Patient Access Specialist
Company: Hackensack Meridian Health
Location: Hackensack
Posted on: January 27, 2023
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Job Description:
Overview:
How have you impacted someone's life today? At Hackensack Meridian
Health our teams are focused on changing the lives of our patients
by providing the highest level of care each and every day. From our
hospitals, rehab centers and occupational health teams to our
long-term care centers and at-home care capabilities, our complete
spectrum of services will allow you to apply your skills in
multiple settings while building your career, all within New
Jersey's premier healthcare system. -The Patient Access Specialist
is responsible for all Inpatient and Outpatient Patient Access
functions within the Patient Access Services Department in their
assigned area/hospital(s) at Hackensack Meridian Health (HMH).
Conducts quality interviews with every patient to ensure compliance
with patient safety rules and state and federal regulations.
Gathers appropriate identification for patients and confirms all
patient demographics to validate patient identity. Conducts
intensive screening of all Medicare, Medicaid and managed care
patients to identify network status and coordination of benefits.
Obtains all applicable patient consents/attestations. Performs job
related functions including, but not limited to, facility based
scheduling, bed planning, pre-registration, registration, insurance
verification, pre-certification, point of service cash collection
and financial clearance under the direction of the
Supervisor/Manager/Director for these designated areas. Must adhere
to the Medical Center's Quality Standards and maintain a positive
patient experience at all times.
Qualifications:
Education, Knowledge, Skills and Abilities Required: High School
Diploma or Equivalency. Minimum of 1+ years of experience in a
hospital setting. Good written and verbal communication skills.
Customer Service Oriented. Basic medical terminology knowledge.
Prior registration/insurance verification experience. Proficient
computer skills that may include but are not limited to Microsoft
Office and/or Google Suite platforms. Patient Financial services
experience in a professional or hospital setting. Ability to work
every other weekend. Ability to work three (3) out of six (6)
holidays. Ability to work rotating schedules/shifts based on needs.
Education, Knowledge, Skills and Abilities Preferred: Bachelor's
Degree and/or related experience. Minimum of 2+ years experience in
a hospital setting. Excellent Analytical, written and verbal
communication, and interpersonal skills.Proficient medical
terminology knowledge. Knowledge of insurance specifications, ICD10
and CPT4 codes. Bilingual (i.e. Spanish or Korean).Experience with
EPIC HB, Cadence, and Prelude. Licenses and Certifications
Required: Successfully complete EPIC Cadence and Prelude training
and pass assessment that follows within 30 days after Network
access is grantedIf you feel that the above description speaks
directly to your strengths and capabilities, then please apply
today!
Responsibilities:
A day in the life of a Patient Access Specialist -at Hackensack
Meridian Health includes:Implements the Medical Center's
scheduling, pre-registration, pre-certification, referral
procurement and insurance verification policies and procedures for
the assigned outpatient point of service. Initiate real time
eligibility query (RTE) on all eligible insurances. Must review RTE
response to ensure correct plan code assignment and correct
coordination of benefits to facilitate timely reimbursement.
-Performs insurance verification on all Inpatient and Outpatient
services, and determines the patient's out of pocket responsibility
via the EPIC Financial Estimator tool using the applicable data.
Answers a high volume number of phone calls and responds in an
appropriate/professional manner. Address and resolve any issues
quickly/accurately.Ensures timely notification of admission to
payers and refers accounts to Case Management for timely submission
of Clinical Information to payer. Verifies pre-authorization
requirements and follows up with both the referring physician's
office and payer to ensure authorizations are on file for the
scheduled procedure prior to the date of service. Works with
patients to financially clear their account per policy at least 3
days prior to procedure. Resolves any issues with coverage and
escalates any complications to supervisor/manager. Makes referrals
to Financial Counselors if appropriate. Accurate and timely
processing of all methods of acceptable payments such as
cash/check/money order/credit card transactions. Reconciling daily
cash drawer or shift payment transactions, depositing daily
cash/check and providing patients with cash receipts, and/or
service estimate. Obtains patient records, types and processes
scheduling information included but not limited to copying, filing,
faxing and answering phone calls in an accurate, efficient and
professional manner.
Keywords: Hackensack Meridian Health, Hackensack , Patient Access Specialist, Other , Hackensack, New Jersey
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