Patient Access Liaison Recurring Svc LinesReq #:45766Category:Billing/Collections/RegistrationStatus:Full-TimeShift:DayFacility:Childrens Specialized HospDepartment:Payer Services / IV&ALocation:Children€™s Specialized Hospital (CSH), 379 Campus Drive, Somerset, NJ 08873Job Overview:Responsible for providing exemplary customer service while interacting with all customers internal and external. Performs patient interviews. Participates in the Admission Intake. Completes pre-determination |financial clearance for all new and recurring patients. Contacts insurance companies to determine patient s benefits and will suggest other sources of funding to maintain the patient continuum of care. Communicates with Clinicians, Team Leads, and Manager of Payer Services IV&A. Verifies registration information for patients ensuring that all information is in the hospital information system is accurate and complete.Qualifications:Required:
Some college or equivalent preferred. Minimum of one to five years of hospital financial experience either in Patient Access Services or Patient Financial Services
Preferred:
Flexible, hardworking individual with the ability to manage multiple tasks. Must be self-motivated and work well in a team environment. Excellent customer services skills. Healthcare|insurance background preferred. Sound problem solving and communication skills. Ability to professionally inter-relate with people (i.e., parents, staff, patients, Managed Care Organizations, outside agencies, etc.) familiarity with computer software packages (Microsoft Office). Ability to organize and follow specific instructions. Maintain patient confidentiality. Knowledge of NJ financial programs (Medicaid, Charity Care). The competence to communicate a financial plan for the patient.
Scheduling Requirements (non-exempt positions remove when posting):
Shift working, 9:00 5:30 each day
Monday - Friday
FT
Essential Functions:
Assures and completes a pre-determination for insurance coverage for all new and recurring outpatients seeking services at CSH. These service lines include Occupational, Physical, Speech Therapy, Psychology, Chronic Pain Evaluations, Botox and Alcohol Blocks. Will inform families of their financial responsibility (if any) and insurance benefits
Works with Payer Services department for per diem negotiation for individual patients with their respective insurance company|managed care organization
Notifies parents of availability of financial assistance programs. Specifically: NJ FamilyCare, CSH Benefit Fund. Distributes application and follows up as necessary
Serves as liaison between Payer, Patient Accounts, Therapist, Clinician, and the Patient s parent|guardian with respect to financial issues
Maintains Authorizations and re-authorizations, notifies clinical departments of authorization status and the need for re-authorization when necessary. Notifies parents of authorization status as necessary
Maintain an organized financial record for all patients interviewed. Provides detailed notes in the hospital information system as documentation of all contact with payers, and|or parents
Informs the clinical area|patient care coordinators and parents of any denials.
Other tasks assigned by management
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 deliveringa 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 EmployerRWJBarnabas Health is an Equal Opportunity Employer
