Patient Access Associate
AtlantiCare, Hammonton, NJ, United States
Position Summary
The Patient Access Associate I will perform duties after an eight‑week training program under the supervision of the Patient Access Leadership Team and Revenue Cycle Quality & Assurance Training Team. This position is a customer service champion responsible for delivering great customer service at each entry point throughout the health system. This position supports organizational goals by providing high‑level, quality customer service, participating in performance improvement efforts, demonstrating a commitment to teamwork and cooperation while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services from all sources.
Principal Duties And Job Responsibilities
Responsible for patient pre‑registration, registration, general admissions, and financial assistance processing.
Will be knowledgeable of state and federal government funding programs such as Medicare, Medicaid, TRICARE/CHAMPUS, Workers' Compensation, No Fault Auto, and commercial insurance payers.
Will be knowledgeable of billing and reimbursement guidelines and methodologies for state and federal government and non‑government payers; insurance terminology; basic medical terminology, EMTALA, HIPAA privacy, and compliance practices.
Ensures all demographic and insurance information is obtained and correct, scans IDs and insurance cards as needed, sends queries for insurance eligibility information, informs patient of insurance in/out of network status, and accurately completes the Medicare Secondary Payer Questionnaire for all Medicare‑eligible patients.
Verifies insurance information through payor contact via telephone, online resources, or electronic verification system.
Responsible for verifying diagnosis codes and completing medical necessity checks for Medicare. The Patient Access Associate I must have basic knowledge of ICD‑10 in order to ensure accurate diagnosis entry for reimbursement.
Identifies and obtains payor authorizations, pre‑certifications, and/or referrals; provides appropriate documentation and follow‑up to physician offices, case management department, and payors regarding authorization/referral deficiencies.
Communicates to service line partners when rescheduling is necessary due to lack of authorization and/or limited benefits, pending approval by clinical personnel.
In working inpatient accounts, is responsible for timely notification to payers of the patient’s admission to the facility.
Identifies all patient financial responsibilities, calculates estimates, collects all payments due, posts payment transactions in the system, and performs daily reconciliation; escalates complex liability calculations to Financial Counselors as appropriate.
Collects and/or sets payment arrangements, schedules payments on deposits due, and may screen patients for enrollment in available credit option programs; documents all collection attempts using approved verbiage consistently and proactively seeks assistance to improve collections.
Ensures patients with questions or concerns regarding their bills are referred to the appropriate resource, including initiation of financial counseling when appropriate.
Documents pertinent activity on the patient account via notes.
Maintains current and thorough knowledge of online and system tools available, and works from manual reports during system downtime.
Communicates and collaborates with Patient Access team members and other ancillary departments as needed.
Attends all required training and in‑services and passes all competency tests associated with the in‑services.
May be responsible for additional duties as assigned with respect to the Patient Access job scope.
Qualifications
EDUCATION AND EXPERIENCE
High school diploma or equivalent required.
0‑1 year experience in healthcare registration or relevant customer service environment required.
Previous experience in a physician’s office or hospital setting is preferred.
The Patient Access Associate I can perform job duties based on department procedure and protocol; may require direct oversight.
LICENSE/CERTIFICATION
Healthcare Financial Management Association – HFMA (CRCR) Certified Revenue Cycle Representative certification required within 120 days of hire or transfer. Current incumbents required to obtain certification by 10/1/2025.
KNOWLEDGE AND SKILLS
Ability to communicate effectively both verbally and in writing is sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources is required.
Knowledge of general computer and data entry functions required.
Excellent communication, customer service, organizational and analytical skills required.
Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment. Ability to keep up in a very fast‑paced environment required.
Candidates must continuously display professionalism, courtesy and respect to all customers that always mirror AtlantiCare’s Values/Behaviors.
Candidate must have reliable means of transportation.
Bilingual preferred.
Performance Expectations
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
Must pass annual recertification with a score of 95% or better; this requirement is expected to be maintained every year.
Maintains a high accuracy rate of 98% or higher and established productivity rates for key performance indicators (KPIs) such as cash collections wait and TAT times, pre‑registration and registration productivity.
The Patient Access Associate has the opportunity for advancement to Patient Access Associate II if all of the above requirements are satisfied and the associate has been in the role for 15 months.
Work Environment
Potential for exposure to hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury.
This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday. The position also requires pushing and pulling computers on wheels approximately up to 100% of the day if assigned to the Emergency Department or Labor and Delivery.
High‑volume, fast‑paced environment.
Total Rewards at AtlantiCare
At AtlantiCare, we believe in supporting the whole person. Our market‑competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well‑being of our team members. We offer a comprehensive suite of benefits and resources, including:
Generous Paid Time Off (PTO)
Medical, Prescription Drug, Dental & Vision Insurance
Retirement Plans with employer contributions
Short‑Term & Long‑Term Disability Coverage
Life & Accidental Death & Dismemberment Insurance
Tuition Reimbursement
Flexible Spending Accounts (FSAs) for healthcare and dependent care
Wellness Programs
Voluntary Benefits, including Pet Insurance and more
Benefits offerings may vary based on position and are subject to eligibility requirements. Join a team that values your well‑being and invests in your future.
