Responsible for providing exemplary customer service while interacting with all customers internal and external. Performs patient interviews. Participates in the Admission Intake. Completes pre-determination |financial clearance for all new and recurring patients. Contacts insurance companies to determine patient s benefits and will suggest other sources of funding to maintain the patient continuum of care. Communicates with Clinicians, Team Leads, and Manager of Payer Services IV A. Verifies re... more details
Job Overview:
Responsible for providing exemplary customer service while interacting with all customers internal and external. Performs patient interviews. Participates in the Admission Intake. Completes pre-determination |financial clearance for all new and recurring patients. Contacts insurance companies to determine patient’s benefits and will suggest other sources of funding to maintain the patient continuum of care. Communicates with Clinicians, Team Leads, and Manager of Payer Services IV&A. Verifies registration information for patients ensuring that all information is in the hospital information system is accurate and complete.
Qualifications:
Required:
- Some college or equivalent preferred. Minimum of one to five years of hospital financial experience either in Patient Access Services or Patient Financial Services
Preferred:
- Flexible, hardworking individual with the ability to manage multiple tasks. Must be self-motivated and work well in a team environment. Excellent customer services skills. Healthcare|insurance background preferred. Sound problem solving and communication skills. Ability to professionally inter-relate with people (i.e., parents, staff, patients, Managed Care Organizations, outside agencies, etc.) familiarity with computer software packages (Microsoft Office). Ability to organize and follow specific instructions. Maintain patient confidentiality. Knowledge of NJ financial programs (Medicaid, Charity Care). The competence to communicate a financial plan for the patient.
Scheduling Requirements:
- Monday - Friday
- 9:00am - 5:30pm
Essential Functions:
- Assures and completes a pre-determination for insurance coverage for all new and recurring outpatients seeking services at CSH. These service lines include Occupational, Physical, Speech Therapy, Psychology, Chronic Pain Evaluations, Botox and Alcohol Blocks. Will inform families of their financial responsibility (if any) and insurance benefits
- Works with Payer Services department for per diem negotiation for individual patients with their respective insurance company|managed care organization
- Notifies parents of availability of financial assistance programs. Specifically: NJ FamilyCare, CSH Benefit Fund. Distributes application and follows up as necessary
- Serves as liaison between Payer, Patient Accounts, Therapist, Clinician, and the Patient’s parent|guardian with respect to financial issues
- Maintains Authorizations and re-authorizations, notifies clinical departments of authorization status and the need for re-authorization when necessary. Notifies parents of authorization status as necessary
- Maintain an organized financial record for all patients interviewed. Provides detailed notes in the hospital information system as documentation of all contact with payers, and|or parents
- Informs the clinical area|patient care coordinators and parents of any denials.
- Other tasks assigned by management
Please Note: The first-round interview for this position is a digital, on demand interview through the HireVue platform. Click the hyperlinks here to learn more about the RWJBarnabas Health hiring process and digital, on-demand interviews. While there is no deadline, we strongly recommend completing the interview as soon as possible after receiving an invitation. Things move quickly and we may on occasion close applications earlier than anticipated due to large candidate numbers. We don’t want to miss meeting you for a great opportunity! Be sure to check your spam and junk folders in email as well!
At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health.
- Paid Time Off (PTO)
- Medical and Prescription Drug Insurance
- Dental and Vision Insurance
- Retirement Plans
- Short & Long Term Disability
- Life & Accidental Death Insurance
- Tuition Reimbursement
- Health Care/Dependent Care Flexible Spending Accounts
- Wellness Programs
- Voluntary Benefits (e.g., Pet Insurance)
- Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!
Choosing RWJBarnabas Health!
RWJBarnabas Health is the premier health care destination providing patient-centered,
high-quality academic medicine in a compassionate and equitable manner, while delivering
a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
Equal Opportunity Employer
