Jobs · Healthcare · New Jersey

Patient Access Asso Level I

AtlantiCare · Atlantic City, NJ · 1 mo ago
On-siteHealthcareFull-time
We need to output HTML fragment with sections: About the role? The posting includes "POSITION SUMMARY", "PRINCIPAL DUTIES AND JOB RESPONSIBILITIES", "QUALIFICATIONS", "WORK ENVIRONMENT", "About Us" (benefits). Also "Minimum Qualifications" earlier. We need to use

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We should map content accordingly. We must not repeat job title as heading. No Job ID etc. Remove boilerplate. We need to preserve all substantive info. Not invent or summarize away detail. Remove duplicated lines. We need to include sections only when posting has real specific content. Pay and Schedule not present, so omit those sections. Benefits present (About Us Total Rewards). So include Benefits section. We need sections: About the role (maybe from POSITION SUMMARY). Responsibilities (PRINCIPAL DUTIES...). Requirements (Minimum Qualifications? maybe combine with Qualifications). Qualifications (Education and Experience, License/Certification). Skills (Knowledge and Skills). Benefits (About Us). Possibly Work Environment could be part of Requirements or separate? Not listed as a standard heading but we could include under Requirements or maybe as its own section? The instruction says use headings for those specific ones; we can add others? It says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but better to stick to those. We can incorporate Work Environment into Requirements or Qualifications? Probably Requirements includes minimum qualifications and work environment? Might be okay to add a separate section like "Working Conditions" but not in list. Safer to incorporate into Requirements or Qualifications. We need to avoid filler like "commensurate with experience". Not present. We need to output only HTML fragment. Let's extract content. Minimum Qualifications bullet list: - High school diploma or equivalent - Ability to communicate effectively both verbally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources. - 0-1 year experience in healthcare registration or relevant customer service environment - Knowledge of general computer and data entry functions - Excellent communication, organizational and analytical skills - Excellent customer service skills with internal and external customers - Ability to keep up in very fast paced environment POSITION SUMMARY paragraph: The Patient Access Associate I will perform duties after an eight week training program under the supervision of the Patient Access Leadership Team and Revenue Cycle Quality & Assurance Training Team. This position is a customer service champion responsible for delivering great customer service at each entry point throughout the health system. This position supports organizational goals by providing high level, quality customer service, participating in performance improvement efforts, demonstrating a commitment to teamwork and cooperation while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services from all sources. PRINCIPAL DUTIES AND JOB RESPONSIBILITIES bullet list (many). We need to preserve all. Let's extract bullet points: - Responsible for the patient pre-registration, registration, general admissions, and financial assistance processing. - Will be knowledgeable of state and federal government funding programs such as Medicare, Medicaid, TRICARE/CHAMPUS, Workers' Compensation; No Fault Auto, and commercial insurance payers. - Will be knowledgeable of billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; insurance terminology; basic medical terminology, EMTALA, HIPAA privacy, and compliance practices. - Ensures all demographic and insurance information is obtained and correct, and scans IDs and insurance cards, as needed. Sends query for insurance eligibility information provided by the patient and/or representative to validate eligibility and benefit information and accurately document in the registration system. Informs patient of insurance in/out of network status, as appropriate. Accurately completes the Medicare Secondary Payer Questionnaire on all Medicare eligible patients. - Verifies insurance information through payor contact via telephone, online resources, or electronic verification system. - Responsible for verifying diagnosis codes and completing medical necessity checks for Medicare. The Patient Access Associate I must have basic knowledge of ICD-10 in order to ensure accurate diagnosis entry for reimbursement. - Identifies and obtains payor authorizations, pre-certifications, and/or referrals. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. Responsible for communicating to service line partners of situations where rescheduling is necessary due to lack of authorization and/or limited benefits and is approved by clinical personnel. - In working inpatient accounts, is held responsible for timely notification to payers of the patient's admission to the facility. - Identifies all patient financial responsibilities, calculates estimates, collects all payments due, including current estimated liabilities, outstanding balances and self-pay deposits, posts payment transactions in the system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. Responsible for all estimates requested for consumer shopper comparison. - Appropriately collects and/or sets payment arrangements with patients of their representative, scheduling payments on deposits due, which may include screening of patients for enrollment in available credit option programs. Documents all attempt for collections, using approved verbiage, timely, and consistently. Proactively seeks assistance to improve collections. - Ensures all patients with questions or concerns regarding their bills are referred to the appropriate resource, to include initiation of financial counseling, when appropriate. - Documents pertinent activity on the patient account via notes. - Maintains a current and thorough knowledge of utilizing online and system tools available, working from manual reports during system downtime. - The Patient Access Associate I communicates and collaborates with Patient Access team members and other ancillary departments as needed. - Attends all required training and in-services and passes all competency tests associated with the in-services. - May be responsible for additional duties as assigned with respect to the Patient Access job scope. QUALIFICATIONS section includes EDUCATION AND EXPERIENCE, LICENSE/CERTIFICATION, KNOWLEDGE AND SKILLS, PERFORMANCE EXPECTATIONS, WORK ENVIRONMENT. We need to map to headings: Requirements (maybe Minimum Qualifications + Education and Experience). Qualifications (maybe License/Certification). Skills (Knowledge and Skills). Performance Expectations could be part of Requirements or Qualifications? Might be better to include under Requirements as well. But we have limited headings. We could create sections: About the role (POSITION SUMMARY). Responsibilities (PRINCIPAL DUTIES...). Requirements (Minimum Qualifications + Education and Experience + Work Environment). Qualifications (License/Certification). Skills (Knowledge and Skills + Performance Expectations). Benefits (About Us Total Rewards). Ensure no duplication. We must preserve all substantive info; avoid repeating same bullet points. Let's extract Education and Experience: - High school diploma or equivalent required. - 0-1 year experience in Healthcare registration or relevant customer service environment required. - Previous experience in a physicians' office or hospital setting is preferred. - The Patient Access Associate I can perform job duties based on department procedure and protocol; may require direct oversight License/Certification: - Healthcare Financial Management Association - HFMA (CRCR) Certified Revenue Cycle Representative certification preferred, not required Knowledge and Skills (from earlier list plus performance expectations): - Ability to communicate effectively both verbally and in writing is sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources is required. - Knowledge of general computer and data entry functions required. - Excellent communication, customer service, organizational and analytical skills required. - Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment. Ability to keep up in very fast-paced environment required. - Candidates must continuously display professionalism, courtesy and respect to all customers that always mirror AtlantiCare's Values/Behaviors. - Candidate must have reliable means of transportation. - Bilingual preferred. Performance Expectations: - Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position. - Must pass annual recertification with score of 95% or better. This requirement is expected to be maintained every year. Staff members will be required to re-take training and exam until they obtain the appropriate grade or disciplinary action will be taken in regards for performance. - Maintains a high accuracy rate of 98% or higher and established productivity rates for Key Performance Indicators (KPI) such as cash collections wait and TAT times, pre-registration and registration productivity. - The Patient Access Associate has the opportunity for advancement to Patient Access Associate II if all of the above requirements are satisfied and the Patient Access Associate has been in the role for 15 months. Work Environment: - Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury. - This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday. This position also requires pushing and pulling computers on wheels approximately up to 100% of the day if assigned to the Emergency Department or Labor and Delivery. High volume fast-paced environment. - High volume fast-paced environment. (duplicate) - The essential functions for this position are listed on the Assessment and Evaluation Tool. The above statement reflects the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position. We need to avoid duplicate lines. We'll combine. Now Benefits section from About Us: - Generous Paid Time Off (PTO) - Medical, Prescription Drug, Dental & Vision Insurance - Retirement Plans with employer contributions - Short-Term & Long-Term Disability Coverage - Life & Accidental Death & Dismemberment Insurance - Tuition Reimbursement to support your educational goals - Flexible Spending Accounts (FSAs) for healthcare and dependent care - Wellness Programs to help you thrive - Voluntary Benefits, including Pet Insurance and more - Benefits offerings may vary based on position and are subject to eligibility requirements. Also preceding paragraph: "At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:" We can include that as prose before list. Now construct HTML. We'll use