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The Patient Access Associate I will perform duties after an eight‑week training program under the supervision of the Patient Access Leadership Team and Revenue Cycle Quality & Assurance Training Team. This position is a customer service champion responsible for delivering great customer service at each entry point throughout the health system. This position supports organizational goals by providing high‑level, quality customer service, participating in performance improvement efforts, demonstrating a commitment to teamwork and cooperation while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services from all sources.
Principal Duties And Job Responsibilities
Responsible for patient pre‑registration, registration, general admissions, and financial assistance processing.
Will be knowledgeable of state and federal government funding programs such as Medicare, Medicaid, TRICARE/CHAMPUS, Workers' Compensation, No Fault Auto, and commercial insurance payers.
Will be knowledgeable of billing and reimbursement guidelines and methodologies for state and federal government and non‑government payers; insurance terminology; basic medical terminology, EMTALA, HIPAA privacy, and compliance practices.
Ensures all demographic and insurance information is obtained and correct, scans IDs and insurance cards as needed, sends queries for insurance eligibility information, informs patient of insurance in/out of network status, and accurately completes the Medicare Secondary Payer Questionnaire for all Medicare‑eligible patients.
Verifies insurance information through payor contact via telephone, online resources, or electronic verification system.
Responsible for verifying diagnosis codes and completing medical necessity checks for Medicare. The Patient Access Associate I must have basic knowledge of ICD‑10 in order to ensure accurate diagnosis entry for reimbursement.
Identifies and obtains payor authorizations, pre‑certifications, and/or referrals; provides appropriate documentation and follow‑up to physician offices, case management department, and payors regarding authorization/referral deficiencies.
Communicates to service line partners when rescheduling is necessary due to lack of authorization and/or limited benefits, pending approval by clinical personnel.
In working inpatient accounts, is responsible for timely notification to payers of the patient’s admission to the facility.
Identifies all patient financial responsibilities, calculates estimates, collects all payments due, posts payment transactions in the system, and performs daily reconciliation; escalates complex liability calculations to Financial Counselors as appropriate.
Collects and/or sets payment arrangements, schedules payments on deposits due, and may screen patients for enrollment in available credit option programs; documents all collection attempts using approved verbiage consistently and proactively seeks assistance to improve collections.
Ensures patients with questions or concerns regarding their bills are referred to the appropriate resource, including initiation of financial counseling when appropriate.
Documents pertinent activity on the patient account via notes.
Maintains current and thorough knowledge of online and system tools available, and works from manual reports during system downtime.
Communicates and collaborates with Patient Access team members and other ancillary departments as needed.
Attends all required training and in‑services and passes all competency tests associated with the in‑services.
May be responsible for additional duties as assigned with respect to the Patient Access job scope.
Qualifications
EDUCATION AND EXPERIENCE
High school diploma or equivalent required.
0‑1 year experience in healthcare registration or relevant customer service environment required.
Previous experience in a physician’s office or hospital setting is preferred.
The Patient Access Associate I can perform job duties based on department procedure and protocol; may require direct oversight.
LICENSE/CERTIFICATION
Healthcare Financial Management Association – HFMA (CRCR) Certified Revenue Cycle Representative certification required within 120 days of hire or transfer. Current incumbents required to obtain certification by 10/1/2025.
KNOWLEDGE AND SKILLS
Ability to communicate effectively both verbally and in writing is sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources is required.
Knowledge of general computer and data entry functions required.
Excellent communication, customer service, organizational and analytical skills required.
Ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment. Ability to keep up in a very fast‑paced environment required.
Candidates must continuously display professionalism, courtesy and respect to all customers that always mirror AtlantiCare’s Values/Behaviors.
Candidate must have reliable means of transportation.
Bilingual preferred.
Performance Expectations
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
Must pass annual recertification with a score of 95% or better; this requirement is expected to be maintained every year.
Maintains a high accuracy rate of 98% or higher and established productivity rates for key performance indicators (KPIs) such as cash collections wait and TAT times, pre‑registration and registration productivity.
The Patient Access Associate has the opportunity for advancement to Patient Access Associate II if all of the above requirements are satisfied and the associate has been in the role for 15 months.
Work Environment
Potential for exposure to hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury.
This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday. The position also requires pushing and pulling computers on wheels approximately up to 100% of the day if assigned to the Emergency Department or Labor and Delivery.
High‑volume, fast‑paced environment.
Total Rewards at AtlantiCare
At AtlantiCare, we believe in supporting the whole person. Our market‑competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well‑being of our team members. We offer a comprehensive suite of benefits and resources, including:
Generous Paid Time Off (PTO)
Medical, Prescription Drug, Dental & Vision Insurance
Retirement Plans with employer contributions
Short‑Term & Long‑Term Disability Coverage
Life & Accidental Death & Dismemberment Insurance
Tuition Reimbursement
Flexible Spending Accounts (FSAs) for healthcare and dependent care
Wellness Programs
Voluntary Benefits, including Pet Insurance and more
Benefits offerings may vary based on position and are subject to eligibility requirements. Join a team that values your well‑being and invests in your future.
#J-18808-Ljbffr