PATIENT ACCESS SPECIALIST - PART TIME - NIGHT

Patient Access Specialist – Part Time – Night

RIVERVIEW MEDICAL CENTER, Borough of Red Bank, New Jersey
Shift: Night – Part‑Time with Benefits

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 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.

Responsibilities

• Greets patients and visitors in person or phone in a prompt, courteous, respectful and helpful manner.
• 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.
• Ensures patient identification policy and performs 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 with the established departmental time frames and guidelines.
• Initiates real‑time eligibility queries (RTE) on all eligible insurances, reviews RTE response and ensures correct plan code assignment and coordination of benefits.
• Performs insurance verification on all inpatient and outpatient services and determines patient out‑of‑pocket responsibility via the EPIC Financial Estimator tool.
• Pursues upfront cash collections to assist patients in understanding their financial responsibilities and minimizes overall bad debt.
• Verifies benefits to ensure the procedure is a covered service under the patient’s plan prior to receiving services.
• Verifies pre‑authorization requirements and follows up with referring physician and payer to ensure authorizations are on file for the scheduled procedure prior to date of service.
• Completes assigned work queue (WQ) accounts in a timely and efficient manner.
• Maintains compliance with federal, state requirements and ensures signatures are obtained on all required regulatory/consent forms.
• Assumes other responsibilities as directed by the Supervisor, Manager or Director of Patient Access.
• Ensures delivery of excellent customer service resulting in a positive patient experience.

Qualifications

• 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.
• Proficient computer skills (Microsoft Office and/or Google Suite).
• Ability to work every other weekend.
• Ability to work three (3) out of six (6) holidays.

• Bachelor’s Degree and/or related experience.
• Minimum of 1+ years of experience in a hospital setting.
• Patient Financial services experience in a professional or hospital setting.
• Prior registration/insurance verification experience.
• Excellent analytical, written and verbal communication, and interpersonal skills.
• Proficient medical terminology knowledge.
• Knowledge of insurance specifications, ICD10 and CPT4 codes.
• Bilingual (Spanish or Korean).
• Experience with EPIC HB, Cadence, and Prelude.

Compensation

Minimum rate of $25.38 Hourly. HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market‑competitive total rewards package.

Equal Opportunity Employer

HACKENSACK MERIDIAN HEALTH (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, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.

If you feel that the above description speaks directly to your and capabilities, then please apply today!