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Health Access Representative
Mercer County Works
Princeton, UAE
Full Time
Entry
3 weeks ago
Patient RegistrationInsurance VerificationMedical TerminologyCustomer ServiceData CollectionMicrosoft Office
Free
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Patient RegistrationInsurance VerificationMedical Terminology
About the Role
Mercer County Works seeks a Health Access Representative to obtain patient demographic, diagnosis, and insurance information, register patients, and ensure compliance with regulatory guidelines.
Key Skills for This Role
Patient RegistrationInsurance VerificationMedical TerminologyCustomer ServiceData CollectionMicrosoft Office
Responsibilities
- Obtain demographic, diagnosis, and insurance information on each patient registration
- Register established goal of minimum required patients per employee shift
- Present forms and obtain signatures using approved scripts
- Comply with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, etc.
- Follow payer requirements for authorization, pre authorization, referrals, coordination of benefits
- Follow Financial Screening and Self Pay Procedure for Medicaid and Charity Care referrals
- Support department performance improvement initiatives
- Assist with data collection in support of quality performance improvement initiatives
- Attend department meetings
- Follow patient identification policy
- Act as a resource for Patient Access department
- Act as a liaison for physician office and ancillary departments
Requirements
- High school diploma or GED
- One year experience in a healthcare setting or one year customer service experience
- Acquired knowledge of various areas within Health Access environment
- Medical terminology and medical insurance knowledge preferred
- Basic computer skills
Full Job Posting
Responsibilities
- Obtains demographic, diagnosis, and insurance information on each patient registration.
- Registers established goal of minimum required patients per employee shift as measured by productivity reports.
- Presents forms and obtains signatures using approved scripts.
- Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms.
- Follows payer requirements for authorization, pre authorization, referrals, coordination of benefits forms, and in network verification.
- Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
- Supports department performance improvement initiatives.
- Assists with data collection in support of quality performance improvement initiatives.
- Attends department meetings.
- Follows patient identification policy.
- Acts as a resource for Patient Access department.
- Acts as a liaison for physician office and ancillary departments.
Requirements
- High school diploma or GED.
- One year experience in a healthcare setting or one year customer service experience.
- Acquired knowledge of various areas within Health Access environment.
- Medical terminology and medical insurance knowledge preferred.
- Basic computer skills.
- Frequent physical demands include: Sitting, Standing, Walking, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion.
- Occasional physical demands include: Climbing, Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl.
- Continuous physical demands include: Talk or Hear.
- Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
Our Network
- Offers are contingent upon successful completion of onboarding process and pre employment physical.
- Capital Health will require all applicants to have an annual flu vaccine, with exceptions for medical and religious exemptions.
- Company will never ask candidates for social security numbers or date of birth during application phase.
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