Access Service Rep-FT-Day

2 months ago

Red Bank, United States Hackensack Meridian Health Full time

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. Its 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.

Come join our Amazing team here at Hackensack Meridian Health We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement, Employee Discounts and much more

The Access Service Rep is the database manager for patient demographics in hospital information systems and other integrated systems that support the Lifetime Clinical Record and receivables. This role manages patient financial data in the hospital information system to ensure timely and successful reimbursement. These responsibilities are key for the network continuum while providing excellent customer service and patient safety.

Responsibilities:
  • Consistently evaluates documents and collects the financial obligation of the patient adhering to insurance and EMTALA regulations. This will be measured by, for example, but not limited to: co pays, deductibles, coinsurance, and self-pay fees.
  • Demonstrates a flexible work style with ability to handle a high degree of pressure, heavy workloads, multiple requests, and numerous interruptions in a positive manner, establishing priorities for effective work completion.
  • Adapts quickly to changing conditions, assimilating new processes into job functions, and taking ownership. These can be measured by, for example, but not limited to: registration/applications, scanning, wait times, abandoned calls bedside registrations, appropriate use of time, etc.
  • Accurately collects, records, and reports complete information using interview techniques and critical thinking skills. These can be measured by, for example, but not limited to: Demographic Information, INR, Revision of ET Quick Registrations, Accuracy of Patient Status Transfers, Vault Counts, Audits, Number of duplicate account creation, Primary Care Physician Information, Email Address, MSP, etc.
  • Consistently demonstrates skill and knowledge of resources available to assist in critical decision making, These can be measured by, for example, but not limited to: HDX, Web-sites (ie: Access, CareCore, Passport, Insurance Companies, Code Correct), Scheduling system, Compass, Navinet and Med Metrix.
  • Consistently documents the status of tasks that support responsibilities in the workflow process in the appropriate locations. These can be measured by, for example, but not limited to: Automated eligibility, Consents, Important Message from Medicare, Patient's individual financial responsibility, copays, deductible and coinsurance, Authorizations/Referrals.
  • Consistently completes the financial workflow process using critical thinking skills and interview techniques. These can be measured by, but not limited to cash posting, COB, timely management of the DNFB and tracking LOS, authorizations, medical necessities, referral and NOA requirements, technical denials, Account activation, Managed Care insurance benchmarks.
  • Works in collaboration with our customers. This can be measured by, for example, but not limited to: accepts responsibility for own actions while taking ownership of department outcomes, proactively seeks opportunities to enhance knowledge in various departments to assist in the smooth delivery of services, mentors team members, ensures smooth process flow and safe environment, demonstrates good judgment, critical thinking and fosters service recovery by properly identifying, resolving, and reporting customer issues.
  • Other duties and/or projects as assigned.
  • Adheres to HMH Organizational competencies and standards of behavior.


Qualifications:

Education, Knowledge, Skills and Abilities Required:

  • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
  • Ability to multitask
  • Excellent written and verbal communication skills.
  • Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:

  • Bilingual (English/Spanish)
  • Previous experience within health-care registration and/or scheduling
  • Bachelors Degree
  • Proficiency with insurance eligibility/authorization systems

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