Patient Access Representative

Job Title: Patient Access Representative

Location: RWJUH Somerset

Department Name: Radiology Support Services

Req #: 0000262987

Status: Hourly

Shift: Evening

Pay Range: $20.63 - $25.71 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.

A Typical Day

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 initiate 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 I.D. 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 so as 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

Patient Relations

• Without exception, employee must carry out the principles of positive guest relations by maintaining a good rapport ang relationship with all patients, guests, hospital employees and physician offices by:
  • Greeting and acknowledging patients, guests and hospital employees by name, immediately upon contact
  • Exhibiting friendly helpful behavior by responding to the needs of patients guests, hospital employees, and physician offices
  • Respects and protects the privacy of patient/guests and the confidentiality of information
  • 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
  • Assesses data reflective of each patient s status and interprets information needed in order to identify each patient s specific health care needs
• Supports Departmental policies, practices, and initiatives
• Supports Organizational goals and initiatives as they relate to the 4 Pillars of Quality, Cost, Service, and Growth
• Adopt and promote AIDET in all appropriate actions

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,

Data Processing and Reporting

Demonstrates a thorough understanding of all hospital information systems and IS functions related to Access Management, including but not limited to:

• The accurate entry of all data
• Knowledgeable in all facets relating to downtime practices
• Knows how to accurately search the MPI, assign medical record number, manage downtime medical record, and Patcom numbers
• Takes the initiative in a downtime, to assure completion of all tasks
• Accepts and demonstrates an understanding of required information for an Admissions booking
• Enters a booking as needed
• 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

Environment of Care:

• Demonstrates the awareness of safety, security, life safety, preparedness and utility and equipment management competencies
• Adheres to Standard Precautions
• Adheres to Safety and Infection Control policies
• Attends mandatory in-services
• Helps maintain a safe and clean patient/work environment
• Follows incident reporting procedures

This Role Might Be For You If..

• To coordinate and facilitate the registration and/or admissions processes
• To ensure the timely registration of all patients and patient satisfaction

To Be Considered

Required:

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

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.

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

RWJBarnabas Health is an Equal Opportunity Employer