Centralized Access Rep II, Financial Clearance (Surgical and Oncology Authorizations), Hybrid, NJ

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.

• 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.
• 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.

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