Patient Access Representative

Job Overview:

Responsible for providing exemplary customer service while interacting with all customers internal and external. Performs patient interviews. Participates in the Admission Intake. Completes pre-determination |financial clearance for all new and recurring patients. Contacts insurance companies to determine patient s benefits and will suggest other sources of funding to maintain the patient continuum of care. Communicates with Clinicians, Team Leads, and Manager of Payer Services IV&A. Verifies registration information for patients ensuring that all information is in the hospital information system is accurate and complete.

Qualifications:

Required:

• Some college or equivalent preferred. Minimum of one to five years of hospital financial experience either in Patient Access Services or Patient Financial Services

Preferred:

• Flexible, hardworking individual with the ability to manage multiple tasks. Must be self-motivated and work well in a team environment. Excellent customer services skills. Healthcare|insurance background preferred. Sound problem solving and communication skills. Ability to professionally inter-relate with people (i.e., parents, staff, patients, Managed Care Organizations, outside agencies, etc.) familiarity with computer software packages (Microsoft Office). Ability to organize and follow specific instructions. Maintain patient confidentiality. Knowledge of NJ financial programs (Medicaid, Charity Care). The competence to communicate a financial plan for the patient.

Scheduling Requirements:

• Monday

• Friday

• 9:00am

• 5:30pm

Essential Functions:

• Assures and completes a pre-determination for insurance coverage for all new and recurring outpatients seeking services at CSH. These service lines include Occupational, Physical, Speech Therapy, Psychology, Chronic Pain Evaluations, Botox and Alcohol Blocks. Will inform families of their financial responsibility (if any) and insurance benefits

• Works with Payer Services department for per diem negotiation for individual patients with their respective insurance company|managed care organization

• Notifies parents of availability of financial assistance programs. Specifically: NJ FamilyCare, CSH Benefit Fund. Distributes application and follows up as necessary

• Serves as liaison between Payer, Patient Accounts, Therapist, Clinician, and the Patient s parent|guardian with respect to financial issues

• Maintains Authorizations and re-authorizations, notifies clinical departments of authorization status and the need for re-authorization when necessary. Notifies parents of authorization status as necessary

• Maintain an organized financial record for all patients interviewed. Provides detailed notes in the hospital information system as documentation of all contact with payers, and|or parents

• Informs the clinical area|patient care coordinators and parents of any denials.

• Other tasks assigned by management

Please Note: The first-round interview for this position is a digital, on demand interview through the HireVue platform. Click the hyperlinks here to learn more about