for each section heading. Section order: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits. Inside each, use

for prose,

  • for lists. We must not include job title heading. Let's craft. About the role: use POSITION SUMMARY paragraph. Responsibilities: list all duties bullet points. Requirements: combine Minimum Qualifications bullet list + Education and Experience bullet list + Work Environment bullet list (maybe as prose). Ensure no duplication: Minimum Qualifications and Education and Experience have overlapping items (high school diploma, 0-1 year experience, ability to communicate, computer knowledge, excellent communication, organizational, analytical, customer service, fast-paced). We'll need to deduplicate. Let's create a unified list without repeats. List items from Minimum Qualifications: - High school diploma or equivalent - Ability to communicate effectively both verbally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources. - 0-1 year experience in healthcare registration or relevant customer service environment - Knowledge of general computer and data entry functions - Excellent communication, organizational and analytical skills - Excellent customer service skills with internal and external customers - Ability to keep up in very fast paced environment Education and Experience: - High school diploma or equivalent required. (duplicate) - 0-1 year experience in Healthcare registration or relevant customer service environment required. (duplicate) - Previous experience in a physicians' office or hospital setting is preferred. - The Patient Access Associate I

Similar jobs

Patient Access Assoc I

R1 RCMSalt Lake City, UT· 3 mo ago
Healthcare$16.12–$23.21/hrapply on r1rcm.wd1.myworkdayjobs.com

Patient Access I

Wentworth-Douglass HospitalDover, NH· 2 mo ago
Healthcare$17.71–$25.28/hrapply on massgeneralbrigham.wd1.myworkdayjobs.com