Healthcare Access Specialist - job 3 of 3

About Us

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description

The HCA Patient Access Specialist communicates with insurance companies, patients, and healthcare providers to resolve discrepancies, update records, and ensure proper billing. Accuracy is crucial to prevent claim denials and facilitate smooth reimbursement processes. This role requires attention to detail, strong organizational skills, knowledge of insurance policies, sense of urgency to meet time-sensitive insurance requirements, and effective communication skills to navigate the complexities of healthcare billing.

The HCA Patient Access Specialist is responsible for ensuring quality patient registration, validation, and verification of insurance information. Collects and reviews all patient insurance information needed to complete the benefit verification process. Investigates missing data needed to complete the verification process. Troubleshoots and seeks solutions to problems related to questions and concerns over health insurance coverage. Knowledgeable with coordination of benefits and completing MSPQ episodically to ensure proper coordination for Medicare recipients. Additional responsibilities include point of service collections, positive telephone etiquette, and patient satisfaction in support of Cooper University Hospital Mission and Core Values. Must be able to work independently and as a team with an enthusiastic personality.

Knowledgeable of state and federal government funding programs such as Medicare, Medicaid, and requirements to satisfy timely notification of rights as it pertains to these programs. Additionally, securing and delivering proper correspondence needed to satisfy those requirements such as CMS IMM, CMS MOON, NJ Observation, and CMS NSA forms.

Experience Required

• 2 years in -Minimum one year of registration or billing experience working in a medical facility. Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations, and referrals
• 3-5 years preferred in exp.

Education Requirements

• High School Diploma or Equivalent required.

License/Certification Requirements

• NAHAM Certified Healthcare Access Associate (CHAA) certification or HFMA Certified Revenue Cycle certification 

Special Requirements

• Excellent verbal and written communications skills
• Experienced in use of computers and software applications, i.e., Microsoft Word, Excel, Outlook, Access, registration, and billing systems.
• Exceptional customer service and interpersonal skills
• Proficiency in working with payor on-line portals, i.e., NaviNet, Passport, Availity, and other third-party eligibility systems preferred.