Health Access Rep Lead - FT - Night - Patient Access Services Pennington NJ
Pennington
Friday, 10 April 2026
(Basic Purpose of the Job)Functions as subject matter expert to ensure department compliance with system and operational changes and assists in training to support ongoing staff education and development. Able to perform all registration functions independently. Registers patients accurately, efficiently, and professionally to ensure database integrity and facilitate claims processing. Applies financial screening guidelines to ensure collectable accounts. Utilizes standards, guidelines, and written procedures for performing registration functions. Communicates effectively and works cooperatively with others. Utilizes standards, guidelines, and written procedures for performing registration functions. MINIMUM REQUIREMENTS - Education: High school diploma or equivalency. Experience: Two-year patient access experience. Knowledge of all Capital Health departments required. Other Credentials: Knowledge and Skills: Excellent verbal and written skills. Strong customer service and problem-solving skills. Special Training: Proficient computer skills. Advanced health insurance and prior authorizations knowledge. Mental, Behavioral and Emotional Abilities: Possesses ability to work independently and as a team member. Usual Work Day: 8 Hours Reporting Relationships. Does this position formally supervise employees? No. If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. ESSENTIAL FUNCTIONS - Assists in training, problem solving, and chart review with subordinate patient access representatives. Assigns duties to registrars as directed by Supervisor or Manager. Demonstrates ability to independently manage all assigned responsibilities. Able to troubleshoot any department issues. Expert in all Patient Access department needs. Provides coverage in working areas as required when on-call duties apply. Advanced in registering patients quickly and accurately, exceeding productive levels of a Patient Access Rep III. Acts as a liaison for physician offices and ancillary departments as needed. Serves as a resource for Patient Access department. Leads department through daily workload and divides work as needed. Follows compliance with computer system procedures, department procedures, and training guidelines to accurately complete each registration. Reviews charts for accurate demographics, Medicare compliance, proper CPT codes, authorizations and referrals, necessary signatures, and completion of all forms. Performs follow up with physician office, central scheduling and insurance companies to obtain any required authorization, referrals or to obtain update physician orders. Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity, Advance Beneficiary Notice, Advance Directives, Patients’ Rights, and the Interpreter flag as measured by review and observation. Follows and monitors staff compliance with following payer requirements for authorization, pre-authorization, referrals, coordination of benefits, and in-network verification according to Insurance Database, and Insurance Verification guidelines. Follows Self Pay procedure regarding No Surprise Billing Act and referrals to Medicaid and charity. Assists with departmental training and education of patient access staff. Communicates effectively with Patient Access team members and is open to feedback and suggestions in order to identify opportunities for improvement. Identifies and seeks out members of the registration department as a resource to increase knowledge and seek validation of department guidelines and procedures. Reports to Management Team regarding department deficiencies to include faulty equipment, supplies and concerns. Supports department performance improvement initiatives. Communicates ideas to meet department goals. Attends all mandatory department meetings. Follows patient identification policy. Performs other duties as needed.