Centralized Access Rep I, Financial Clearance

Location: 2 Crescent Place, Oceanport, NJ 07757
Status: Full-Time, Hourly
Shift: Day

About the role

The Central Access Representative on the Financial Clearance Team plays a key role in the health system by interacting with patients, providers, payers and counterparts involved in each patient’s care. They ensure accuracy in all required demographic, referral/authorization, clinical, and other registration data is accurately scheduled, collected, verified, and communicated as a core competency of this role.

Functions include scheduling of hospital and physician services for all RWJBH sites, insurance verification, referral coordination, pre-certification, screening for financial counseling, eligibility determination, and pre-service estimate communication and collection of any required copays, deductibles or co-insurances. Collaborates, communicates and coordinates to create a positive experience through the entire patient access and revenue cycle flow.

A typical day might include:

• Work in a busy call center environment with measurable key performance indicator goals.
• Have empathy and understanding when supporting patients.
• Work through prior authorizations, ensuring patient care and experience.
• Demonstrate patience and empathy with excellent customer service skills.
• Show excellent computer skills working on multiple screens and using various technology.

This role might be for you if you’re interested in learning more about the medical field. You thrive in a busy environment and are detail oriented.

Responsibilities

• Ensure that appropriate standards of practice meet the needs defined in the organization’s mission for excellence and corporate compliance guidelines including and not limited to patient experience, privacy, safety, and revenue cycle policies.
• Support team and department goals.
• Support positive patient experience, safety, and revenue cycle outcomes.

Requirements

• High school education or equivalent with emphasis on computer literacy and communication skills.
• Customer service experience.
• Previous experience with Prior Authorizations or financial clearance experience.
• Knowledge of medical terminology, hospital financial systems, and insurance processes is preferred.
• Ability to work 37.5 to 40 hours per week, in a quiet distraction-free environment at home.
• Ability to commute to Oceanport, NJ as business needs may require.

Pay

The anticipated hourly wage range for this position is $21.07 - $26.22 per hour 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.

Benefits

• Generous Paid Time Off (Vacation, Holidays, Sick Time)
• Medical, Dental & Vision Insurance
• Prescription Drug Coverage
• Retirement Plans
• Paid Parental Leave
• Tuition Reimbursement
• Student Loan Planning Support
• Life and Disability Insurance
• Wellness Programs and Flexible Spending Accounts
• Voluntary Benefits (like Pet Insurance)
• Discounts with local partners (e.g., NJ Devils, NJPAC, Verizon)
• Community involvement and volunteer opportunities