Patient Access Specialist-FT-Night

6 days ago

Holmdel, New Jersey, United States Hackensack Meridian Health Full time
Job Title: Patient Access Specialist-FT-Night

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 the smooth and efficient flow of patients through our healthcare system. This includes conducting quality interviews with patients, gathering identification and demographic information, and verifying insurance coverage.

Key Responsibilities:

  • Conduct quality interviews with patients to ensure compliance with patient safety rules and state and federal regulations.
  • Gather identification and demographic information for patients.
  • Verify insurance coverage and benefits for patients.
  • 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 the procedure is a covered service under the patient's plan prior to receiving services.
  • Verify pre-authorization requirements and follow up with both the referring physician's office and payer to ensure authorizations are on file for the scheduled procedure prior to the date of service.
  • Submit all data timely, effectively, and expeditiously for all treatments and procedures to ensure authorizations have been obtained and determine that the procedure or treatment is authorized prior to the date of service.
  • Ensure diagnosis data that is entered on registration is accurate and meets medical necessity criteria.
  • Comply with HMH's patient financial responsibility and collection policies.
  • Provide patients with appropriate administrative information, as directed.
  • Maintain compliance with federal/state requirements and ensure signatures are obtained on all required regulatory/consent forms.

Requirements:

  • High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
  • 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 that may include but are not limited to 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 (i.e. Spanish or Korean).
  • Experience with EPIC HB, Cadence, and Prelude.

Working Conditions:

This position requires the ability to work in a fast-paced environment and to prioritize tasks effectively. The Patient Access Specialist must be able to work independently and as part of a team, and must be able to communicate effectively with patients, physicians, and other healthcare professionals.

Language: English

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