PATIENT ACCESS SPECIALIST - PART TIME - EVENING

PATIENT ACCESS SPECIALIST – PART TIME – EVENING

Join to apply for the PATIENT ACCESS SPECIALIST – PART TIME – EVENING role at Hackensack Meridian Health.

Overview

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better – advancing our mission to transform healthcare and serve as a leader of positive change.

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.

Responsibilities

• Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner.
• Implements scheduling, pre-registration, pre-certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service.
• Adheres to patient identification policy and ensures an accurate patient search to maintain patient safety and prevent duplicate medical record numbers.
• Check-in and account for the location and arrival/processing time of patients to ensure prompt service within established time frames.
• Ensures Regulatory Forms are filled out and signed by the patient.
• Performs bed planning functions: reservations/pre-registration/bed assignment and prioritizes bed assignment according to policy.
• Ensures patients are assigned to the proper unit according to admit order and reviews orders to ensure appropriate status and level of care.
• Initiates real time eligibility query (RTE) on all eligible insurances; reviews RTE response to ensure correct plan code and coordination of benefits for timely reimbursement.
• Completes Medicare Secondary Payer Questionnaire and performs insurance verification on all services to determine patient out-of-pocket responsibility using Epic tools.
• Where appropriate, pursues upfront cash collections and informs patients of their financial responsibilities and available resources.
• Verifies benefits to ensure procedures are covered; verifies pre-authorization requirements and follows up with physicians and payers to ensure authorizations are on file prior to date of service.
• Submits data for treatments to ensure authorizations; ensures diagnosis data is accurate and meets medical necessity criteria.
• Complies with patient financial responsibility and collection policies; provides patients with administrative information as directed; maintains regulatory signatures.
• Registers patients during downtime and resumes standard procedures when systems are available; mediates scheduling issues and escalates unresolved matters.
• Completes assigned work queues in a timely manner and identifies patient needs to modify care delivery accordingly.
• Maintains excellent customer service resulting in a positive patient experience; adheres to departmental policies and processes; scans relevant documents from patients and payers.
• Coordinates daily activities of the Patient Access Department to foster an environment of patient comfort and trust; may rotate shifts as needed.
• Answers high volumes of phone calls, resolves issues promptly and accurately; notifies payers of admissions and refers accounts to Case Management when needed.
• Able to access payer websites to confirm coverage and benefits; works to financially clear accounts at least 3 days prior to procedures and escalates issues to supervision when necessary.
• Pre-registration in Epic; can clear a checklist and set account status to Confirmed pre-reg; schedules Pre-Admission Testing and obtains patient records and scheduling information as required.
• Works in all Access Services areas and may rotate shifts; meets departmental productivity and process standards; performs other duties as assigned.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• High School diploma, GED, or equivalent.
• Ability to work rotating schedules/shifts based on needs.
• Good written and verbal communication skills; customer service oriented.
• Basic medical terminology knowledge and proficient computer skills (Microsoft Office and/or Google Suite).
• Ability to work every other weekend and three of six holidays.

Education, Knowledge, Skills And Abilities Preferred

• Bachelor\\\’s Degree or related experience.
• Minimum of 1+ year hospital experience; patient financial services experience; prior registration/insurance verification.
• Strong analytical, written and verbal communication and interpersonal skills; knowledge of ICD-10 and CPT-4; bilingual abilities (Spanish or Korean).
• Experience with EPIC HB, Cadence, and Prelude.

Licenses And Certifications Required

• Successfully complete EPIC Cadence and Prelude training and pass assessment within 30 days after network access is granted.

Compensation

Starting at $25.38 Hourly. The posted rate is a good faith estimate of the minimum base pay and does not reflect the full value of our total rewards package.

HMH is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, genetic information, or status as a protected veteran.

Our network: Hackensack Meridian Health is a mandatory influenza vaccination facility.