NOW HIRING - Southern Ocean Medical Center

Responsibilities

A day in the life of an Access Service Rep at Hackensack Meridian Health includes:

• Consistently evaluates documents and collects the financial obligation of the patient adhering to insurance and EMTALA regulations. This will be measured by, for example, but not limited to: co pays, deductibles, coinsurance, and self-pay fees.
• Demonstrates a flexible work style with ability to handle a high degree of pressure, heavy workloads, multiple requests, and numerous interruptions in a positive manner, establishing priorities for effective work completion.
• Adapts quickly to changing conditions, assimilating new processes into job functions, and taking ownership. These can be measured by, for example, but not limited to: registration/applications, scanning, wait times, abandoned calls bedside registrations, appropriate use of time, etc.
• Accurately collects, records, and reports complete information using interview techniques and critical thinking skills. These can be measured by, for example, but not limited to: Demographic Information, INR, Revision of ET Quick Registrations, Accuracy of Patient Status Transfers, Vault Counts, Audits, Number of duplicate account creation, Primary Care Physician Information, Email Address, MSP, etc.
• Consistently demonstrates skill and knowledge of resources available to assist in critical decision making, These can be measured by, for example, but not limited to: HDX, Web-sites (ie: Access, CareCore, Passport, Insurance Companies, Code Correct), Scheduling system, Compass, Navinet and Med Metrix.
• Consistently documents the status of tasks that support responsibilities in the workflow process in the appropriate locations. These can be measured by, for example, but not limited to: Automated eligibility, Consents, Important Message from Medicare, Patient's individual financial responsibility, copays, deductible and coinsurance, Authorizations/Referrals.
• Consistently completes the financial workflow process using critical thinking skills and interview techniques. These can be measured by, but not limited to cash posting, COB, timely management of the DNFB and tracking LOS, authorizations, medical necessities, referral and NOA requirements, technical denials, Account activation, Managed Care insurance benchmarks.
• Works in collaboration with our customers. This can be measured by, for example, but not limited to: accepts responsibility for own actions while taking ownership of department outcomes, proactively seeks opportunities to enhance knowledge in various departments to assist in the smooth delivery of services, mentors team members, ensures smooth process flow and safe environment, demonstrates good judgment, critical thinking and fosters service recovery by properly identifying, resolving, and reporting customer issues.
• Other duties and/or projects as assigned. 10. Adheres to HMH Organizational competencies and standards of behavior.

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