Patient Access Specialist - Holy Name Medical Center

Description

Holy Name is New Jersey's last remaining independent, Catholic health system, comprising a comprehensive 361-bed acute care medical center, a cancer center, medical fitness center, residential hospice, nursing school, and physician network. The system has a national reputation for providing culturally sensitive care to a diverse population, drawing patients from across the New York City region to its specialty centers and renowned doctors. Holy Name's mission to provide technologically advanced, compassionate and personalized care extends across a continuum that encompasses education, prevention, diagnosis, treatment, rehabilitation and wellness maintenance. The system is known as a high-quality, low-cost provider of extraordinary clinical care given by compassionate, highly trained physicians and staff.

A Brief Overview
Responsible for the complete and accurate registration of all patients in an orderly, expeditious and pleasant manner. 

What you will do

• Conducts initial interview with patients and gathers general demographic, insurance and health information.
• Obtains accurate insurance information from patients and/or families..
• Explains and Obtains necessary signatures from patient on the appropriate releases and consent forms in a timely manner.
• Demonstrates a thorough knowledge of registration procedures and policies.
• Obtains Advance Directive information from the patient and gives informational package to those patients who request additional information.
• Has an understanding of computer terminals and printers in order to perform daily functions.
• Demonstrates good phone skills.
• Demonstrates good interview skills.
• Performs all duties as requested by management team. Exhibits good organizational, time management and teamwork skills which contribute to the operations efficiency.
• Prioritizes/organizes work assignments and adjusts priorities based on changing situations.
• Verifies all demographic/financial information for the patient during the registration process with supporting documents and documents the record.
• Follows up with patient in a timely and personable manner should any information be found incorrect/incomplete.
• Replies to inquiries from patients, visitors and other parties looking for information clearly and in a timely manner.
• Collects patient financial responsibilities when applicable (e.g., co-pay, deductible, co-ins and self-pay rates).
• Welcomes all new and recurring patients or relatives in a courteous prompt manner.
• Prepares ID bracelet, verifies information prior to placing armband on the patient.
• Responsible for going to lunch at the assigned time and communicates with management when experiencing delays.
• Must communicate with nurses/doctors when applicable in a professional manner and maintain professional at all time while on hospital grounds.
• Answers telephone and other incoming communications in a timely and customer-service oriented manner.
• Works the Passport RQA work list for corrections to registration errors within 2 days from registration date.
• Verifies medical necessity in accordance with Centers for Medicare and Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.
• Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate records of authorizations within Document Imaging.

Education Qualifications

• High School graduate or equivalent. Required

Experience Qualifications

• Experience with computerized data entry required. Required

Knowledge, Skills, and Abilities

• Ability to work independently.
• Knowledge of medical terminology, requires good communication skills and telephone technique.
• Must be able to work well under pressure.

Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented team of physicians, nurses, allied health employees, and a wide variety of non-clinical administrative and operational staff members. Holy Name is an Equal Opportunity Employer.