Patient Access Representative

Job Title: Patient Access Representative

Location: Morris Cancer Center

Department Name: Patient Access Services

Req #: 0000244458

Status: Hourly

Shift: Day

Pay Range: $23.28 - $23.28 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 Specific Requirements

Admissions/Registration Interviews patients, relatives or other responsible persons in order to gather pertinent demographic and financial information

for processing,

Obtain required forms, signatures and copies of insurance cards and personal identification for guarantee of payment/assignment of

benefits,

Also issues copies of State of New Jersey Charity Care guidelines to all patients,

Obtains insurance information and initiates verification

process via third party clearinghouse,

Informs patient of Financial Responsibility and collects appropriate dollar amount for services to be rendered,

Scans copies of insurance card, proof of address and personal identification in compliance with hospital Red Flag Policy,

Completes Medicare

Questionnaire on all patients that are eligible,

Obtains required legal signatures or witnesses verbal consent according to departmental policy for all

admissions in a thorough and consistent manner,

Follows process to obtain written or verbal consent,

Demonstrates the ability to understand and

explain federal and state regulations including but not limited to Medicare Secondary Payer regulations for Medicare eligible patients, the New Jersey

Charity Care Program and Advance Directives, POLST, HIE/HIO,

Complies with all departmental procedures as they relate to Advance Directive,

POLST TOS Collections, latex allergy screening, and the Pneumonia Vaccination Program notification,

Accurately logs and scans all patient admission

specific paperwork, including orders, consults, history, physicals, etc,

Distributes and or delivers all completed paperwork and patient I,

D,

Cards,

In

accordance with processes according to Registration type, properly searches and assigns patient Medical Record numbers and account numbers,

Follows all department policies as they relate to complete and accurate patient registrations, Follows all downtime procedures accurately and efficiently,

Insurance and Medicare Reimbursement Competence: Demonstrates an understanding of the different Financial Classes and specific insurance

requirements for each,

Follows the Department criteria for financial screening of all registrations, including but not limited to Self Pay deposits and TOS

collections,

Knowledgeable of Registration Patient Types, Insurance Codes, and Financial Classes,

Ensures the proper distribution of patient

information pamphlets inpatient as well as outpatient, Medicare Notice and completion of Medicare Questionnaire,

Follows departmental procedure for

obtaining Medical License number and NPI for Physicians that are not currently on staff at RWJUH,

,

Properly records ICD-9/ICD-10 codes obtained

from scripts provided by office, follows up on scripts where diagnosis information is absent,

Patient Relations Without exception, employee must carry out the principles of positive guest relations by maintaining a good rapport and cooperative

working relationship with all patients, guests, hospital employees and physician offices by following and adhering to the Superior Patient Experience

Customer Service Agreement that was signed by all employees,

Greeting and acknowledging patients, guests and hospital employees by name,

immediately upon contact,

Exhibiting friendly helpful behavior by responding to the needs of patient s guests, hospital employees, and physician

offices,

Respects and protects the privacy of patient and guests and the confidentiality of information,

Upholds the Values of RWJUH at all times and

exemplifying the seven standards of behavior as documented on the Superior Patient Experience Customer Service Agreement,

Applies the knowledge

and skills necessary to provide care and information to the age of the patients served, which may include infants, pediatrics and adolescents (and their

parents or guardians), adult and geriatric patients,

Supports Departmental policies, practices, and initiatives,

Supports Organizational goals and

initiatives as they relate to the 4 Pillars of Qual Cost, Service, and Growth,

Participates in creating a positive environment,

Willingness to accept

additional responsibility,

Maintains a willing and flexible attitude,

Strives for personal performance excellence,

Adheres to departmental business casual

dress code and reports to work as scheduled,

Demonstrates fiscal responsibility by not wasting time or hospital resources,

Communicates any

concerns, suggestions and ideas to the supervisor in an open, respectful and responsive manner; attends and participates in staff meetings and other

meetings as assigned,

Self-Development Participates in staff in-services to develop competencies,

Shows initiative to read memos, E-mails, and access whatever tools are

available to them,

Utilizes internal and external resources to enhance skills and develop competencies,

Seeks out alternate assignments for additional

training,

Learns the competencies of the new area and is quickly able to function independently in that job function,

Adheres to Lean principles and

supports departmental initiatives to improve processes and practices,

Data Processing and Reporting Demonstrates proficiency in all HIS systems related to Access Management, including but not limited to: The accurate

entry of all data: a),

All forms dated and time documented appropriately,

b) All registration forms must be signed by Patient or Representative,

c)

Registrar should witness all forms and sign with entire signature,

(Signature must be legible) d) Subscriber code/Guarantor relationship entered

correctly,

e) Proper documentation of all missing and required patient information, including but not limited to: Patient identification, insurance cards,

advance directive, POLST, HIE/HIO, social security numbers, phone numbers, address, TOS collection, verbal consents, Medicare notice, and any

other pertinent information required and not obtained,

f) Access all inquiries including patient status, physician, registration date and nursing unit

Knowledgeable in all facets relating to downtime practices,

Able to access all patient inquires,

Including patient status, physician, registration date and

nursing unit Knows how to accurately search the MPI, assign medical record number, manage downtime medical record, and Optimum numbers,

Accepts and demonstrates an understanding of required information for an Admissions booking,

Corporate Compliance Ensures that appropriate standards of practice follow Corporate Compliance guidelines, acts in an ethical and legal manner, and

assures that all actions are in the best interest of the hospital,

Supports the goals and initiatives of the Department so that the results of accreditation

surveys and licensure reviews by NJSDOH and JCAHO are satisfactory,

Ensures results of Department CAPPS scores meet department goals,

Other Functions: Is responsible for maintaining supplies and stocking par levels, as assigned,

Responsible for ensuring patient reaches destination,

within the Hospital, safely and in a timely manner,

This entails either transporting the patient or obtaining an escort from Escort Services,

Exceeds

attendance expectations