Patient Access Representative - ED Registration - EOW Evenings (3p-11:30p)

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

Job summary

An established industry player is seeking a dedicated Patient Access Representative to enhance patient experiences. In this pivotal role, you will be responsible for accurately registering patients, gathering essential demographic and insurance information, and ensuring compliance with healthcare protocols. Your strong communication and customer service skills will shine as you assist patients in navigating their healthcare journey. Join a dynamic team committed to providing high-quality clinical care and education, contributing to a reimagined healthcare landscape that values community health and patient satisfaction.

Qualifications

• Minimum 3 years of customer service experience in customer-facing roles.
• Proficient in Microsoft Office and familiar with healthcare EHR applications.

Responsibilities

• Gathers accurate demographic information for patient registration.
• Verifies patients' insurance coverage and benefits using RTE and payer websites.

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

Job description

Job Details

Evenings: 3p-11:30p 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. (Do not delete, move or over-write this statement)
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 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, 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 a minimum of 1 year of experience will be considered as meeting the experience requirement.

Work Shift

Weekend Evening (United States of America)

Worker Sub Type

Regular

Primary Location Address

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

Jefferson, located mainly in the Philadelphia region, Lehigh Valley, Northeastern Pennsylvania, and southern New Jersey, is reimagining healthcare and higher education to create value. With over 65,000 staff, Jefferson provides high-quality clinical care, community health, education, and research. Founded in 1824, it comprises 10 colleges and three schools with over 200 programs for more than 8,300 students. Jefferson Health is ranked among the top 15 non-profit healthcare systems nationally, serving millions annually across 32 hospitals and 700+ outpatient locations. Jefferson Health Plans offers health coverage options in Pennsylvania and New Jersey for over 35 years.

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