Patient Access Representative II

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

• 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

Scheduling Requirements

• Day shift, 11:30am-4:30pm
• Monday through Friday, rotating Saturdays (6:30am-2:00pm)
• Part-Time, 25 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.
• Collections 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)
• Collections deposits for all self pay patients prior to testing.
• 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

• 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

Equal Opportunity Employer

RWJBarnabas Health is an Equal Opportunity Employer