- High School Diploma required
- Minimum of 5 years in Patient Access role
- Full Time
- Monday Friday 8:00am 4:30pm
- Provides excellent customer service to all patients, colleagues and other external and internal customers
- Strong understanding of prior authorization requirements for various services
- Experience in authorization submission workflow and related technology (Real Time Authorization, Payer portals, TPA authorization forms, Call to payers to update/upgrade existing authorization
- Communicate clearly with clinical staff and payer representatives to authorize services
- Review script and/or medical service documentation to ensure authorizations match services provided
- Interviews patients, family members and other responsible parties to gather pertinent information
- Meets and exceeds department goals including accuracy and productivity
- Demonstrates proficiency in the entire pre-admission, registration, and financial clearance processes
- Demonstrates initiative and motivation in role; proactively identifies and resolves problems in an appropriate manner and escalates issues to leadership when necessary
- Utilize system generated reports to analyze data
- Analyze denial data to determine root cause, identify issues and areas of opportunity
- Create tracking and trending reports
- Provide summary findings and recommendations to leadership teams
- Assist with creating action plans to address and resolve issues pertaining to incorrect insurance and authorization denials
- Develop reports to quantify the value and financial risk for each area
- Audit and review work flow, patient processing and quality standards
- Reflects commitment to building a supportive work environment and maintains a positive attitude
- Works closely and professionally with clinical staff and ancillary departments to foster a team environment
- Participate in training through the development of training tools, presentations at department in-services or staff meetings, or through the training of registration staff outside of the patient access department
- Other duties as assigned
- Paid Time Off (PTO)
- Medical and Prescription Drug Insurance
- Dental and Vision Insurance
- Retirement Plans
- Short & Long Term Disability
- Life & Accidental Death Insurance
- Tuition Reimbursement
- Health Care/Dependent Care Flexible Spending Accounts
- Wellness Programs
- Voluntary Benefits (e.g., Pet Insurance)
- Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more
-
Patient Access Specialist
1 week ago
Spectrum Health Trenton, United States Full timeJob SummaryUnder the direction of the Manager of Patient Access, this position is accountable for registering patients in an accurate and timely manner by obtaining individual identifying and biographical data following appropriate check in processes. This position rotates depart ...
-
Patient Access Specialist
2 weeks ago
Spectrum Health Trenton, United States Part timeJob SummaryUnder the direction of the Manager of Patient Access, this position is accountable for registering patients in an accurate and timely manner by obtaining individual identifying and biographical data following appropriate check in processes. This position rotates depart ...
-
Patient Access Specialist
3 weeks ago
RWJBarnabas Health Trenton, United StatesPatient Access SpecialistReq #: · Category:Billing/Collections/Registration · Status:Full-Time · Shift:Day · Facility:RWJ Hamilton · Department:Patient Access Services · Location: · RWJUH Hamilton Hospital, One Hamilton Health Place, Hamilton, NJ 08619 · Job Overview: · The Pati ...
-
Accessibility Digitization Specialist
2 weeks ago
Princeton University Princeton, United StatesOverview · seeks an experienced and motivated accessibility digitization specialist with a strong public service orientation to work in the Fulfillment Services Unit of the Content Access Department of Princeton University Library. The accessibility specialist serves as the Lib ...
-
Access Specialist
2 weeks ago
Oaks Integrated Care Cherry Hill, United StatesJoin our team today and immerse yourself in a rewarding career for years to come · As an Access Specialist, you will work with our Access and Admissions teams to facilitate linkage into our many clinical mental health and substance use treatment programs. You will consider a var ...
-
Senior Accessibility Specialist
1 week ago
Tech Brains Solutions, Inc. Princeton, United StatesRole: Senior A11y Specialist (SME) · Location: Princeton, NJ · Work Model: Hybrid (3 days onsite and 2 days remote/WFH) · Role Type: Right to Hire/Contract to Perm · Technical Skills Required:Proven track record of directly advising clients about inclusive design and digital ...
-
Senior Accessibility Specialist
2 weeks ago
Tech Brains Solutions, Inc. Princeton, United StatesJob Description · Job DescriptionRole: Senior A11y Specialist (SME) · Location: Princeton, NJ · Work Model: Hybrid (3 days onsite and 2 days remote/WFH) · Role Type: Right to Hire/Contract to Perm · Technical Skills Required:Proven track record of directly advising clients about ...
-
Senior Accessibility Specialist
1 week ago
Tech Brains Solutions, Inc. Princeton, United StatesRole: Senior A11y Specialist (SME) · Location: Princeton, NJ · Work Model: Hybrid (3 days onsite and 2 days remote/WFH) · Role Type: Right to Hire/Contract to Perm · Technical Skills Required:Proven track record of directly advising clients about inclusive design and digital a ...
-
Benefits Access Specialist
3 weeks ago
City of Philadelphia Philadelphia, United States Full timeJob Description · Position Summary · The Benefits Access Specialist – Benefits Access team member plays an essential role in enhancing the services provided by the Office of Community Empowerment and Opportunity (CEO) to low-income families. The Benefits Access Mobile Unit, par ...
