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Health Access Representative

Company: Capital Health
Location: Pennington
Posted on: June 10, 2021

Job Description:


Position #: 11877


  • Obtains demographic, diagnosis, and insurance information on each patient registration.
  • Registers established goal of minimum required patients per employee shift as measured by productivity reports.
  • Presents forms and obtains signatures using approved scripts.
  • Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms.
  • Follows payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to department procedures and the Insurance Card Database and Insurance Verification guidelines.
  • Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
  • Supports department performance improvement initiatives.
  • Assists with data collection in support of quality performance improvement initiatives.
  • Attends department meetings.
  • Follows patient identification policy.
  • Acts as a resource for Patient Access department.
  • Acts as a liaison for physician office and ancillary departments


  • High school diploma or GED.
  • One year experience in a healthcare setting or one year customer service experience.

  • Acquired knowledge of various areas within Health Access environment.

  • Medical terminology and medical insurance knowledge preferred.

  • Basic computer skills
  • Frequent physical demands include: Sitting , Standing , Walking , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion

Occasional physical demands include: Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl

Continuous physical demands include: Talk or Hear

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Keywords: Capital Health, Trenton , Health Access Representative, Other , Pennington, New Jersey

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