Lead Healthcare Access Specialist

Cooper University Hospital•Camden, NJ

9d•Onsite

About The Position

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.

Requirements

3-5 years of experience required.
High School Diploma or GED required.
Excellent verbal and written communications skills required.
Experienced in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration, and billing systems required.

Nice To Haves

Associate's degree preferred.
NAHAM Certified Healthcare Access Associate (CHAA) certification preferred.
HFMA Certified Revenue Cycle certifications preferred.
Exceptional customer service and interpersonal skills required.
Proficiency in working with payor on-line portals, i.e., NaviNet, Passport, Availity, and other third-party eligibility systems preferred.
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.

Responsibilities

Responsible for the duties and skills of an HCA Patient Access Specialist.
Oversee the operations of the team responsible for Admissions and Insurance Verification.
Ensure that patients receive timely and respectful service, from registration to insurance verification.
Ensure the team operates cohesively, maintaining a high standard of accuracy and confidentiality in handling patient information.
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.
Assist with problem solving and monitoring performance metrics.
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.
Secure and deliver proper correspondence needed to satisfy those requirements such as CMS IMM, CMS MOON, NJ Observation, and CMS NSA forms.
Use 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, ensure the payer receives a Notice of Admission on all admissions, scheduled and non - scheduled, within 24 - hours or the next business day.
Submit notice of admissions to all payors via electronic portal or fax transmittal as appropriate and timely.
Communicate as appropriate with the physicians, NJ Medical Examiners, the Sharing Network, and Funeral Directors to ensure timely handling of deceased patients.
Initiate electronic death record via NJ EDRS.