Patient Access Rep-ER Registration (FT Evening Shift) Lansdale Campus-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 patient experiences in a dynamic healthcare environment. This role involves registering patients, verifying insurance, and ensuring compliance with healthcare regulations. The ideal candidate will possess strong communication skills and a solid background in customer service, particularly in outpatient settings. Join a compassionate team committed to providing high-quality care and making a meaningful impact in the community. If you have a passion for healthcare and enjoy working in a fast-paced environment, this opportunity is perfect for you.

Qualifications

• 3+ years of customer service experience in outpatient/admissions settings.
• Proficient with healthcare EHR applications and medical terminology.

Responsibilities

• Register patients and gather accurate demographic and insurance information.
• Verify insurance coverage and benefits for outpatient visits.

Skills

Customer Service

Communication Skills

Microsoft Office

Medical Terminology

Insurance Verification

Education

High School Diploma

Associate's Degree in Healthcare or Business Administration

Tools

EPIC

Cerner

RTE (Real Time Eligibility)

Phreesia

Job description

Job Details

Patient Access Rep - ER Registration

Full-Time Evening Shift (3 p.m. - 11:30 p.m.) at Lansdale Campus

Job Description

Job Summary

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 compensation 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.

Essential Functions

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 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).

Required Competencies (Knowledge, Skills, and Abilities)

Proficient with computer and Microsoft Office skills. Familiar with healthcare EHR applications such as EPIC and Cerner. Knowledge of medical terminology and third-party insurance coverage, including managed care plans. Strong verbal and written communication and customer service skills.

Minimum Education and Experience Requirements

Education: High School Diploma or GED required; Associate's degree in healthcare or business administration preferred.

Experience: Minimum 3 years of customer service experience in outpatient/admissions settings. For Emergency Department roles, 3 years experience in hospital, physician practice, or related healthcare environment customer service is required. Prior registration experience in Emergency Dept is preferred.

Additional Information: Previous experience working in insurance, physician's/medical office, or hospital registration is preferred.

Work Shift

Rotating (United States of America)

Worker Sub Type

Regular

Primary Location Address

100 Medical Campus Drive, Lansdale, Pennsylvania, United States of America

Jefferson, located in the greater Philadelphia region, Lehigh Valley, and Northeastern Pennsylvania, is reimagining healthcare and higher education to create value. With over 65,000 staff, Jefferson provides high-quality, compassionate clinical care, community health, professional education, and research. It includes Thomas Jefferson University, Jefferson Health, and Jefferson Health Plans, serving millions annually across numerous facilities. Jefferson is committed to equal opportunity employment and education, welcoming all qualified individuals regardless of protected status.