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Collections Specialist

4 months ago

Hamilton NJ, United States RWJ Hamilton Full time

The Patient Access Specialist supports the Patient Access Department by providing key operational functions to identify opportunities and minimize risk. The Patient Access Specialist position plays a key role within the health system by ensuring all steps are taken to financially secure accounts prior to or during service. The Patient Access Specialist provides direct and indirect support to department by analyzing data to identify issues and opportunities, reduce denials and improve processes.
The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols for obtaining and confirming appropriate authorization for the clinical services rendered and minimizing financial risk. The Patient Access Specialist has extensive knowledge of payer requirements and is able to clearly understand and articulate with clinical and non-clinical staff.
Advanced Excel experience required
Medical terminology and computer skills
Full Time
Monday Friday 8:00am 4:30pm
New hires are required to attend Revenue Cycle training which will be 3 days Wednesday Friday 830a-430p ( Virtual).
New hires will also be required to attend Epic training which will be scheduled after your orientation. This training is offsite in Oceanport or Edison. The training will be 3 or 4 days The schedule is Tuesday, Wednesday, Thursday, Friday. Strong understanding of prior authorization requirements for various services
Communicate clearly with clinical staff and payer representatives to authorize services
Review script and/or medical service documentation to ensure authorizations match services provided
Demonstrates proficiency in the entire pre-admission, registration, and financial clearance processes
Utilize system generated reports to analyze data
Analyze denial data to determine root cause, identify issues and areas of opportunity
Develop reports to quantify the value and financial risk for each area
Audit and review work flow, patient processing and quality standards
Reflects commitment to building a supportive work environment and maintains a positive attitude
Works closely and professionally with clinical staff and ancillary departments to foster a team environment
Participate in training through the development of training tools, presentations at department in-services or staff meetings, or through the training of registration staff outside of the patient access department
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.
Medical and Prescription Drug Insurance
Dental and Vision Insurance
Retirement Plans
Short & Long Term Disability
Tuition Reimbursement
Health Care/Dependent Care Flexible Spending Accounts
high-quality academic medicine in a compassionate and equitable manner, while delivering
a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.