Patient Access Specialist
3 days ago
Job Summary:
We are seeking a highly skilled Patient Access Specialist to join our team at Hackensack Meridian Health. As a Patient Access Specialist, you will be responsible for ensuring that patients receive high-quality care by accurately and efficiently processing patient information, verifying insurance coverage, and coordinating with healthcare providers.
Key Responsibilities:
- Conduct quality interviews with patients to ensure compliance with patient safety rules and state and federal regulations.
- Gather and verify patient demographics to validate patient identity.
- Conduct intensive screening of Medicare, Medicaid, and managed care patients to identify network status and coordination of benefits.
- Obtain patient consents and attestations as required.
- Perform job-related functions, including facility-based scheduling, bed planning, pre-registration, registration, insurance verification, pre-certification, point-of-service cash collection, and financial clearance.
- Ensure accurate completion of Medicare Secondary Payer Questionnaire.
- Verify benefits to ensure patient coverage is active and that the procedure is a covered service under the patient's plan prior to the date of service.
- Verify pre-authorization requirements and follow up with the referring physician's office and payer to ensure authorizations are on file for the scheduled procedure prior to the date of service.
- Process all methods of acceptable payments, including cash, check, money order, and credit card transactions.
- Reconcile daily cash drawer or shift payment transactions and deposit daily cash/check.
- Provide patients with cash receipts and/or service estimates.
Requirements:
- High school diploma or equivalent required.
- Ability to work rotating schedules/shifts based on needs.
- Good written and verbal communication skills.
- Customer service-oriented.
- Basic medical terminology knowledge.
- Proficient computer skills, including Microsoft Office and/or Google Suite platforms.
Preferred Qualifications:
- Bachelor's degree and/or related experience.
- Minimum of 1+ years of experience in a hospital setting.
- Patient financial services experience in a professional or hospital setting.
- Prior registration/insurance verification experience.
- Excellent analytical, written, and verbal communication, and interpersonal skills.
- Proficient medical terminology knowledge.
- Knowledge of insurance specifications, ICD10, and CPT4 codes.
- Bilingual (Spanish or Korean).
- Experience with EPIC HB, Cadence, and Prelude.
Licenses and Certifications:
- Successfully complete EPIC Cadence and Prelude training and pass assessment within 30 days after network access is granted.
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