Hackensack Meridian Health
Patient Access Specialist - Part Time - Day
Hackensack Meridian Health, Manahawkin, New Jersey, United States
Overview
Patient Access Specialist - Part Time - Day at Hackensack Meridian Health. The Patient Access Specialist is responsible for all inpatient and outpatient Patient Access functions within the Patient Access Services Department in the assigned area/hospital(s). Conducts quality interviews with every patient to ensure compliance with patient safety rules and state and federal regulations. Gathers appropriate identification, confirms demographics to validate patient identity, and screens Medicare, Medicaid and managed care patients for network status and coordination of benefits. Obtains applicable patient consents/attestations. Performs scheduling, bed planning, pre-registration, registration, insurance verification, pre-certification, point of service cash collection and financial clearance under supervision. Maintains adherence to the Medical Center\'s Quality Standards and positive patient experience.
Note: This section preserves the essential job context and avoids extraneous marketing language.
Responsibilities
Greets patients and visitors in person or by phone in a prompt, courteous, respectful and helpful manner. Implements scheduling, pre-registration, pre-certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures accurate patient search to maintain patient safety and prevent duplicate medical record numbers. Check-in and account for patient location and arrival/processing time to ensure prompt service within department timelines. Ensure Regulatory Forms are filled out and signed by the patient. Perform bed planning functions including reservations/pre-registration/bed assignment and prioritize bed assignment per policy. Assign patients to the proper unit according to admit order and review orders for appropriate status and level of care. Initiate real time eligibility query (RTE) on eligible insurances and review responses to ensure correct plan code and coordination of benefits for timely reimbursement. Complete Medicare Secondary Payer Questionnaire and perform insurance verification for inpatient and outpatient services; determine out-of-pocket responsibility using EPIC Financial Estimator. Where appropriate, pursue upfront cash collections and explain financial resources, including financial assistance or payment plans. Verify benefits to ensure procedures are covered and verify pre-authorization requirements with physicians and payers prior to date of service. Submit data to obtain authorizations prior to date of service and ensure diagnosis data meets medical necessity criteria. Comply with patient financial responsibility and collection policies; provide administrative information as directed; obtain required signatures on regulatory forms. Register patients during downtime and follow input procedures when systems are available again; mediate scheduling and registration issues and escalate unresolved items. Complete assigned work queue in a timely manner and identify the needs of the patient population served, delivering patient-centered care with sensitivity to age, culture, language, and accessibility needs. Deliver excellent customer service and maintain departmental productivity and policy adherence. Handle document scanning from patients and payers; coordinate daily activities to foster patient comfort and trust; schedule patients as needed. Respond to high volumes of phone calls professionally; notify admissions to payers and refer accounts to Case Management for clinical information submission when needed. Able to access payer websites (e.g., Navinet) to confirm coverage and benefits and work with patients to clear their accounts at least 3 days before procedures; escalate issues to supervisor/manager and refer to Financial Counselors when appropriate. Process payments accurately (cash, check, money order, credit card); reconcile cash drawer and deposit payments; provide receipts and/or service estimates. Complete pre-registration in Epic and clear checklists to set account status to Confirmed pre-reg; coordinate Pre-Admission Testing scheduling; obtain patient records and manage scheduling information. Work across all Access Services areas and rotate shifts as needed; monitor email for process changes; meet daily productivity standards; undertake other duties as assigned. Qualifications
Education, Knowledge, Skills and Abilities Required: High School diploma/GED or equivalent; ability to work rotating schedules; strong written and verbal communication; customer service oriented; basic medical terminology; proficient computer skills (Microsoft Office/Google Suite); ability to work every other weekend; ability to work three of six holidays. Education, Knowledge, Skills And Abilities Preferred
Bachelor\'s Degree or related experience; minimum 1+ year hospital setting experience; patient financial services experience; prior registration/insurance verification experience; strong analytical, written and verbal communication; proficient medical terminology; knowledge of insurance specifications, ICD-10 and CPT-4 codes; bilingual (Spanish or Korean); experience with EPIC HB, Cadence and Prelude. Licenses And Certifications Required
Successfully complete EPIC Cadence and Prelude training and pass assessment within 30 days after network access is granted. If you feel that the above description speaks directly to your strengths and capabilities, please apply today. Hackensack Meridian Health is committed to pay equity and transparency; posted pay reflects a good faith estimate of the minimum base pay and may not reflect total rewards. Job Details
Starting rate of pay min $25.38 hourly; compensation may vary by factors such as market data, experience, education, and location. Senioriy level: Associate Employment type: Part-time Job function: Health Care Provider Industries: Hospitals and Health Care
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Patient Access Specialist - Part Time - Day at Hackensack Meridian Health. The Patient Access Specialist is responsible for all inpatient and outpatient Patient Access functions within the Patient Access Services Department in the assigned area/hospital(s). Conducts quality interviews with every patient to ensure compliance with patient safety rules and state and federal regulations. Gathers appropriate identification, confirms demographics to validate patient identity, and screens Medicare, Medicaid and managed care patients for network status and coordination of benefits. Obtains applicable patient consents/attestations. Performs scheduling, bed planning, pre-registration, registration, insurance verification, pre-certification, point of service cash collection and financial clearance under supervision. Maintains adherence to the Medical Center\'s Quality Standards and positive patient experience.
