Patient Access Representative

Jefferson Health; Willow Grove (Montgomery County); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare provider is seeking a Patient Access Representative to ensure a positive patient experience. Responsibilities include gathering patient information, verifying insurance, and assisting with admissions. The ideal candidate will have strong communication skills and a customer service background.

Qualifications

• Minimum 3 years of customer service experience in customer-facing roles.
• Proficient with computer and Microsoft Office skills.

Responsibilities

• Gathers accurate demographic information and verifies insurance coverage.
• Communicates and collects 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

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Week 2 Mon-Thurs 9:30-6p - Friday off - Saturday 7:15-3:45P

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. (Do not delete, move or over-write this statement)
• 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

Strong verbal and written communication; strong customer service, has knowledge and ability to utilize practices, tools, and techniques for communicating with a customer

Meticulous attention to detail

Minimum Education and Experience Requirements:

Required High School Diploma or GED, associate's degree in healthcare or business administration preferred

AND

Outpatient/Admissions: Minimum 3 years of customer service experience, in customer facing type roles

Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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