Job Overview:

The Central Access Representative position plays a key role in the health system interacting with patients, providers, payers and counterparts involved in each patients care.

• Supports clinic and outpatient chemotherapy services
• Ensures accuracy in all required demographic, financial, referral/authorization, clinical, and other registration data is accurately scheduled, collected, verified, and communicated as a core competency of this role.
• Coordinates with the physician or nurse as needed to obtain clinical information.
• Supports departmental policies, practices, and initiatives in support of patient experience, throughput, safety standards and revenue cycle outcomes.
• Functions include scheduling of hospital and physician services for all RWJBH sites, pre-registration/registration, pre-admission/admission, insurance verification, referral coordination, pre certification, screening for financial counseling, eligibility determination, and pre-service estimate communication and collection of any required copays, deductibles or co-insurances..
• Collaborates, communicates and coordinates to create a positive experience through the entire patient access and revenue cycle flow.
• Ability to support peer leadership to meet department goals including training delivery, assignment support, escalation and troubleshooting to support operations.

Qualifications:

Required:

• High school education or equivalent with emphasis on computer literacy and communication skills.
• Customer service experience required
• Knowledge of medical terminology, hospital financial systems, and insurance processes
• 2+ years of relevant experience in patient access
• Proficient in multiple functions within patient access and revenue cycle
• Successful completion of all training orientation programs required

Essential Functions:

Accurately performs all the appropriate tasks to completion for data capture and entry

• Accurately performs all the appropriate tasks to completion for hospital/physician scheduling, pre-registration, and financial clearance.
• Follows departmental processes and procedures in support of accuracy, safety, patient experience and revenue cycle outcomes.

Supports Department Goals

• Meets individual productivity and quality expectations in all job functions.
• Supports team and department goals.
• Supports positive patient experience, safety, and revenue cycle outcomes.

Adheres to all policy, regulatory and compliance guidelines

• Ensures that appropriate standards of practice meet the needs defined in the organizations mission for excellence and corporate compliance guidelines including and not limited to patient experience, privacy, safety, and revenue cycle policies.

Communication and Documentation

• Ensure all account documentation is accurate and complete for all system tasks.
• Demonstrates professionalism with patients, visitors, providers, payers, and colleagues.
• Communicates to superiors when supplies, systems, tools and/or workflow processes needed to do their job are not sufficient.
• Works collaboratively across teams, with peers, and revenue cycle departments.
• The list of essential functions is not exhaustive and will be supplemented as necessary.

Growth and Development

• Participates in staff meetings and in-services.
• Completes all required training.
• Demonstrates initiative to develop skills.
• Maintains a positive, professional, and flexible attitude.

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.