Patient Access Representative

Job Title: Patient Access Representative

Location: RWJUH Somerset

Department Name: Breast Center

Req #: 0000255598

Status: Hourly

Shift: Day

Pay Range: $24.10 - $24.10 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.

The Patient Access Representative plays a vital role in creating a positive first impression for our patients by delivering compassionate, patient- centered service. This position is responsible for accurately registering patients, verifying insurance, obtaining required documentation, collecting applicable payments and ensuring a seamless registration experience. The representative serves as the first point of contact for patients and families, providing exceptional customer service during stressful and urgent situations.

As a Patient Access Representative, a typical day might include:

• 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
• Issues copies of State of New Jersey Charity Care guidelines to all patients
• Obtains insurance information and initiates verification process via third party clearinghouse
• Photocopies 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 this verbal or written 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
• Complies with all departmental procedures as they relate to Advance Directive, latex allergy screening, and the Pneumonia Vaccination Program notification
• Accurately logs and files all patient admission specific paperwork, including orders, consults, history, physicals, etc
• Distributes and or delivers all completed paperwork and patient ID Cards in accordance with departmental policies, properly searches and assigns patient Medical Record numbers and Patcom numbers
• Follows all department policies as they relate to complete and accurate patient registrations,
• Welcomes new employees and cooperates in all new employee training assignments,
• Acts in leadership role in addressing questions posed by co-workers,
• Understands all essential registration functions to respond to questions and issues related to registration,
• Insurance and Medicare Reimbursement Competence
• Demonstrates an understanding of the different Financial Classes and specific insurance requirements for each,
• Follows the Patient Accounts criteria for financial screening of all elective admissions,
• Knowledgeable of Patient Type/class criteria
• Ensures the proper distribution of patient information pamphlets, as well as Medicare notice and filing of Medicare Questionnaire,
• Follows departmental procedure for identifying non-medical staff physicians on Outpatient registrations,
• Will record NPI and license numbers as needed

This role might be for you if:

• You thrive in a fast-paced environment.
• You are good at multitasking and customer service.

• You have experience working within healthcare or other related areas which are customer service focused.

To be considered for this opportunity, you must have the following qualifications:

Required:

• High school diploma or equivalent required
• Service-oriented background (such as customer service or retail)
• Good written and verbal communication skills in English
• Must be able to type accurately

Why You'll Love Working Here:
At RWJBarnabas Health, our people are at the center of everything we do. Through our Total Wellbeing promise, we offer a wide range of benefits and resources to support your physical, emotional, financial, and professional wellbeing. Highlights include:

• Generous Paid Time Off (Vacation, Holidays, Sick Time)

• Medical, Dental & Vision Insurance

• Prescription Drug Coverage

• Retirement Plans

• Paid Parental Leave

• Tuition Reimbursement

• Student Loan Planning Support

• Life and Disability Insurance

• Wellness Programs and Flexible Spending Accounts

• Voluntary Benefits (like Pet Insurance)

• Discounts with local partners (e.g., NJ Devils, NJPAC, Verizon)

• Community involvement and volunteer opportunities ...and more!

Why RWJBarnabas Health:
RWJBarnabas Health is New Jersey's largest and most comprehensive academic health system, committed to delivering exceptional care and creating healthier communities. We're proud to offer a workplace that values compassion, equity, and innovation-where every team member plays a vital role. When you join us, you're not just building a career-you're helping to shape the future of healthcare, one person and one community at a time.