Patient Access Associate Njs Eligible Pd

4 weeks ago

Plainsboro, United States Penn Medicine Full time

**Description**

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
- Job Title: Patient Access Associate
- Department: Patient Services
- Location: 1 Plainsboro Road Plainsboro NJ. 08536
- Hours: Per Diem Vary but mostly between the hours if 2:00pm-6:00pm

Summary:

- Under general supervision, the Patient Access Associate is responsible for computerized patient registration including obtainment and verification of all required demographic and insurance information to ensure accurate and timely reimbursement. Collect time of service payments.

**Responsibilities**:

- Greets patient with a positive and professional attitude and initiates registration process. Selects the correct patient through properly entering the required fields within the ADT system to ensure patient safety and creates visits appropriately in the ADT system.
- Performs follow up on assigned third party accounts for all in-house admissions and select outpatients (e.g. PAT, Radiation Oncology). Follow up includes but is not limited to verifying eligibility, obtaining benefits, ensuring pre-certification and/or authorization/referral requirements have been completed.
- Demonstrates flexibility and adaptability to changing work environment. Demonstrates willingness to meet the needs of departmental operations effectively as an individual and Team Member
- Support Customer Service and Performance Improvement goals of the Department.
- Determines and appropriately documents out of pocket responsibility for services as related to insurance contracts or PHCS Fee Schedules (i.e. Self Pay Fee Schedule, Cosmetic Surgery List). Collects Time of Service (TOS) and Point of Service (POS) Payments according to policy. If necessary refers patient to Financial Counselor for assistance.
- Participates in educational sessions, seminars, staff meetings and Hospital sessions, utilizing the information provided to enhance patient care activities and work behaviors.
- All Patient Access Associates assigned bedside registration (ED and Surgical Areas) are required to utilize Workstation On Wheels (WOW).
- Patient Access Services Responsibility
- Insurance Verification
- Performs follow up on assigned third party accounts for all in-house admissions and select outpatients (e.g. PAT, Radiation Oncology). Follow up includes but is not limited to verifying eligibility, obtaining benefits, ensuring pre-certification and/or authorization/referral requirements have been completed.
- Processes correspondence from insurance companies, case management and other areas within 24 hrs of receipt.
- Processes correspondence from insurance companies, case management and other areas within 24 hrs of receipt.
- Navigator Functions
- Greets patient with a positive and professional attitude and initiates registration and/or check-in process depending on situation.
- Reviews physicians’ orders and front desk schedules to determine process flow and instruct patients accordingly.
- Appropriately places patient on the correct Clinical System wait list.
- Responsible for answering the department Navigator phone and processing requests such as patient registration inquiries as needed.
- Ensures that the appropriate signatures are obtained to meet regulatory requirements. Scans all appropriate paperwork on correct visit.
- Outpatient Registration (Includes Main, ED and Endoscopy Unit)
- Interviews patient/family in a caring, empathetic, and professional manner for purpose of obtaining demographic and insurance information for appropriate billing and ensures that the appropriate signatures are obtained to meet regulatory requirements.
- Contacts physicians’ offices, insurance companies, patients and/or hospital clinical departments when necessary to obtain any missing information.
- Determines and appropriately documents out of pocket responsibility for services as related to insurance contracts or PHCS Fee Schedules (i.e. Self Pay Fee Schedule, Cosmetic Surgery List). Collects Time of Service (TOS) and Point of Service (POS) Payments according to policy. If necessary refers patient to Financial Counselor for assistance.
- Accurately assigns and enters ICD codes into the ADT system as appropriate with 95% accuracy.
- Ensures that the appropriate signatures are obtained to meet regulatory requirements. Scans all appropriate paperwork on correct visit.
- Inpatient and Bedded Outpatient Admission
- Identifies admission, transfer, conversion, and upgrade requests by monitoring the Emergency

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