Patient Access Representative

Jefferson Health; Stratford (NJ); On-site; USD 25,000 - 33,000; Full time

Job summary

Jefferson Health is seeking a Patient Access Representative for the Emergency Department in Stratford and surrounding locations. The role involves registering patients, collecting demographics and insurance details, and verifying coverage for outpatient visits.

Strong communication, customer service, and attention to detail are essential. Proficiency with EHR systems (EPIC/Cerner) and Microsoft Office is preferred, with ED experience a plus.

Qualifications

• High school diploma or GED required; associates preferred in healthcare or business.
• Experience in emergency department or hospital front desk is preferred.
• Strong communication and customer service skills with attention to detail.

Responsibilities

• Greet and register patients; verify demographics and insurance information.
• Collect copays and verify eligibility using RTE or payer sites.
• obtain referrals/authorizations when required; schedule outpatient visits.
• Operate EHR systems (EPIC/Cerner) and ensure data accuracy.

Skills

Customer service

Communication

Attention to detail

Phone etiquette

Education

High School Diploma or GED

Associates degree in healthcare or business administration

Tools

EPIC

Cerner

Microsoft Office

Job description

SHIFTS: RELIEF - 8/16 hrs weekly (Day 7A-3:30P) & Full Time 40 hrs weekly (Evenings 3P-11:30P -EOW Required)

LOCATIONS: Stratford/Cherry Hill/Washington Twnship/Philadelphia (Evening)

Department: Emergency

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 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.

Responsibilities:

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• 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
• Requests photo ID and insurance cards, scanning copies
• Records complete and accurate demographic and insurance information. Entering orders and confirming medical necessity for outpatient visits, if appropriate. Interviewing patients to accurately complete the Medicare Secondary Payer (MSPQ) questionnaire for all Medicare patients.
• 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.
• Completes all activities with adherence to departmental and institutional protocols
• Assures regulatory and compliance requirements are met
• Achieves individual and team performance metrics
• Communicates and collects out-of-pocket liability from patients at the time of service
• Rotates assignment to all points of service areas within Patient Access (Outpatient Registration and Emergency Department)

Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner

Knowledge of medical terminology and/or third-party insurance coverage including managed care plans

Strong verbal and written communication and customer service skills

Meticulous attention to detail

Minimum Education and Experience Requirements

Required High School Diploma or GED, Associates degree in healthcare or business administration preferred

AND

Emergency Department: Minimum 3 years experience in hospital, physician practice, or other related healthcare environment customer service. Prior registration experience in Emergency Dept preferred. Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.