Patient Access Representative I

Req #: 0000188171

Category: Billing/Collections/Registration

Status: Full-Time

Shift: Day

Facility: Clara Maass Medical Center

Department: Emergency Dept Access Service

Location:

Clara Maass Medical Center, 1 CLARA MAASS DRIVE, BELLEVILLE, NJ 07109

Job Overview:

The Patient Access Representative I position plays a key role in the health system and in providing excellent customer service while ensuring timely throughput and capturing all necessary data timely. The Patient Access Representative I is responsible to greet all patients in a timely and friendly manner and to provide a safe and secure environment for the patient during the registration process.

Qualifications:

Required:

• High School Diploma
• Customer service experience

Preferred:

• Patient Access experience
• Knowledge in all aspects of registration, Non-Federal and Federal billing regulations, and state programs such as Charity Care
• Medical terminology and computer skills

Scheduling Requirements:

• Shift: Days 8:00am-4:00pm
• Monday through Friday, with every other weekends and holidays
• Full-Time, 37.5 hours per week

Essential Functions:

• Provides excellent customer service to all patients, colleagues and other external and internal customers
• Interviews patients, family members and other responsible parties to gather pertinent demographic and financial information, for scheduling , pre-registration and/or registration based on assigned work
• Obtains and accurately documents all demographic information
• Obtains insurance information and initiates the verification process via third party clearinghouse
• Completes verification of coverage of all insurances and financial clearance activity has been completed
• Meets and exceeds department goals including accuracy, point of service collections and productivity
• Ensures all required forms are provided, reviewed, properly explained and signed by the patient or an approved person on behalf of the patient
• Informs patient of financial responsibility and collects appropriate dollar amount for services to be rendered; issue receipt and completes daily reconciliation of all cash collections
• Provide back-up support to hospital cashier and complete cashier functions, as assigned
• Completes Medicare Questionnaire on all patients that are eligible
• Responsible to review all work queues daily and take the required actions to update the information, correct errors and ensure that the account is accurate for billing
• Responsible to place patients in the appropriate bed and maintain the accuracy of the bed board system by tracking bed assignments through bed tracking system and to ensure timely and appropriate movement of patients within the hospital; as assigned
• Demonstrates proficiency in the entire pre-admission, registration, and financial clearance processes
• Demonstrates a high level of efficiency, accuracy and productivity
• Verifies accuracy of patient demographic information to avoid duplicating a medical record
• Follows department procedures when a duplicate medical record assignment is made
• Complies with organizational policies on Advance Directives and Patient Rights
• Provides patients with all regulatory documents, obtain required signatures, and witnesses all patients signatures
• Maintains department productivity by asking for additional duties when patient flow permits
• Makes customer needs a priority. Provides direct observation of the customer service being performed by other organizational members and reports issues to the supervisor/director
• Demonstrates initiative and motivation in role; proactively identifies and resolves problems in an appropriate manner and escalates issues to leadership when necessary
• Reflects commitment to building a supportive work environment and maintains a positive attitude
• Works closely and professionally with nursing and ancillary departments to foster a team environment
• Participate in training through the development of training tools, presentations at department in-services or staff meetings, or through the training of registration staff outside of the patient access department
• Other duties as assigned
• Utilize AIDET:
• Acknowledge your patient with every encounter, smile, make eye contact, call the patient by name
• Introduce yourself and tell patients about your education, training and competency
• Duration of the activity or conversation needs to be stated, Let patients know how long something is likely to take
• Explain what you are doing. This will help to put the patient at ease.
• Thank you, tell your patients it was a pleasure to serve them and thank them for choosing our hospital to receive their care

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, 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

RWJBarnabas Health is an Equal Opportunity Employer

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