- Greets patients and visitors in person/phone in a prompt, courteous, respectful and helpful manner.
- Implements the Medical Center's 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 an accurate patient search is performed in order to maintain patient safety and prevent duplicate medical record numbers.
- Check-in and account for the location and arrival/processing time of patients to ensure prompt service with the established departmental time frames and guidelines.
- Ensures Regulatory Forms are filled out and signed by the patient.
- Performs all functions of bed planning; reservations/pre-registration/bed assignment.
- Prioritizes bed assignment in accordance with policy.
- Ensures patients are assigned to the proper unit according to admit order.
- Reviews orders to ensure patient is in appropriate status and level of care.
- Initiate real time eligibility query (RTE) on all eligible insurances. Must review RTE response to ensure correct plan code assignment and correct coordination of benefits to facilitate timely reimbursement.
- Ensure accurate completion of Medicare Secondary Payer Questionnaire.
- Performs insurance verification on all Inpatient and Outpatient services, and determines the patient's out of pocket responsibility via the EPIC Financial Estimator tool using the applicable data.
- Where appropriate, pursues upfront cash collections to assist patients in understanding their financial responsibilities and minimize overall bad debt.
- Informs patients of their out of pocket responsibility taking payment via credit card or in person and explaining financial resources including financial assistance, payment plans or payment on date of service.
- Verifies benefits to ensure the procedure is a covered service under the patients plan prior to receiving services.
- Verifies pre-authorization requirements and follows up with both the referring physician and payer to ensure authorizations are on file for the scheduled procedure prior to date of service.
- Submits 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 date of service.
- Ensures diagnosis data that is entered on registration is accurate and meets medical necessity criteria.
- Complies with HMH's patient financial responsibility and collection policies.
- Provides patients with appropriate administrative information, as directed.
- Maintains compliance with federal/state requirements and ensures signatures are obtained on all required regulatory/consent forms.
- Manually registers patients accurately when in `downtime' mode and properly follows registration input procedures when the system becomes available.
- Attempts to mediate daily scheduling, pre-registration, pre-certification or registration issues and elevates any issues that cannot be resolved independently.
- Completes assigned work queue (WQ) accounts in a timely and efficient manner.
- Assumes other responsibilities as directed by either the Supervisor, Manager or Director of Patient Access.
- Identifies the needs of the patient population served and modifies and delivers care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.). This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.).
- Ensures delivery of excellent customer service resulting in a positive patient experience.
- Complies with all procedural workflows and departmental policies and procedures as identified.
- Responsible for scanning any documents and correspondence from patients and payers.
- Coordinates daily activities of the Patient Access Department which fosters an environment promoting patient comfort and trust.
- Have the ability to schedule patients as needed.
- Answers a high volume number of phone calls and responds in an appropriate/professional manner. Address and resolve any issues quickly/accurately.
- Ensures timely notification of admission to payers and refers accounts to Case Management for timely submission of Clinical Information to payer.
- Verifies eligibility and benefits to ensure patient's coverage is active and that the procedure is a covered service under the patient's plan prior to the date of service.
- Verifies pre-authorization requirements and follows 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.
- Able to access and navigate various payer websites (e.g. Navinet) to confirm patients' insurance coverage and policy benefits.
- Works with patients to financially clear their account per policy at least 3 days prior to procedure. Resolves any issues with coverage and escalates any complications to supervisor/manager. Makes referrals to Financial Counselors if appropriate.
- Accurate and timely processing of all methods of acceptable payments such as cash/check/money order/credit card transactions. Reconciling daily cash drawer or shift payment transactions, depositing daily cash/check and providing patients with cash receipts, and/or service estimate.
- Completes a pre-registration on all appropriate patients in Epic. Able to clear a checklist in Epic and set an account status to `Confirmed pre-reg.'
- Contacts patients and/or physicians' offices in regards to Pre-Admission Testing scheduling in a timely and efficient manner.
- Obtains patient records, types and processes scheduling information included but not limited to copying, filing, faxing and answering phone calls in an accurate, efficient and professional manner.
- Can work in all Access Services areas within the hospital and may rotate shifts as needed.
- Checks email daily to maintain timely updates on any process/task changes/updates.
- Meet departmental daily productivity and process standards.
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
- 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.
- Ability to work every other weekend.
- Ability to work three (3) out of six (6) holidays.
- 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.
- Successfully complete EPIC Cadence and Prelude training and pass assessment that follows within 30 days after Network access is granted.
-
Patient Access Specialist- Admission Services
2 weeks ago
Hackensack Meridian Health Hackensack, United StatesOverview · 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 ...
-
Patient Access Specialist- Admission Services
2 weeks ago
Hackensack Meridian Health Hackensack, United StatesOverview · 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, ...
-
Patient Access Specialist- Admission Services
2 weeks ago
Hackensack Meridian Health Hackensack, United StatesOverview: · 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, ...
-
Patient Access Specialist- Admission Services
3 weeks ago
Hackensack Meridian Health Hackensack, United StatesOverview: · 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 member ...
