Patient Access Rep (PT, Days) Washington Twp Admissions/OPIC

Thomas Jefferson University & Jefferson Health; Washington Township (NJ); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare provider in New Jersey is seeking a Patient Access Representative to ensure a positive patient experience. The role involves gathering patient information, verifying insurance coverage, and adhering to compliance protocols. Ideal candidates will have strong communication and customer service skills, with a minimum of three years in relevant roles. Join a dedicated team committed to high-quality clinical care and community health.

Qualifications

• Minimum of 3 years in customer service roles, preferably in insurance or medical office.
• Proficient with computer skills and strong verbal communication.

Responsibilities

• Gather accurate demographic and insurance information from patients.
• Ensure compliance with regulatory requirements and achieve performance metrics.
• Communicate and collect out-of-pocket liability from patients.

Skills

Communication

Customer Service

Attention to Detail

Education

High School Diploma or GED

Associate's degree in healthcare or business administration

Tools

Microsoft Office

Job description

Job Details

Monday - 8:30a-5p OPIC Wash Township

Wednesday and Friday - 6:30a-12:30p Wash Township Outpatient Admissions

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

Essential Functions:

• Interact with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Gather accurate demographic information to identify Jefferson patients with existing medical record numbers or assign new ones.
• Request photo ID and insurance cards, scanning copies.
• Record complete and accurate demographic and insurance information. Enter orders and confirm medical necessity for outpatient visits. Interview patients to complete the Medicare Secondary Payer (MSPQ) questionnaire for all Medicare patients.
• Use RTE (Real Time Eligibility), Phreesia, or payer websites to verify patients' insurance coverage, benefits, and out-of-pocket liability. Ensure proper referral and authorizations are on file as needed.
• Complete all activities in adherence to departmental and institutional protocols.
• Ensure compliance with regulatory requirements.
• Achieve individual and team performance metrics.
• Communicate and collect out-of-pocket liability from patients at the time of service.
• Rotate assignment across all points of service within Patient Access (Outpatient Registration and Emergency Department).

Competencies (Knowledge, Skills, and Abilities):

• Proficient with computer and Microsoft Office skills.
• Strong verbal and written communication skills; excellent customer service skills; ability to utilize practices, tools, and techniques for effective communication.
• Meticulous attention to detail.

Minimum Education and Experience:

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

Experience: Minimum of 3 years in customer service roles, preferably in insurance, physician's/medical office, or hospital registration.

Work Shift

Workday Evening (United States of America)

Worker Sub Type

Regular

Primary Location

435 Hurffville-Cross Keys Rd, Turnersville, New Jersey, 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. With over 65,000 staff, Jefferson is dedicated to providing high-quality, compassionate clinical care, making communities healthier, and advancing knowledge through research. Thomas Jefferson University, established in 1824, includes 10 colleges and three schools offering over 200 undergraduate and graduate programs. Jefferson Health, ranked among the top 15 non-profit healthcare systems nationally, operates 32 hospital campuses and more than 700 outpatient and urgent care locations. Jefferson Health Plans has been providing health coverage options in Pennsylvania and New Jersey for over 35 years.

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