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Hackensack Meridian Health
Hackensack, NJ | Full Time
$46k-56k (estimate)
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Hackensack Meridian Health
Hackensack, NJ | Full Time
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Hackensack Meridian Health
Hackensack, NJ | Full Time
$44k-55k (estimate)
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Hackensack Meridian Health
Hackensack, NJ | Full Time
$44k-55k (estimate)
3 Months Ago
Hackensack Meridian Health
Hackensack, NJ | Full Time
$47k-58k (estimate)
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HACKENSACK UNIVERSITY MED CNTR
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Patient Access Analyst
$46k-56k (estimate)
Full Time | Ambulatory Healthcare Services 4 Weeks Ago
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Hackensack Meridian Health is Hiring a Patient Access Analyst Near Hackensack, NJ

Overview:
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Patient Access Analyst is a revenue cycle expert in the areas of scheduling, registration, referrals, and Inpatient and Outpatient authorization/denials management in their assigned area/hospital(s) at Hackensack Meridian Health (HMH). Responsible for researching and analyzing denials. Identifies root cause, trends and patterns and provides feedback to management for future education to the end users. Performs reviews of all Access data elements, such as real time eligibility (RTE), Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB (Coordination of Benefits), and reviews physician licensure. Works with Access assigned Work Ques (WQs) to correct the edits causing the stop bills. Included in this is the compilation of edit findings to provide management with a tool to provide education, increase the overall number of clean claims, and decrease the rework necessary to generate clean claims. Performs validation checks if the National Provider Identifier (NPI) number is not available or not entered by Patient Access Specialist at time of registration to again mitigate loss of revenue and ensure timely billing standards are met as specified by certain payors.
Responsibilities:
A day in the life of a Patient Access Analyst at Hackensack Meridian Health includes:
  • Navigate to the corresponding State License Verification website based on the state in which the provider is licensed, and search for the provider's license status using the provider's License # or name.
  • If an exclusion is identified, the Analyst will place bills on hold and work collectively to mitigate issues.
  • Perform reviews of Registration billing accuracy and timely filing of claims to various insurance payers as well as review of various Discharged/Not Billed (DNB) EPIC registration work queues where bills have been held up due to various registration errors (Physician not on staff, Insurance not active on date of service, patient not found in payor website, accuracy of Coordination of Benefits, registration service type missing, and others) as identified by Access Management.
  • Identify and provide trends and patterns, and present these findings to Access Services Management.
  • Assists with the resolution of the billing system and edit issues as they arise. Keeps Manager informed of all system issues and consults for direction as necessary.
  • Evaluates actual versus planned performance and metrics, presents and communicates possible opportunities.
  • Identifies and suggests resolution for problems involving departments which affect registration productivity and or data quality and compliance.
  • Maintains accurate notes and electronic documentation of findings; documents requirements, expectations and/or deadlines to ensure accurate and timely completion of tasks.
  • Complies with all procedural workflows and departmental policies and procedures as identified.
  • Assumes other responsibilities as directed by either the Supervisor, Manager, or Director.
  • Other duties and/or projects as assigned.
  • Adheres to HMH Organizational competencies and standards of behavior.
Qualifications:
Education, Knowledge, Skills and Abilities Required:
  • Associate's Degree or equivalent relevant HMH experience.
  • Minimum 5 years of prior experience in hospital access management, or a large health insurer approval process.
  • Excellent analytical and critical thinking skills.
  • Ability to work in a fast paced environment, coordinating multiple projects and deadlines or changing priorities.
  • Strong attention to and recall for details.
  • Prior experience in an Access Services Department.
  • Proficient with computer applications including Google, strong Excel/Sheets skills.
  • Must be highly organized and possess excellent time management skills.
  • Strong written and verbal communication skills.
Education, Knowledge, Skills and Abilities Preferred:
  • Bachelor's Degree.
  • Experience with understanding and applying logic to registration errors and claim rejections.
  • Experience with EPIC.
  • Prior experience in an Access Services Department.
  • Excellent analytical and critical thinking skills.
If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$46k-56k (estimate)

POST DATE

05/18/2024

EXPIRATION DATE

05/31/2024

WEBSITE

hackensackmeridianhealth.org

HEADQUARTERS

OAKHURST, NJ

SIZE

50 - 100

FOUNDED

2016

CEO

ROSE F HAYET MD

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

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About Hackensack Meridian Health

Hackensack Meridian Health is a leading not-for-profit health care organization that is the largest, most comprehensive and truly integrated health care network in New Jersey, offering a complete range of medical services, innovative research and life-enhancing care. Hackensack Meridian Health comprises 17 hospitals from Bergen to Ocean counties, which includes three academic medical centers Hackensack University Medical Center in Hackensack, Jersey Shore University Medical Center in Neptune, JFK Medical Center in Edison; two childrens hospitals - Joseph M. Sanzari Childrens Hospital in Hacke...nsack, K. Hovnanian Childrens Hospital in Neptune; nine community hospitals Bayshore Medical Center in Holmdel, Mountainside Medical Center in Montclair, Ocean Medical Center in Brick, Palisades Medical Center in North Bergen, Pascack Valley Medical Center in Westwood, Raritan Bay Medical Center in Old Bridge, Raritan Bay Medical Center in Perth Amboy, Riverview Medical Center in Red Bank, and Southern Ocean Medical Center in Manahawkin; a behavioral health hospital Carrier Clinic in Belle Mead; and two rehabilitation hospitals - JFK Johnson Rehabilitation Institute in Edison and Shore Rehabilitation Institute in Brick. Additionally, the network has more than 500 patient care locations throughout the state which include ambulatory care centers, surgery centers, home health services, long-term care and assisted living communities, ambulance services, lifesaving air medical transportation, fitness and wellness centers, rehabilitation centers, urgent care centers and physician practice locations. Hackensack Meridian Health has more than 35,000 team members, and 7,000 physicians and is a distinguished leader in health care philanthropy, committed to the health and well-being of the communities it serves. More
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