Patient Access Representative Floater Various Times Montgomery Co.

Thomas Jefferson University & Jefferson Health; Lansdale, Buffalo (Montgomery County, NY); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare organization seeks a Patient Access Representative Floater to enhance patient experiences across various service areas. The role involves registering patients, verifying insurance, and ensuring compliance with healthcare protocols. Candidates should possess strong communication skills and a background in customer service, ideally within a healthcare setting.

Qualifications

• Minimum 3 years of customer service experience in customer-facing roles.
• Knowledge of medical terminology and third-party insurance coverage.
• Prior registration experience in Emergency Department preferred.

Responsibilities

• Provide a positive patient experience while registering patients.
• Gather complete and accurate demographic and insurance information.
• Communicate and collect out-of-pocket liability from patients.

Skills

Customer Service

Communication

Attention to Detail

Education

High School Diploma or GED

Associates degree in healthcare or business administration

Tools

Microsoft Office

EPIC

Cerner

Job description

Job Details

Patient Access Representative Floater - Various Times, Montgomery Co.

Job Description

Job 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.

• 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. 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.
• 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).

Competencies (Knowledge, Skills, and Abilities Required):

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.

Outpatient/Admissions:

• Proficient with computer and Microsoft Office skills.
Our mission, vision, and values are also included to reflect the organization's culture and commitment.

Education

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

Experience

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

559 W. Germantown Pike, East Norriton, Pennsylvania, United States of America