Patient Access Rep-Central Registration (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 enhance the patient experience through exceptional customer service. This role involves accurately registering patients, verifying insurance coverage, and ensuring compliance with healthcare protocols. The ideal candidate will possess strong communication skills, meticulous attention to detail, and a passion for delivering quality care. Join a team committed to making communities healthier while enjoying opportunities for professional growth and development in a supportive environment.

Qualifications

• 3+ years of customer service experience in customer-facing roles.
• Proficient in Microsoft Office and insurance verification tools.

Responsibilities

• Register patients and gather accurate demographic and insurance information.
• Communicate and collect out-of-pocket liability from patients.

Skills

Customer Service

Communication Skills

Attention to Detail

Insurance Verification

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

6A-2:30P
Mon - Fri with occasional Saturdays

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. Assures 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 skills; excellent customer service; 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, located in the greater Philadelphia region, Lehigh Valley, Northeastern Pennsylvania, and southern New Jersey, is reimagining healthcare and higher education to create unparalleled value. Jefferson employs over 65,000 people dedicated to providing high-quality, compassionate clinical care, making communities healthier, and preparing future professionals. Jefferson comprises 10 colleges and three schools offering over 200 undergraduate and graduate programs to more than 8,300 students. Jefferson Health, ranked among the top 15 non-profit healthcare systems nationally, operates 32 hospital campuses and over 700 outpatient and urgent care locations. Jefferson Health Plans is a not-for-profit organization providing broad health coverage options in Pennsylvania and New Jersey for over 35 years.

Jefferson is committed to equal educational and employment opportunities for all, regardless of age, race, color, religion, creed, sexual orientation, gender identity, marital status, pregnancy, national origin, citizenship, military or veteran status, disability, or any other protected status.