilton, OH

19h•$19 - $23•Onsite

About The Position

Registers patients accurately, efficiently, and, independently to ensure database integrity. Maintains financial integrity of all of front-end registration and insurance verification functions while upholding the utmost in customer satisfaction. Applies all financial screening guidelines and maintains up-to-date knowledge and adheres to all payors and regulatory guidelines for medical insurance claims for processing and reimbursement. Develops and maintains solid relationship with physician offices and function as a liaison between offices at Capital Health.

Requirements

Education: High school diploma or equivalent.
Experience: Six months in Patient Access Rep I role at Capital Health or one year customer service experience with medical terminology.
Other Credentials: Knowledge and Skills: Excellent communication, interpersonal and organizational skills. Ability to problem solve and multitask and manage frequent interruption. Expert and current knowledge of all aspects of insurance requirements.
Special Training: Proficient computer skills. Familiar with medical terminology.
Mental, Behavioral and Emotional Abilities: Ability to work independently and as a team. Maintains composure in high pressure or fast-paced environment.

Nice To Haves

A quality of knowledge of insurance plans and insurance experience preferred.

Responsibilities

Expert in identifying participating CH insurance plans and ability to identify non-participating plans.
Demonstrates service excellence by professionally assisting patients and customers with the utmost respect in a friendly, caring manner.
Proficient in registering patients quickly and accurately, exceeding productive levels of a Patient Access Rep I.
Correctly identify a patient according to policy, complete all patient registration types by collecting and entering accurate patient demographics, physician information, insurance information, and valid registration-specific codes.
Obtains all necessary signatures.
Assures insurance information is verified, and authorization is obtained if not done prior to the service.
Essential registration forms are scanned into EMR, and chart follow-up is performed.
Performs all job duties independently with minimal supervision.
Follows all payor requirements and identifies needs for referrals and precertification.
Performs verification of benefits on all patient encounters.
Reviews chart for accuracy.
Follows computer system, internet- based insurance applications, and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, authorizations/referrals, and insurance information on each registration.
Works collaboratively with other departments, physicians, and physician office staff to obtain essential registration information such as insurance authorization, referrals, diagnosis and scripts to secure financial reimbursement and customer/patient satisfaction.
Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity Regulations, Collection of co-pay, Advance Beneficiary Notice, Advance Directives and Patient's Rights.
Ascertains and records appropriately the difference between primary care physician, referring physician, and attending physician.
Utilizes Insurance Card Database and/or Insurance Verification guidelines.
Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
Assists and supports with staff departmental training.
Attends all mandatory department meetings.
Supports and participates in department performance improvement initiatives.
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