Patient Access Specialist, Pediatric Hematology/Oncology Job at Hackensack Meridian Health
Overview:
As a Patient Access Specialist at the Children’s Cancer Institute at Hackensack Meridian Health (HMH), you will be responsible for patient registration, insurance verification, pre-certification, and facility based scheduling. In this position, you will play an important role in maintaining a positive patient experience and promoting HMH's quality standards.
Learn more about our Children's Cancer Institute here.
Responsibilities:
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Our team members are the heart of what makes us better. At
Hackensack Meridian
Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
As a Patient Access Specialist at the Children’s Cancer Institute at Hackensack Meridian Health (HMH), you will be responsible for patient registration, insurance verification, pre-certification, and facility based scheduling. In this position, you will play an important role in maintaining a positive patient experience and promoting HMH's quality standards.
Learn more about our Children's Cancer Institute here.
Responsibilities:
A day in the life of a Patient Access Specialist at Hackensack Meridian
Health includes:
- Implements the Medical Center's scheduling, pre-registration, pre-certification, referral procurement and insurance verification policies and procedures for the assigned outpatient point of service.
- Initiate real time eligibility query (RTE) on all eligible insurances. Must review RTE response to ensure correct plan code assignment and correct coordination of benefits to facilitate timely reimbursement.
- Performs insurance verification on all Inpatient and Outpatient services, and determines the patient's out of pocket responsibility via the EPIC Financial Estimator tool using the applicable data.
- Answers a high volume number of phone calls and responds in an appropriate/professional manner. Address and resolve any issues quickly/accurately.
- Ensures timely notification of admission to payers and refers accounts to Case Management for timely submission of Clinical Information to payer.
- Verifies pre-authorization requirements and follows up with both the referring physician's office and payer to ensure authorizations are on file for the scheduled procedure prior to the date of service.
- Works with patients to financially clear their account per policy at least 3 days prior to procedure. Resolves any issues with coverage and escalates any complications to supervisor/manager. Makes referrals to Financial Counselors if appropriate.
- Accurate and timely processing of all methods of acceptable payments such as cash/check/money order/credit card transactions. Reconciling daily cash drawer or shift payment transactions, depositing daily cash/check and providing patients with cash receipts, and/or service estimate.
- Obtains patient records, types and processes scheduling information included but not limited to copying, filing, faxing and answering phone calls in an accurate, efficient and professional manner.
Education, Knowledge, Skills and Abilities Required:
- High School Diploma or Equivalency.
- Minimum of 1+ years of experience in a hospital setting.
- Good written and verbal communication skills.
- Customer Service Oriented.
- Basic medical terminology knowledge.
- Prior registration/insurance verification experience.
- Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.
- Patient Financial services experience in a professional or hospital setting.
- Ability to work every other weekend.
- Ability to work three (3) out of six (6) holidays.
- Ability to work rotating schedules/shifts based on needs.
Education, Knowledge, Skills and Abilities Preferred:
- Bachelor's Degree and/or related experience.
- Minimum of 2+ years experience in a hospital setting.
- Excellent Analytical, written and verbal communication, and interpersonal skills.
- Proficient medical terminology knowledge.
- Knowledge of insurance specifications, ICD10 and CPT4 codes.
- Bilingual (i.e. Spanish or Korean).
- Experience with EPIC HB, Cadence, and Prelude.
Licenses and Certifications Required:
- Successfully complete EPIC Cadence and Prelude training and pass assessment that follows within 30 days after Network access is granted.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
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