Note: This section preserves the essential job context and avoids extraneous marketing language.
Responsibilities
Greets patients and visitors in person or by phone in a prompt, courteous, respectful and helpful manner. Implements scheduling, pre-registration, pre-certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service. Adheres to patient identification policy and ensures accurate patient search to maintain patient safety and prevent duplicate medical record numbers. Check-in and account for patient location and arrival/processing time to ensure prompt service within department timelines. Ensure Regulatory Forms are filled out and signed by the patient. Perform bed planning functions including reservations/pre-registration/bed assignment and prioritize bed assignment per policy. Assign patients to the proper unit according to admit order and review orders for appropriate status and level of care. Initiate real time eligibility query (RTE) on eligible insurances and review responses to ensure correct plan code and coordination of benefits for timely reimbursement. Complete Medicare Secondary Payer Questionnaire and perform insurance verification for inpatient and outpatient services; determine out-of-pocket responsibility using EPIC Financial Estimator. Where appropriate, pursue upfront cash collections and explain financial resources, including financial assistance or payment plans. Verify benefits to ensure procedures are covered and verify pre-authorization requirements with physicians and payers prior to date of service. Submit data to obtain authorizations prior to date of service and ensure diagnosis data meets medical necessity criteria. Comply with patient financial responsibility and collection policies; provide administrative information as directed; obtain required signatures on regulatory forms. Register patients during downtime and follow input procedures when systems are available again; mediate scheduling and registration issues and escalate unresolved items. Complete assigned work queue in a timely manner and identify the needs of the patient population served, delivering patient-centered care with sensitivity to age, culture, language, and accessibility needs. Deliver excellent customer service and maintain departmental productivity and policy adherence. Handle document scanning from patients and payers; coordinate daily activities to foster patient comfort and trust; schedule patients as needed. Respond to high volumes of phone calls professionally; notify admissions to payers and refer accounts to Case Management for clinical information submission when needed. Able to access payer websites (e.g., Navinet) to confirm coverage and benefits and work with patients to clear their accounts at least 3 days before procedures; escalate issues to supervisor/manager and refer to Financial Counselors when appropriate. Process payments accurately (cash, check, money order, credit card); reconcile cash drawer and deposit payments; provide receipts and/or service estimates. Complete pre-registration in Epic and clear checklists to set account status to Confirmed pre-reg; coordinate Pre-Admission Testing scheduling; obtain patient records and manage scheduling information. Work across all Access Services areas and rotate shifts as needed; monitor email for process changes; meet daily productivity standards; undertake other duties as assigned. Qualifications
Education, Knowledge, Skills and Abilities Required: High School diploma/GED or equivalent; ability to work rotating schedules; strong written and verbal communication; customer service oriented; basic medical terminology; proficient computer skills (Microsoft Office/Google Suite); ability to work every other weekend; ability to work three of six holidays. Education, Knowledge, Skills And Abilities Preferred
Bachelor\'s Degree or related experience; minimum 1+ year hospital setting experience; patient financial services experience; prior registration/insurance verification experience; strong analytical, written and verbal communication; proficient medical terminology; knowledge of insurance specifications, ICD-10 and CPT-4 codes; bilingual (Spanish or Korean); experience with EPIC HB, Cadence and Prelude. Licenses And Certifications Required
Successfully complete EPIC Cadence and Prelude training and pass assessment within 30 days after network access is granted. If you feel that the above description speaks directly to your strengths and capabilities, please apply today. Hackensack Meridian Health is committed to pay equity and transparency; posted pay reflects a good faith estimate of the minimum base pay and may not reflect total rewards. Job Details
Starting rate of pay min $25.38 hourly; compensation may vary by factors such as market data, experience, education, and location. Senioriy level: Associate Employment type: Part-time Job function: Health Care Provider Industries: Hospitals and Health Care
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