Patient Access Associate I

AtlantiCare; Holmdel Township (NJ); On-site; USD 30,000 - 40,000; Part time

Job summary

A leading healthcare provider is seeking a Patient Access Associate I to deliver exceptional customer service at every entry point of their health system. This entry-level position involves duties such as patient registration, insurance verification, and financial assistance processing, requiring effective communication and organizational skills. Join a team focused on providing quality care and support to patients and their families.

Benefits

Comprehensive benefits for eligible team members

Qualifications

• 0-1 year healthcare registration or customer service experience preferred.
• Bilingual preferred.

Responsibilities

• Responsible for patient pre-registration and registration.
• Knowledgeable of state and federal funding programs.
• Verifies insurance information and calculates patient financial responsibilities.

Skills

Effective communication

Customer service

Organizational skills

Analytical skills

Education

High school diploma or equivalent

Job description

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Position Summary

The Patient Access Associate I will perform duties after an eight-week training program under the supervision of the Patient Access Leadership Team and Revenue Cycle Quality & Assurance Training Team. This position is a customer service champion responsible for delivering great customer service at each entry point throughout the health system.

Principal Duties And Job Responsibilities

• Responsible for patient pre-registration, registration, general admissions, and financial assistance processing.
• Knowledgeable of state and federal government funding programs such as Medicare, Medicaid, TRICARE/CHAMPUS, Workers' Compensation; No Fault Auto, and commercial insurance payers.
• Familiar with billing and reimbursement guidelines for various payers; insurance terminology; basic medical terminology, EMTALA, HIPAA privacy, and compliance practices.
• Ensures demographic and insurance information is accurate, scans IDs and insurance cards, verifies insurance eligibility, and documents accordingly. Informs patients about insurance in/out of network status and completes Medicare Secondary Payer Questionnaire for Medicare patients.
• Verifies insurance details through payor contact via phone, online, or electronic systems.
• Verifies diagnosis codes and medical necessity checks for Medicare, with basic ICD-10 knowledge.
• Obtains payor authorizations, pre-certifications, and referrals; communicates deficiencies and rescheduling needs.
• Notifies payers of inpatient admissions timely.
• Identifies patient financial responsibilities, calculates estimates, collects payments, posts transactions, and performs reconciliation. Escalates complex cases to Financial Counselors.
• Sets payment arrangements, documents collection attempts, and seeks assistance to improve collections.
• Addresses patient questions regarding bills and refers to financial counseling if needed.
• Documents activities on patient accounts and maintains throughput and wait time standards.
• Utilizes system tools and manual reports, collaborates with team members, and attends trainings.
• Performs additional duties as assigned.

Qualifications

Education and Experience: High school diploma or equivalent; 0-1 year healthcare registration or customer service experience; preferred experience in physicians' office or hospital.

Knowledge and Skills: Effective communication, computer literacy, customer service, organizational, and analytical skills; ability to prioritize; professionalism; reliable transportation; bilingual preferred.

Performance Expectations

• Achieve high accuracy and productivity metrics.
• Maintain annual certification scores of 95% or higher.
• Receive positive evaluation ratings.
• Complete required coursework and certifications for advancement.

Work Environment

• Potential exposure to hospital hazards, require physical activity including lifting, reaching, and moving equipment.
• Fast-paced environment.

Reporting Relationship

Reports to department leadership.

AtlantiCare offers comprehensive benefits for eligible team members.

Additional Details

• Seniority level: Entry level
• Employment type: Part-time
• Job function: Health Care Provider
• Industries: Hospitals and Health Care