Patient Access Representative (FT, 5:30am-2:30pm) - Center City Admissions

Thomas Jefferson University & Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare institution in Philadelphia seeks a Patient Access Representative to enhance patient experiences. The role involves registering patients, verifying insurance, and ensuring compliance with protocols. Ideal candidates will have strong communication and customer service skills, with a focus on detail and accuracy.

Qualifications

• Minimum 3 years of customer service experience in customer-facing roles.
• Previous experience working in insurance, physician's/medical office, or hospital registration preferred.

Responsibilities

• Gathers accurate demographic information to identify patients.
• Verifies patients' insurance coverage and benefits.
• 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

Job Details

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

Essential Functions:

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. 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.
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).

Competencies (Knowledge, Skills, and Abilities Required):

• Proficient with computer and Microsoft Office skills.
• Strong verbal and written communication; strong customer service; knowledge and ability to utilize practices, tools, and techniques for communicating with customers.
• Meticulous attention to detail.

Minimum Education and Experience Requirements:

Education: Required High School Diploma or GED; Associate's degree in healthcare or business administration preferred.

Outpatient/Admissions: Minimum 3 years of customer service experience in customer-facing roles. Previous experience working in insurance, physician's/medical office, or hospital registration preferred.

Work Shift

Rotating (United States of America)

Worker Sub Type

Regular

Primary Location Address

111 S 11th Street, Philadelphia, Pennsylvania, United States of America