Patient Access Navigator for Financial Clearance

RWJBarnabas Health; Somerville (NJ); On-site; USD 30,000 - 37,000; Full time

Job summary

RWJBarnabas Health in New Jersey is seeking a Patient Access Specialist to help secure financial clearance before, during, and after service. The role supports throughput, collaborates with clinical teams, and analyzes revenue impact to drive process improvements.

A strong customer service mindset and knowledge of prior authorization workflows are essential. The position is full-time, daytime hours, at RWJ Somerset, with responsibilities spanning data review, escalation, and cross-department

Qualifications

• High school diploma or equivalent required.
• Minimum of 2 years of Patient Access Representative experience.
• Experience with prior authorization processes and payer portals is preferred.

Responsibilities

• Identify data sets for review and work queues to ensure financial clearance.
• Manage volume and scheduling to analyze clearance risk.
• Coordinate follow-up with leadership, departments, and clinical teams to pursue unsecured volume.
• Escalate at-risk cases for validation of delay/deferral options based on clinical condition.
• Analyze denials/rejections to identify root causes and suggest process improvements.
• Audit end-user activities and participate in re-education opportunities.
• Collaborate with patient access, corporate, and clinical departments for workflow review.
• Provide leadership with summaries of findings for action planning.

Skills

Customer service

Prior authorization knowledge

Data & reporting

Education

High school diploma or equivalent

Tools

Microsoft Excel

Real Time Authorization

Job description

RWJBarnabas Health in New Jersey is seeking a Patient Access Specialist to help secure financial clearance before, during, and after service. The role supports throughput, collaborates with clinical teams, and analyzes revenue impact to drive process improvements.

A strong customer service mindset and knowledge of prior authorization workflows are essential. The position is full-time, daytime hours, at RWJ Somerset, with responsibilities spanning data review, escalation, and cross-department