Centralized Access Rep: Authorizations - Hybrid/Oceanport, NJReq #:0000136183

　　Category:Clerical / Administrative Support

　　Status:Full-Time

　　Shift:Day

　　Facility:RWJBarnabas Health Corporate Services

　　Department:Centralized Scheduling

　　Location:

　　Remote, 2 Crescent Place, Oceanport, NJ 07757

　　Job Title: Centralized Access Representative (Remote/Hybrid)

　　Department: Centralized Access - Authorizations

　　Shift:Day Shift

　　Job Summary:

　　The Central Access Representative position plays a key role in the health system, interacting with patients, providers, payers and counterparts involved in each patient's care.

　　Essential Functions:

　　Ensures accuracy in all required demographic, financial, referral/authorization, clinical, and other registration data is accurately scheduled, collected, verified, and communicated as a core competency of this role.

　　Supports departmental policies, practices, and initiatives in support of patient experience, throughput, safety standards and revenue cycle outcomes.

　　Functions include scheduling of hospital and physician services for all RWJBH sites, pre-registration/registration, pre-admission/admission, insurance verification, referral coordination, pre-certification, screening for financial counseling, eligibility determination, and pre-service estimate communication and collection of any required copays, deductibles or co-insurances.

　　Collaborates, communicates and coordinates to create a positive experience through the entire patient access and revenue cycle flow.

　　Job Requirements:

　　Call Center experience.

　　Customer service experience.

　　High School Diploma or GED equivalent required.

　　Previous experience utilizing Payer Portals (Navinet Availity UHC) for Authorization verification and or submission.

　　Outpatient Diagnostic Surgical Oncology Authorization experience.

　　Able to meet Department standards of Quality and Productivity.

　　1+ years of relevant experience in patient access.

　　Successful completion of all training and orientation programs required.

　　#Callcenter #Customerservice #CentralAccessRepresentative

　　About RWJBH/Rutgers:

　　RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Saint Barnabas Medical Center in Livingston; three acute care children s hospitals and a leading pediatric rehabilitation hospital (Children s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization. RWJBarnabas Health is New Jersey's largest private employer with more than 33,000 employees, 9,000 physicians and 1,000 residents and interns and routinely captures national awards for outstanding quality and safety.

　　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.

　　RWJBarnabas Health is an Equal Opportunity Employer