Patient Access Representative - ED Registration - Days (7A-3:30P EOW)

Thomas Jefferson University & Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Patient Access Representative to enhance patient experiences. In this role, you will be responsible for registering patients, gathering essential demographic and insurance information, and ensuring compliance with regulatory requirements. Your strong communication skills and attention to detail will be vital in verifying insurance coverage and collecting payments. Join a team that values excellence and compassion, and contribute to a positive environment for patients and families alike. If you are passionate about customer service and have a background in healthcare, this opportunity is perfect for you.

Qualifications

• 3+ years of customer service experience in healthcare.
• Proficient in Microsoft Office and EHR applications.

Responsibilities

• Register patients and gather accurate demographic and insurance information.
• Verify patients' insurance coverage and benefits using various tools.
• Collect out-of-pocket liability from patients at the time of service.

Skills

Customer Service

Communication Skills

Attention to Detail

Microsoft Office

Medical Terminology

Education

High School Diploma or GED

Associate's Degree in Healthcare or Business Administration

Tools

EPIC

Cerner

RTE (Real Time Eligibility)

Phreesia

Job description

Job Details

7a-3:30p every other weekend, 2 winter & 2 Summer holidays

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

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 Jefferson 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. Assures 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).

Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications such as EPIC and 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, associate's degree in healthcare or business administration preferred.

AND

Outpatient/Admissions: Minimum 3 years of customer service experience in customer-facing roles.

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

Work Shift

Day shift (United States of America)

Worker Sub Type

Regular

Primary Location Address

4900 Frankford Avenue, Philadelphia, Pennsylvania, United States of America