Job Description

Pride Health is hiring a Patient Access Representative to support our client’s medical facility based in Morristown, NJ – 07960. This is a 3-month assignment with the possibility of a contract-to-hire opportunity and a great way to start working with a top-tier healthcare organization!

Job Title: Patient Access Representative

Location: 475 South Street, AHS Corporate Office, Morristown, NJ – 07960.

Pay Range: $18.00/hr to $22/hr

Shift: Days, Monday-Friday (07:00 AM to 3:00 PM) OR (3 PM to 11 PM) OR (11 PM to 7 AM) OR (6:30 AM to 2:30 PM)

Duration: 03 Months (Contract) with possible extension

Key Responsibilities:

• Verify outpatient hospital visit authorizations with insurance payers in a timely and accurate manner.
• Utilize payer portals to confirm patient eligibility, coverage details, and required precertification criteria.
• Conduct thorough research to determine patient insurance benefits, ensuring proper documentation and compliance with payer guidelines.
• Serve as a key point of contact for physician offices, providing clear and professional communication regarding authorization requirements, status updates, and related inquiries.
• Collaborate with hospital departments and scheduling teams to coordinate services and avoid delays due to authorization issues.
• Maintain accurate and up-to-date records of all authorization activities and communications in applicable systems.
• Demonstrate exceptional customer service skills while managing daily interactions with physician office staff, hospital personnel, and insurance representatives.
• Respond promptly and professionally to inquiries via phone, email, and other communication channels.
• Leverage Microsoft 365 tools (Outlook, Excel, Word, Teams) to track authorization processes, manage documentation, and support communication workflows.
• Stay current on insurance policies, industry changes, and system updates to ensure continued accuracy and compliance.

Requirements:

• High School diploma or equivalent (GED)
• 1 year hospital authorization verification required

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