Patient Access Rep-Central Reg (FT DAY) Abington -Jefferson Health

Thomas Jefferson University & Jefferson Health; Lansdale, Buffalo (Montgomery County, NY); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to provide exceptional service to patients and families. In this role, you will be responsible for accurately registering patients, gathering essential demographic and insurance information, and ensuring compliance with regulatory standards. Your strong communication skills and meticulous attention to detail will be vital as you interact with patients and assist them through the registration process. Join a team that values customer service and strives to create a positive patient experience in a fast-paced environment.

Qualifications

• 3+ years of customer service experience in customer-facing roles.
• Proficient with computer and Microsoft Office skills.

Responsibilities

• Gathers accurate demographic and insurance information from patients.
• Ensures regulatory and compliance requirements are met.
• Communicates and collects out-of-pocket liability from patients.

Skills

Communication Skills

Customer Service

Attention to Detail

Microsoft Office

Education

High School Diploma or GED

Associates Degree in Healthcare or Business Administration

Tools

RTE (Real Time Eligibility)

Phreesia

Job description

Job Details

FT Day Monday through Friday with occasional Saturdays
8:30A-5P

Provides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients. Accurately searches and selects the correct patient. Gathers complete and accurate demographic and insurance information from patients and families. Identifies uninsured patients for referral to Medical Assistance/Charity Care evaluation. Retrieves orders, confirms medical necessity, and answers phones for outpatient visits. Gathers worker's comp or auto insurance information from accident patients, collects patient out-of-pocket liability/copays, verifies insurance, and confirms referrals and authorizations are on file, if required.

Job Description

1. Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
2. Gathers accurate demographic information to identify Jefferson patients who have an existing medical record number or new Jefferson patients who need a medical record number assigned.
3. Requests photo ID and insurance cards, scanning copies.
4. Records complete and accurate demographic and insurance information. Enters orders and confirms medical necessity for outpatient visits, if appropriate. Interviews patients to accurately complete the Medicare Secondary Payer (MSPQ) questionnaire for all Medicare patients.
5. Uses RTE (Real Time Eligibility), Phreesia or payer websites to verify patients' insurance coverage and benefits, including patient's out-of-pocket liability. Ensures proper referral and authorizations are on file as needed.
6. Completes all activities with adherence to departmental and institutional protocols.
7. Ensures regulatory and compliance requirements are met.
8. Achieves individual and team performance metrics.
9. Communicates and collects out-of-pocket liability from patients at the time of service.
10. Rotates assignment to all points of service areas within Patient Access (Outpatient Registration and Emergency Department).

Proficient with computer and Microsoft Office skills.
Strong verbal and written communication; strong customer service, with knowledge and ability to utilize practices, tools, and techniques for communicating with customers.
Meticulous attention to detail.

Minimum Education and Experience Requirements

Required High School Diploma or GED, Associates degree in healthcare or business administration preferred.
AND
Outpatient/Admissions: Minimum 3 years of customer service experience in customer-facing roles.
Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Work Shift

Day shift (United States of America)

Worker Sub Type

Regular

Primary Location Address

1200 Old York Road, Abington, Pennsylvania, United States of America

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.