Healthcare Access Specialist

Overview

Cooper University Health Care is committed to providing extraordinary health care through our team. We offer competitive compensation and comprehensive benefits for full- and part-time employees, with opportunities for career growth through professional development.

• The HCA Patient Access Specialist communicates with insurance companies, patients, and healthcare providers to resolve discrepancies, update records, and ensure proper billing. Accuracy is crucial to prevent claim denials and facilitate smooth reimbursement processes. The role requires attention to detail, strong organizational skills, knowledge of insurance policies, urgency to meet time-sensitive requirements, and effective communication skills to navigate the complexities of healthcare billing.
• Ensure quality patient registration, validation, and verification of insurance information. Collect and review all patient insurance information needed to complete the benefit verification process. Investigate missing data needed to complete the verification. Troubleshoot problems related to questions and concerns over health insurance coverage. Knowledgeable with coordination of benefits and completing MSPQ episodically to ensure proper coordination for Medicare recipients. Additional responsibilities include point of service collections, positive telephone etiquette, and patient satisfaction in support of Cooper University Hospital Mission and Core Values.
  
  Must be able to work independently and as part of a team with an enthusiastic personality.
• Knowledgeable of state and federal government funding programs such as Medicare, Medicaid, and requirements to satisfy timely notification of rights; secure and deliver proper correspondence needed to satisfy those requirements (e.g., CMS IMM, CMS MOON, NJ Observation, CMS NSA forms).
• Utilizes electronic insurance verification tools and portals (e.g., Navi Net, Availity, PEAR, Notivasphere) and telephonic verification as needed. When appropriate, ensures the payer receives a Notice of Admission within 24 hours or the next business day, and submits notices of admission to payors via electronic portal or fax transmittal as appropriate and timely.
• Communicates with physicians, NJ Medical Examiners, the Sharing Network, and Funeral Directors to ensure timely handling of deceased patients. Initiates electronic death record via NJ EDRS.

• 2 years in a role involving patient registration or medical facility billing; minimum one year in registration or billing experience. Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations, and referrals.
• 3-5 years of experience preferred.
• Preferred Experience includes: minimum one year of registration or billing experience; proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations, and referrals;
  Epic experience preferred.

• High School Diploma or Equivalent required.

NAHAM Certified Healthcare Access Associate (CHAA) certification or HFMA Certified Revenue Cycle certification (Preferred).

• Excellent verbal and written communications skills
• Experienced in use of computers and software applications (e.g., Microsoft Word, Excel, Outlook, Access)
• Registration and billing systems proficiency
• Exceptional customer service and interpersonal skills
• Proficiency in working with payor on-line portals (e.g., Navi Net, Passport, Availity) and other third-party eligibility systems