Patient Access Analyst - Full Time - Day

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.
• Lifts a minimum of 15lbs. push / pull a minimum of 300 lbs., and stands for a minimum of 4 hours a day.
• Other duties and / or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required :

Education, Knowledge, Skills and Abilities Preferred :

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Starting Minimum Rate

Minimum rate of $28.93 Hourly

Job Posting Disclosure

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to :

Labor Market Data : Compensation is benchmarked against market data to ensure competitiveness.

Experience : Years of relevant work experience.

Education and Certifications : Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.

Skills : Demonstrated proficiency in relevant skills and competencies.

Geographic Location : Cost of living and market rates for the specific location.

Internal Equity : Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.

Budget and Grant Funding : Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours / week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.