-
SUNY Downstate Medical Center Brooklyn, United StatesThe Department of Perioperative Services at SUNY Downstate Health Sciences University is seeking a full-time CTS EKG Associate, Pre-Admission Testing. The successful candidate will be responsible for but not limited to the following: Be responsible f Technician, EKG, Registered N ...
-
SUNY Downstate Medical Center Brooklyn, United StatesThe Department of Perioperative Services at SUNY Downstate Health Sciences University is seeking a full-time CTS EKG Associate, Pre-Admission Testing. The successful candidate will be responsible for but not limited to the following: · * Be responsible for assisting registered nu ...
-
Admissions Director
4 weeks ago
Preferred Care Hackensack, United States Full timeJob Description: Nursing Home company is seeking a new regional admissions director. You will play a pivotal role in ensuring the smooth admission process for residents into our nursing home facility. You will serve as the primary point of contact for prospective residents and th ...
-
Capacity Management RN
2 weeks ago
Hackensack Meridian Health Hackensack, United States Part timeOur 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 ...
-
Psychologist
3 weeks ago
Veterans Health Administration Hackensack, United StatesSummary · This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of app ...
-
PCT Apprentice
1 week ago
Hackensack Meridian Health Hackensack, United States Per DiemOverview · 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, co ...
-
Newly Admitted Attorney
5 days ago
Bergen County Law Firm Hackensack, United StatesNJ Lawyer · Are you a newly admitted NJ Lawyer, looking for courtroom action? We are a practice of 30 civil trial attorneys seeking to hire several attorneys to work with our 12 Certified Civil Trial Attorneys in preparing and trying personal injury trials. · A comprehensive bene ...
-
Patient Care Technician
4 weeks ago
Hackensack Meridian Health Hackensack, United States Part time with BenefitsOverview · 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, co ...
-
Clinician
2 weeks ago
Youth Consultation Service Hackensack, United States Full timeHolly Center is seeking a full time Clinician to join our team · Holley Child Care and Development Center is a 24-hour long-term intensive treatment residential facility for high-risk and behavioral-challenged children ages 8 -15. · Our Clinician will become a part of our multidi ...
-
Pulmonary Registered Nurse
1 week ago
Mission Hospital Morganton, United StatesDescription · IntroductionThis position is eligible for a voluntary sign on bonus with a 2-year commitment to Mission Health. · *Current HCA employees and those employed by HCA anytime in the last 6 months are not eligible to receive the sign on bonus. · Do you have the career o ...
-
Registered Nurse CVPC
6 days ago
Mission Hospital Morganton, United States HOSDescription · Introduction · Are you looking for a place to deliver excellent care patients deserve? At Mission Hospital we support our colleagues in their positions. Join our Team as a(an) Registered Nurse CVPC and access programs to assist with every stage of your career. · Be ...
-
Registered Nurse-NICU-FT-Night Shift
6 days ago
Mission Hospital Morganton, United States HOSDescription · Introduction · Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Mission Hospital our nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse-NICU-FT-Night Shift ...
-
Patient Access Specialist
1 week ago
Hackensack Meridian Health Hackensack, United States Full time with BenefitsOverview · 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 ...
-
Clinical Nurse Coordinator
1 week ago
Mission Hospital Morganton, United StatesDescription · IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Nurse Coordinator - Psych Adol with Mission Hospital you can be a part of an organization that is devoted to giving back · BenefitsMission ...
-
Clinical Nurse Coordinator
1 week ago
Mission Hospital Morganton, United StatesDescription · IntroductionDo you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Mission Hospital have the opportunity to make a real impact. As a Clinical ...
-
Registered Nurse
1 week ago
Mission Hospital Morganton, United StatesDescription · IntroductionAre you ready to embark on a fulfilling career where you're appreciated daily? At Mission Hospital, our nurses are celebrated for their compassion and dedication to patient care. We take pride in setting a high standard for healthcare provision, and our ...
patient access specialist- admission services - Hackensack, NJ , USA, United States - Hackensack Meridian Health
Description
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.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access functions within the Patient Access Services Department in their assigned area/hospital(s) at Hackensack Meridian Health (HMH).
Performs job related functions including, but not limited to, facility based scheduling, bed planning, pre-registration, registration, insurance verification, pre-certification, point of service cash collection and financial clearance under the direction of the Supervisor/Manager/Director for these designated areas.
Must adhere to the Medical Center's Quality Standards and maintain a positive patient experience at all times.This position's hours will mainly be 3:00pm-11:30pm, with some shifts requiring 11:00am-7:30pm.
Responsibilities
A day in the life of a
_Patient Access Specialist_ at Hackensack Meridian Health includes:
Qualifications
Education, Knowledge, Skills and
Abilities Required:
Education, Knowledge, Skills and
Abilities Preferred:
Licenses and Certifications Required:
Job ID _ _
Department _Admission Services_
Site _Hackensack University Med Cntr_
Job Location _US-NJ-Hackensack_
Position Type _Full Time with Benefits_
Standard Hours Per Week _40_
Shift _Evening_
Shift Hours _Evening_
Weekend Work _Every Other Weekend_
On Call Work _No On-Call Required_
Holiday Work _As Needed_