Patient Service Representative

CareWell Health; East Orange (NJ); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k)

Paid time off

Job summary

CareWell Health is seeking a Patient Registration Specialist at the Woman Health Center, Family Health Center and Bariatrics. You will register patients in the EMR, collect demographics and insurance details, and ensure accurate data entry to support timely care.

You will verify insurance, collect co-pays, and coordinate with the Financial Counselor for self-pay cases. The role requires professionalism, confidentiality, and the ability to work under pressure in a hospital setting.

Qualifications

• Requires ability to type and effectively use a personal computer.
• High School Diploma required; typing and data entry speed is important.
• Minimum of one year in a healthcare environment preferred.

Responsibilities

• Register a patient in the EMR system of the center.
• Contact patients courteously and document messages accurately.
• Maintain confidentiality and data security per policies.
• Answer phones and document messages, routing to appropriate recipients.
• Schedule appointments for tests and surgeries as needed.
• Record demographic and insurance information and verify accuracy.
• Verify insurance cards and input insurance address for billing.
• Use insurance verification system and contact insurers for verification.
• Assess insurance coverage to determine need for financial screening and refer self-pay patients to Financial Counselor.
• Compare and update demographic/insurance information with patient data.
• Collect deductibles or co-pays and forward payments to the cashier.
• Assist with referrals and authorizations for surgeries and radiology.
• Complete required documentation to comply with regulations.
• Work on reports and tasks in a timely manner.
• Cross-train to provide coverage when needed.
• Participate in training and quality improvement activities.

Skills

Typing

PC skills

Customer service

Data entry

Education

High School Diploma

Tools

EMR system

Insurance verification system

Data entry software

Job description

Register and preregister patients that present to the Woman Health Center, Family Health Center and Bariatrics by conducting interviews for demographic and financial information in accordance with the established financial guidelines.

Essential Functions

Demonstrates the ability to register a patient in the EMR system of the center:

• Contact patients in a courteous and respectful manner
• Maintain confidentiality, security, and integrity in the management of patient information according to the hospital’s policy and procedures.
• Answer phones and ensure messages are documented appropriately and sent to the appropriate recipients.
• Schedule office appointments for tests and surgeries as needed per patient care.
• Accurately records the patient’s demographic / insurance information into the registration system. Verifies information for accuracy and makes appropriate notes as needed.
• Screen patients’ insurance cards for validation and input insurance address in the system for accurate billing.
• Ensure the use of the insurance verification system and make appropriate calls to insurance companies for verification/ referral information when needed.
• Assess patient insurance coverage to determine if financial screening is needed. Refer all self-paying patients to the Financial Counselor.
• Compare existing demographic/ insurance information in CE to current data presented from the patient to verify if information has changed and adjust accordingly. Collects and scan all necessary documents to ensure that all information is received at the point of registration (i.e. insurance cards, ID, referrals and authorizations).
• Print and separate by physician all registration documents and place in the designated area for all registrars to access.
• Collect deductibles or co-payment from patients and maintain numerical/manual receipts. Forward all payments to the cashier.
• Assist with referrals and authorizations needed for surgeries, endos, and radiology and nutritional.
• Collects and scans all necessary documents to ensure that all information is received for patient care
• Completes all required documentation to comply with all State/ Federal regulations, third party regulations and distributes appropriate literature.
• Work on/ complete reports and tasks that are assigned in a timely manner
• Cross-trained to provide coverage when needed.
• Participates in ongoing training to ensure skill sets are maintained.
• Participates in quality improvement activities.

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 any time with or without notice.

Minimum Education/Certifications

Requires High School Diploma. Ability to type and effectively use a personal computer is essential. Certification from National Association of Healthcare Access Management is a plus.

Minimum Work Experience

Minimum of one-year experience in a healthcare environment and previous knowledge of healthcare insurance carriers preferred.

Working Conditions

Routine work, following specific instructions. Must be able to sit at a desk for long periods of time. Must be able to work with difficult patients and under stressful situations. Physical demands require manual and finger dexterity and eye-hand coordination.

CareWell Health provides a salary/hourly rate range for all open positions to comply with New Jersey Law. The rates listed for each position is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range does not include bonuses/incentives, differential pay or other forms of compensation, which can be discussed in detail with your talent acquisition specialist.

The salary/hourly rate range for this position is: $20.34

Salary ranges shown on third-party job sites may not accurately reflect ranges provided by CareWell Health. Candidates should discuss salary/hourly compensation and details of our comprehensive benefits with your talent acquisition specialist if selected for an interview.

We offer an excellent benefit package including but not limited to the following benefit offerings:

• Health, Dental and Vision Insurance
• Basic Life and Disability Insurance
• Whole Life, Accident, Critical Illness and Hospital Indemnity Insurance
• Flexible Spending Accounts
• Employee Assistance Program
• 401(k)
• Paid Holidays and a generous Paid Time Off Plan