Cash Application Specialist

2 weeks ago

Westwood NJ, United States Ensemble Health Partners Full time

Tuition Reimbursement
* We are seeking Full Time positions for on-site roles. Candidates must be able to work on-site at Pascack Valley Hospital in Westwood, NJ.*
*Available Shifts Include:*
* *Full Time Day shift with flexibility to support training, coverage, audits, etc.*
Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. We are searching for the next Senior Patient Access Specialist champion. The Senior Patient Access Specialist is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.
* Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Operates the telephone switchboard to relay incoming, out-going and inter-office calls as applicable. They are to adhere to policies, and provide excellent customer service in these interactions with the appropriate level of compassion. Patient Access staff will be held accountable for point of service goals as assigned.
* Senior Patient Access Specialist staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
* Senior Patient Access Specialist Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
* The Senior Patient Access Specialist Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witnesses name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
* Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
* Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Understanding of Revenue Cycle including admission, billing, payments and denials. Knowledge of medical terminology or CPT or procedure codes
*Preferred Minimum Education - Specialty/Major: Healthcare administration, business administration, or related field.
*Associate Benefits – *We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
* *Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
* *Job Type: Full-time
Dental insurance
* Flexible spending account
* Health savings account
* 8 hour shift
* Monday to Friday
* Weekends as needed
Patient Access or Registration: 2 years (Required)

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