Patient Access Specialist

Job Title: Patient Access Specialist

Location: MMC Southern Campus

Department Name: Patient Financial Services

Req #: 0000241683

Status: Hourly

Shift: Day

Pay Range: $21.23 – $26.60 per hour

Pay Transparency:

The above reflects the anticipated hourly wage range for this position 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.

Job Overview:

The Patient Access Specialist is responsible for process and volume management to identify opportunities that minimize financial risk. The Patient Access Specialist position plays a key role in Patient Access by ensuring all steps are taken to financially secure accounts prior to or during service.

Qualifications:

Required:

• High School Diploma or equivalent
• Advanced Excel experience required

Preferred:

• Medical insurance verification and authorization experience preferred
• Minimum 5 years in Patient Access experience preferred
• Extensive knowledge of payer authorization requirements
• Medical terminology and computer skills

Scheduling Requirements:

• Full-Time, Days
• Monday-Friday, 8am-4:30pm
• Training includes two days of orientation, three days Revenue Cycle training 8:30am-5pm, three days EPIC Training in Oceanport, NJ 8am-4:30pm

Essential Functions:

• Comfortable communicating with patients, providers, and insurance companies to initiate, update and append authorization to support financial outcomes
• Demonstrates proficiency in the entire pre-admission, registration, and financial clearance process
• Reviewing and analyzing volume and data to identify issues and opportunities to make recommendations for changes that support process improvement
• Act as a liaison for streamlined throughput; and collaborate with clinical/departmental counterparts to ensure financial, safety and patient experience goals are met
• Identify appropriate data set for review/assignment
• Volume/schedule management to analyze financial clearance risk
• Determine the appropriate party responsible for follow-up to make a financial clearance determination
• Assign follow-up to departmental champion, or pursue follow-up of unsecured volume for review and escalation to payer and/or provider for resolution
• Audits end user activities to provide in-depth quality analysis and participates in communication for re-education opportunities
• Provides summary of findings to leadership as part of overall action planning

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:

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