Patient Access Rep II - FT - Day - Patient Access Services Browns Mills NJ
About The Position
Registers patients accurately, efficiently, and independently to maintain database and financial integrity across front-end registration and insurance verification. Applies financial screening guidelines and stays current with payer and regulatory requirements for medical insurance claims processing and reimbursement. Develops relationships with physician offices and serves as a liaison between those offices and Capital Health. The role requires expert knowledge of participating and non-participating Capital Health insurance plans, insurance requirements, and registration procedures. The representative provides respectful, customer-focused assistance; completes patient registrations; verifies benefits and insurance information; obtains authorizations when needed; and coordinates with patients, physician offices, and other departments to support accurate registration, reimbursement, and patient satisfaction. The position also supports departmental training and performance improvement initiatives. This is a full-time, day position scheduled for 40 hours per week, with an usual work day of eight hours. The listed pay range is $18.57–$23.23. Physical demands include frequent sitting, standing, walking, fine motor activity and keyboard use; occasional lifting, carrying, pushing or pulling, bending, reaching, and climbing; and continuous talking or hearing. Lifting requirements are 15 pounds from floor to waist and 10 pounds at waist level and above. The role may involve exposure to bloodborne pathogens, airborne communicable disease, extreme noise, and dust or particulate matter.
Requirements
- High school diploma or equivalent.
- Six months of experience as a Patient Access Rep I at Capital Health, or one year of customer service experience with medical terminology.
- Excellent communication, interpersonal, and organizational skills.
- Ability to problem-solve, multitask, and manage frequent interruptions.
- Expert and current knowledge of insurance requirements.
- Proficient computer skills and familiarity with medical terminology.
- Ability to work independently and as part of a team, while maintaining composure in a high-pressure or fast-paced environment.
Nice To Haves
- Knowledge of insurance plans and insurance experience are preferred.
Responsibilities
- Identify participating and non-participating Capital Health insurance plans.
- Assist patients and customers in a professional, respectful, friendly, and caring manner.
- Register patients quickly and accurately, including verifying identity and entering demographics, physician, insurance, and registration-code information; obtain required signatures, verify insurance, secure authorizations when necessary, scan registration forms into the EMR, and perform chart follow-up.
- Perform job duties independently with minimal supervision.
- Follow payer requirements and identify referral and precertification needs; verify benefits for all patient encounters and review charts for accuracy.
- Use computer systems and internet-based insurance applications, and follow department procedures and training guidelines to obtain accurate registration information.
- Collaborate with departments, physicians, and physician-office staff to obtain registration information, authorizations, referrals, diagnoses, and scripts.
- Comply with procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity Regulations, copay collection, Advance Beneficiary Notice, Advance Directives, and Patient's Rights.
- Distinguish and record the primary care physician, referring physician, and attending physician appropriately.
- Use the Insurance Card Database and insurance verification guidelines; follow financial screening and self-pay procedures, including referrals for Medicaid and Charity Care.
- Assist with and support departmental staff training, and attend mandatory department meetings.
- Support and participate in departmental performance-improvement initiatives.
- Perform other duties as needed.
Benefits
- Medical plan
- Prescription drug coverage and in-house employee pharmacy
- Dental plan
- Vision plan
- Flexible Spending Account, including healthcare and dependent care FSAs
- Retirement Savings and Investment Plan
- Basic group term life and accidental death and dismemberment insurance
- Supplemental group term life and accidental death and dismemberment insurance
- Long-term disability benefits
- Short-term disability benefits
- Employee Assistance Program
- Commuter transit benefits
- Commuter parking benefits
- 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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
