• Patient Access Analyst - Full Time - Day

    Hackensack Meridian Health (Edison, NJ)


    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.

     

    Come join our Amazing team here at Hackensack Meridian Health! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement, Employee Discounts and much more!!!

     

    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.

    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.

     

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    HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

    All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.