Patient Access Representative II

Job Title: Patient Access Rep II

Location: Ambulatory Care Center

Department Name: Radiology Support Services

Req #: 0000250798

Status: Hourly

Shift: Day

Pay Range: $22.17 - $27.54 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.

The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.

Job Overview:

To accurately and promptly collect all pertinent information at the initial point of registration to insure the proper billing occurs, which will enhance timely cash flow and reduce the days in accounts receivable. Performs all duties assigned by management.

Qualifications:

Required:

• High School Diploma or General Education Equivalent (G.E.D.)
• Knowledge of medical terminology, insurance verification, and billing processes
• Willingness to work flexible hours, including weekends and holidays
• Proficiency in computer skills, including experience with electronic medical records
• Strong communication skills

Preferred:

• Post-Secondary Degree in Healthcare Administration
• Certification as a Certified Healthcare Access Associate (CHAA)

Scheduling Requirements:

• Day shift, 6:30am-2:00pm
• Monday through Friday, & rotating Saturdays
• Full-Time, 37.5 Hours Per Week

Essential Functions:

• Accurately obtains and enters all patient demographic and insurance information into the computer system. Reviews computer edit checks and screens to verify accuracy and completeness.
• Assesses patient insurance coverage to determine financial screening needs or deposit requirements. Refers all self pay patients to a financial counselor.
• Collects and scans in RASI all necessary documents to ensure that all information is received at point of service. ( ie insurance cards, ID, referrals, authorizations, signed prescriptions)
• Collects deposits for all self pay patients prior to testing.
• Compares existing demographic/insurance information to current data to verify if information has changed and adjusts the data as needed. After verification of information by patient, places an ID band on patient’s wrist when required.
• Has patient sign a waiver of financial responsibility if unable to determine if an authorization is required or a required authorization is unavailable.
• Inquires if any patient over 18 has an Advance Directive. Answers are documented on both the admission consent form as well as SMS. If available, Advance Directive is scanned into RASi and a copy sent to the nursing unit.
• Insures every patient signs: General Admission Consent, Important Message from Medicare, Patient Acknowledgement Re Physician Services, DOBI Consent. This includes going up to the nursing floors for patients that were transferred from other facilities. Insures all signed documents are scanned into RASI. Gives patient copies of all signed documents which includes patient rights, privacy notice and discharge policies.
• Maintains all CPAR standards including but not limited to QA, CEUs, and yearly certification.
• Performs medical necessity checks for all Medicare outpatients prior to testing and has patient sign an ABN for any test that does not meet medical necessity.
• Requests payment of the insurance co pay and deductible when appropriate. Forwards all payments to the cashier for proper posting to patient’s account.
• Rotates to other positions to meet the needs of the department.
• Verifies that patients have required authorizations/referrals prior to sending them for testing. Documents all information in SMS.
• Works with management to insure that the front end process enhances and streamlines the work flow in all related departments.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.

Benefits and Perks:

At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees’ physical, emotional, financial, personal, career, and community wellbeing.  These benefits and resources include, but are not limited to:

• Paid Time Off including Vacation, Holidays, and Sick Time
• Retirement Plans
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Disability and Life Insurance
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Community and Volunteer Opportunities
• Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon
• ….and more!

Choosing RWJBarnabas 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 Employer