Patient Access Representative

Jefferson Health; Williamstown (NJ); On-site; USD 25,000 - 36,000; Full time

Job summary

Jefferson Health is seeking an Evening Shift Patient Access Representative for on-site work in Washington Township or Stratford, NJ. You will register patients, collect demographics and insurance information, verify coverage, and prepare referrals and authorizations as needed.

Strong communication, attention to detail, and proficiency with Epic or Cerner is required. This role supports outpatient and ED registration and reports to the Patient Access team.

Qualifications

• High School Diploma or GED required; Associates degree preferred.
• Experience in hospital/healthcare registration or patient access is beneficial.
• Strong verbal and written communication and attention to detail.

Responsibilities

• Register patients and collect accurate demographic and insurance information.
• Verify insurance coverage using Real Time Eligibility or payer portals; collect out-of-pocket liability.
• Enter orders, confirm medical necessity for outpatient visits and complete MSPQ questionnaire; collect and verify referrals and authorizations.
• Rotate through patient access areas including outpatient registration and emergency department; maintain compliance with regulations.

Skills

Customer service

Communication

Data entry

Microsoft Office

Medical terminology

Education

Associates degree in healthcare or business

Tools

EPIC

Cerner

Job description

Job Description

Currently seeking candidates that are open to Evening Shift (3P-11:30) both Full Time and/or RELIEF needs (8-16 hrs/weekly) fully onsite opportunities located in either Washington Twnship OR Stratford New Jersey emergency departments.

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.

Job Description:

• 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
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.

Company Description

Jefferson Health delivers state-of-the-art healthcare services to patients throughout the Delaware Valley and southern New Jersey. Jefferson (Philadelphia University + Thomas Jefferson University) provides more than 8,400 students from nearly 40 states and 40 countries with 21st-century professional education. Combined, we have over 30,000 employees.
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With 14 hospitals (seven are Magnet-designated by the ANCC for nursing excellence) and 40+ outpatient and urgent care locations, Jefferson Health offers a broad range of primary and complex, highly specialized care that touches the lives of more than four million patients annually. U.S. News & World Report has ranked Thomas Jefferson University Hospital among the nation’s best in eight specialties. Jefferson Health also includes the NCI designated Sidney Kimmel Cancer Center; it is one of only 70 such centers.

Thomas Jefferson University has ten colleges and three schools that offer more than 160 undergraduate and graduate programs. Our University is dedicated to inter-professional and transdisciplinary approaches to learning that offer a dynamic and expandable platform for professional education. We are preparing our students for current and yet to be imagined careers through this unique model.