Health Access Rep

2 weeks ago

Pennington, United States Capital Health Services Full time

Work Shift

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview
  • Follows computer system and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, and insurance information on each registration.
  • Registers established goal of minimum required patients per employee shift as measured by productivity reports.
  • Presents forms and obtains signatures using approved scripts.
  • Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms.
  • Follows payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to department procedures and the Insurance Card Database and Insurance Verification guidelines.
  • Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
  • Supports department performance improvement initiatives.
  • Assists with accurate data collection in support of quality performance improvement initiatives.
  • Attend all mandatory department meetings.
  • Follows patient identification policy.
  • Acts as a resource for Patient Access department.
  • Acts as a liaison for physician office and ancillary departments.

MINIMUM REQUIREMENTS

  • Education: High school diploma or equivalency.
  • Experience: One year experience in a healthcare setting or one year customer service experience. Medical terminology and medical insurance knowledge preferred.
  • Knowledge and Skills: Strong customer service skills. Excellent verbal and written Communication skills. Strong interpersonal skills.
  • Special Training: Basic computer skills.
  • Mental, Behavioral and Emotional Abilities: Ability to work independently and as a team.
  • Usual Work Day: 8 Hours

PHYSICAL DEMANDS AND WORK ENVIRONMENT

  • Frequent physical demands include: Sitting, Standing, Walking, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion
  • Occasional physical demands include: Climbing (eg, stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl
  • Continuous physical demands include: Talk or Hear
  • Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
  • Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing
  • Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens, Airborne Communicable Disease, Extreme Noise Levels, Dust/Particulate Matter

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."

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