Patient Access Representative IV - FT - Day - Patient Access Services Pennington NJ

3M HEALTHCARE; Pennington (NJ); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage & In-House

Dental Plan

Vision Plan

Flexible Spending Account

Retirement Savings Plan

Basic Life Insurance

Supplemental Life Insurance

Long Term Disability

Short Term Disability

Employee Assistance Program

Commuter Transit

Commuter Parking

Voluntary Life Spouse

Voluntary Life Employee

Voluntary Life Child

Voluntary Legal Services

Voluntary Accident Insurance

Voluntary Identity Theft Insurance

Voluntary Pet Insurance

Paid Time-Off Program

Job summary

Capital Health is seeking a Patient Access Registrar to perform registration duties independently, ensuring accurate patient data for claims processing.

The role emphasizes adherence to Medicare and payer guidelines, strong communication, and collaboration with physician offices and departments, with an on-site schedule and a focus on efficient patient flow.

Qualifications

• Education: High school diploma or equivalency.
• Experience: Two-year patient access experience with knowledge of all Capital Health departments.
• Strong verbal and written communication; customer service and problem-solving skills.
• Proficient computer skills; advanced health insurance knowledge and prior authorizations.

Responsibilities

• Assists in training, problem solving, and chart review with subordinate patient access representatives.
• Assigns duties to registrars as directed by Supervisor or Manager.
• Demonstrates ability to independently manage all assigned responsibilities.
• Troubleshoots department issues.
• Expert in all Patient Access department needs.
• Provides coverage in working areas as required when on-call duties apply.
• Registers patients quickly and accurately, exceeding productive levels of a Patient Access RepIII.
• Acts as liaison for physician offices and ancillary departments as needed.
• Leads the department through daily workload and allocates work as needed.
• Follows compliance with computer system procedures, department procedures, and training guidelines to complete each registration accurately.
• Reviews charts for accurate demographics, Medicare compliance, proper CPT codes, authorizations and referrals, required signatures, and completion of all forms.
• Performs follow-up with physician offices, central scheduling, and insurance companies to obtain required authorizations, referrals, or updated physician orders.

Skills

Verbal communication

Written communication

Customer service

Problem solving

Independent worker

Team collaboration

Computer skills

Education

High school diploma

Tools

Registration software

Healthcare payer databases

Job description

Position Overview

Provides expert support in compliance with system and operational changes within the Patient Access department. Performs all registration functions independently, registering patients accurately and efficiently to maintain database integrity and facilitate claims processing. Applies financial screening guidelines to ensure collectable accounts and follows established procedures for registration.

Minimum Requirements

• Education: High school diploma or equivalency.
• Experience: Two‑year patient access experience with knowledge of all Capital Health departments required.
• Other Credentials: Excellent verbal and written communication skills; strong customer service and problem‑solving abilities.
• Special Training: Proficient computer skills; advanced knowledge of health insurance and prior authorizations.
• Mental, Behavioral and Emotional Abilities: Ability to work independently and as part of a team.

Usual Work Day

8 hours

Reporting Relationships

Does not formally supervise employees.

Essential Functions

• Assists in training, problem solving, and chart review with subordinate patient access representatives.
• Assigns duties to registrars as directed by Supervisor or Manager.
• Demonstrates ability to independently manage all assigned responsibilities.
• Troubleshoots department issues.
• Expert in all Patient Access department needs.
• Provides coverage in working areas as required when on‑call duties apply.
• Registers patients quickly and accurately, exceeding productive levels of a Patient Access RepIII.
• Acting as liaison for physician offices and ancillary departments as needed.
• Serves as a resource for the Patient Access department.
• Leads the department through daily workload and allocates work as needed.
• Follows compliance with computer system procedures, department procedures, and training guidelines to complete each registration accurately.
• Reviews charts for accurate demographics, Medicare compliance, proper CPT codes, authorizations and referrals, required signatures, and completion of all forms.
• Performs follow‑up with physician offices, central scheduling, and insurance companies to obtain required authorizations, referrals, or updated physician orders.
• Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity, Advance Beneficiary Notice, Advance Directives, Patients’ Rights, and the Interpreter flag.
• Monitors staff compliance with payer requirements for authorization, pre‑authorization, referrals, coordination of benefits, and in‑network verification according to the Insurance Database and Insurance Verification guidelines.
• Follows Self Pay procedure regarding the No Surprise Billing Act and referrals to Medicaid and charity.
• Assists with departmental training and education of patient access staff.
• Communicates effectively with the Patient Access team and is open to feedback and suggestions to identify opportunities for improvement.
• Identifies and seeks out resources within the registration department to increase knowledge and validate department guidelines and procedures.
• Reports to the Management Team regarding department deficiencies, including faulty equipment, supplies, and concerns.
• Supports department performance improvement initiatives.
• Communicates ideas to meet department goals.
• Attends all mandatory department meetings.
• Follows patient identification policy.
• Performs other duties as needed.

Physical Demands and Work Environment

• Frequent: Sitting, wrist position deviation, pinching/fine motor activities.
• Occasional: Standing, walking, carrying objects, push/pull, twisting, bending, reaching forward, reaching overhead, squatting/kneeling/crawling, keyboard use/repetitive motion.
• Continuous: Talking or hearing.
• Lifting: Floor to waist 15lb; waist level and above 10lb.
• Sensory Requirements: Accurate near vision, accurate far vision, accurate depth perception, accurate hearing.

Anticipated Occupational Exposure Risks

• Bloodborne pathogens
• Airborne communicable disease
• Extreme noise levels
• Dust/particulate matter

Benefits

• Medical Plan
• Prescription drug coverage & In‑House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA) – Healthcare FSA – Dependent Care FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance – Voluntary Life Spouse – Voluntary Life Employee – Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time‑Off Program