About The Position

Capital Health is seeking a Patient Access Rep I for a full-time, day shift position within Patient Access Services in Trenton, NJ. This role involves following computer system and department operational procedures to gather accurate demographic, diagnosis, and insurance information for patient registrations. The representative is expected to meet minimum patient registration goals per shift, present and obtain signatures on necessary forms, and comply with regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patient Rights. Responsibilities also include following payer requirements for authorizations, pre-authorizations, referrals, coordination of benefits, and in-network verification, as well as adhering to financial screening and self-pay procedures for Medicaid and Charity Care. The position supports department performance improvement initiatives through accurate data collection and attends all mandatory department meetings. The role also involves following patient identification policies, acting as a resource for the Patient Access department, and serving as a liaison for physician offices and ancillary departments.

Requirements

  • High school diploma or equivalency.
  • One year experience in a healthcare setting or one year customer service experience.
  • Basic computer skills.

Nice To Haves

  • Medical terminology and medical insurance knowledge preferred.
  • Strong customer service skills.
  • Excellent verbal and written Communication skills.
  • Strong interpersonal skills.

Responsibilities

  • Follow computer system and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, and insurance information on each registration.
  • Register established goal of minimum required patients per employee shift as measured by productivity reports.
  • Present forms and obtain signatures using approved scripts.
  • Comply with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms.
  • Follow 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.
  • Follow Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
  • Support department performance improvement initiatives.
  • Assist with accurate data collection in support of quality performance improvement initiatives.
  • Attend all mandatory department meetings.
  • Follow patient identification policy.
  • Act as a resource for Patient Access department.
  • Act 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
  • 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
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