Req #: 0000186707
Category: No Category Assigned
Status: Full-Time
Shift: Day
Facility: RWJBarnabas Health Corporate Services
Department: Centralized Scheduling

JOB SUMMARY:

The Central Access Representative position plays a key role in the health system, interacting with patients, providers, payers and counterparts involved in each patient’s care.

JOB REQUIREMENTS:

• Call Center experience
• Customer service experience.
• High School Diploma or GED equivalent required within one (1) year of hire.
• 1+ years of relevant experience in patient access preferred.
• Successful completion of all training and orientation programs required

ESSENTIAL FUNCTIONS:

• Perform scheduling, preregistration, insurance and benefits verification, patient payment collection and all other centralized scheduling duties in compliance with customer service standards
• The centralized scheduler routinely schedules outpatient testing for all patients where services occur as a scheduled appointment/reoccurring visit
• Answering phones efficiently, providing timely and courteous access to the organization.
• Meet productivity, quality requirements and service goals as outlined in the performance expectations
• Central schedulers are required to consistently demonstrate accuracy of data collection and entry, critical thinking skills, solution oriented interactions and the highest level of customer service
• Ensures accuracy in all required demographic, financial, referral/authorization, clinical, and other registration data is accurately scheduled, collected, verified, and communicated as a core competency of this role.
• Supports departmental policies, practices, and initiatives in support of patient experience, throughput, safety standards and revenue cycle outcomes.
• Functions include scheduling of hospital and physician services for all RWJBH sites, pre-registration/registration, pre-admission/admission, insurance verification, referral coordination, pre-certification, screening for financial counseling, eligibility determination, and pre-service estimate communication and collection of any required copays, deductibles or co-insurances.
• Collaborates, communicates and coordinates to create a positive experience through the entire patient access and revenue cycle flow.
• Maintains authorizations and re-authorizations, notifies clinical departments of authorization status and the need for re-authorization when necessary.
• Ability to be proactive, demonstrate strong negotiation skills/patient advocacy when interacting with all managed care organizations.
• Possesses significant knowledge of all types of in-network and out-of-network health insurance, managed care companies, benefits and policies for commercial, Medicare and Medicaid populations

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 anytime with or without notice.