-
Accessibility Specialist
13 hours ago
Srishtibiz Princeton, United States**Role**: Senior Accessibility (A11y) Specialist (Onsite) · **Location**: Princeton, NJ. · **Role Type**:Long TermContract · **Technical Skills Required**: · - Proven track record of directly advising clients about inclusive design and digital accessibility standards and best pra ...
-
Senior Accessibility Specialist
2 weeks ago
Tech Brains Solutions, Inc. Edison, United StatesJob Description · Job DescriptionRole: Senior A11y Specialist (SME) · Location: Edison, NJ · Work Model: Hybrid (3 days onsite and 2 days remote/WFH) · Role Type: Right to Hire/Contract to Perm · Technical Skills Required:Proven track record of directly advising clients about in ...
-
Patient Access Specialist
1 hour ago
ABHS Marlton, United StatesMonday-Friday · 10:30AM-7:00PM · The Patient Access Specialist is tasked with being a primary point of contact when anyone reaches out for help. They are responsible for coordinating various scheduling tasks for client appointments, while providing facility and program informatio ...
-
Patient Access Specialist
16 hours ago
ADVANTAGE BEHAVIORAL HEALTH Marlton, United StatesAdvantage Behavioral Health is the parent company to Harmony Bay and Victory Bay providing Behavioral Health and Management Services across the United States. Our mission is to provide convenient and affordable behavioral health services while creating an unmatched experience for ...
-
Benefits Access Specialist
4 weeks ago
Philadelphia Housing Authority Philadelphia, United StatesA best-in-class city that attracts best-in-class talent, Philadelphia is an incredible place to build a career. From our thriving arts scene and rich history to our culture of passion and grit, there are countless reasons to love living and working here. With a workforce of over ...
-
Pt Access Intake Specialist I
1 week ago
Deaconess Health System Princeton, United States Part time - 48 - DaySummary · Join our Team · We are looking for a compassionate, caring and dedicated Patient Access Intake Specialist to join our team and help us continue our tradition of excellence. · Benefits · We pride ourselves in retaining our top talent by offering work environments t ...
-
Accessibility Digitization Specialist
2 weeks ago
Princeton University Princeton, United StatesOverview · Princeton University Library seeks an experienced and motivated accessibility digitization specialist with a strong public service orientation to work in the Fulfillment Services Unit of the Content Access Department of Princeton University Library. The accessibility s ...
-
CALL CTR SPECIALIST ACCESS
4 weeks ago
Tuhs Philadelphia, United States:Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services. Handles complex scheduling requests through various channels while utilizing numerous protocols and verification ...
-
Senior Accessibility Specialist
1 week ago
Tech Brains Solutions, Inc. Edison, United StatesRole: Senior A11y Specialist (SME) · Location: Edison, NJ · Work Model: Hybrid (3 days onsite and 2 days remote/WFH) · Role Type: Right to Hire/Contract to Perm · Technical Skills Required:Proven track record of directly advising clients about inclusive design and digital acc ...
-
Access Center Specialist
1 week ago
Visiting Nurse Association of Central Jersey Holmdel, United StatesOverview: · The VNA Health Group-Moving Health Care Forward · We are currently looking for Access Center Specialist to join our team. The position would be responsible for handling all incoming calls to the agency and providing a warm transfer to other departments when appropri ...
-
Access Center Specialist
1 week ago
VNA Health Group Holmdel, United StatesThe VNA Health Group-Moving Health Care Forward · We are currently looking for a Per Diem Access Center Specialist to join our team. The position would be responsible for handling all incoming calls to the agency and providing a "warm transfer" to other departments when appropri ...
Patient Access Specialist - Trenton, United States - RWJ Barnabas
Description
Job Overview:
The Patient Access Specialist supports the Patient Access Department by providing key operational functions to identify opportunities and minimize risk.
The Patient Access Specialist position plays a key role within the health system by ensuring all steps are taken to financially secure accounts prior to or during service.
A core function of this position is to ensure that authorization requirements are met prior to service.The Patient Access Specialist provides direct and indirect support to department by analyzing data to identify issues and opportunities, reduce denials and improve processes.
The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols for obtaining and confirming appropriate authorization for the clinical services rendered and minimizing financial risk.
The Patient Access Specialist has extensive knowledge of payer requirements and is able to clearly understand and articulate with clinical and non-clinical staff.
Qualifications:
Required:
Preferred:
Extensive knowledge of payer authorization requirements
Knowledge in all aspects of Patient Access work flows
Advanced Excel experience required
Medical terminology and computer skills
Scheduling Requirements:
Essential Functions:
Benefits and Perks:
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.
RWJBarnabas Health is the premier health care destination providing patient-centered,
high-quality academic medicine in a compassionate and equitable manner, while delivering
a best-in-class work experience to every member of the team.
We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time.
As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey.From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state.
We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
Equal Opportunity EmployerRWJBarnabas Health is an Equal Opportunity Employer
