Company: | Meridian Health |
Industry: | Healthcare / Medical |
Job Type: | Full Time |
Country: | United States |
State/Province: | New Jersey |
City: | North Bergen |
Post Date: | 03/13/2023 01:34 AM |
Overview Come join our Amazing team here at Hackensack Meridian Health! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement, Employee Discounts and much more !!! 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
Qualifications
Education, Knowledge, Skills and Abilities Preferred:
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