Healthcare Access Specialist
US-NJ-Camden
External Career Portal
Req #: 72537
Type: Part Time
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Responsibilities: The HCA Patient Access Specialist communicates with insurance companies, patients, and healthcare providers to resolve discrepancies, update records, and ensure proper billing. Accuracy is crucial to prevent claim denials and facilitate smooth reimbursement processes. This role requires attention to detail, strong organizational skills, knowledge of insurance policies, sense of urgency to meet time-sensitive insurance requirements, and effective communication skills to navigate the complexities of healthcare billing. The HCA Patient Access Specialist is responsible for ensuring quality patient registration, validation, and verification of insurance information. Collects and reviews all patient insurance information needed to complete the benefit verification process. Investigates missing data needed to complete the verification process. Troubleshoots and seeks solutions to problems related to questions and concerns over health insurance coverage. Knowledgeable with coordination of benefits and completing MSPQ episodically to ensure proper coordination for Medicare recipients. Additional responsibilities include point of service collections, positive telephone etiquette, and patient satisfaction in support of Cooper University Hospital Mission and Core Values. Must be able to work independently and as a team with an enthusiastic personality. Knowledgeable of state and federal government funding programs such as Medicare, Medicaid, and requirements to satisfy timely notification of rights as it pertains to these programs. Additionally, securing and delivering proper correspondence needed to satisfy those requirements such as CMS IMM, CMS MOON, NJ Observation, and CMS NSA forms. Qualifications: * Excellent verbal and written communications skills * Experienced in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration, and billing systems. * Exceptional customer service and interpersonal skills * Proficiency in working with payor on-line portals, i.e., NaviNet, Passport, Availity, and other third-party eligibility systems preferred.
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