Patient Access Representative - FT, Day (7A-3:30P) - Center City ED

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

Dental and vision insurance

Retirement plans

Tuition assistance

Job summary

Jefferson Health's Center City Emergency Department is hiring a full-time Patient Access Representative for the day shift (7A-3:30P). You will register patients, gather demographics and insurance information, verify coverage, collect copays, and route referrals as needed.

Ideal candidates have strong communication and customer-service skills, experience with EPIC or Cerner, and the ability to work in a fast-paced ED setting while ensuring accuracy and regulatory compliance.

Qualifications

• High School Diploma or GED required; associate’s degree preferred.
• Experience in hospital, physician practice, or related healthcare customer service environments is advantageous.
• Registration experience in Emergency Department is preferred; Jefferson Seamless Access reps may have a waiver with 1 year experience.

Responsibilities

• Register patients and gather demographic and insurance information accurately.
• Verify patient insurance coverage and benefits using RTE, Phreesia or payer websites.
• Collect out-of-pocket liability and copays at time of service; ensure referrals and authorizations are on file when required.
• Enter orders and confirm medical necessity for outpatient visits; interview patients for Medicare Secondary Payer (MSPQ).
• Rotate through all Patient Access points (Outpatient Registration and ED).
• Maintain compliance with regulatory requirements and department protocols; communicate with staff and patients effectively.

Skills

Communication skills

Customer service

Attention to detail

Medical terminology knowledge

Education

High School Diploma or GED

Associate’s degree in healthcare or business administration preferred

Tools

EPIC

Cerner

Phreesia

RTE (Real Time Eligibility)

Job description

Patient Access Representative - FT, Day (7A-3:30P) - Center City ED### Patient Access Representative - FT, Day (7A-3:30P) - Center City EDApply: Philadelphia, PA: Full time: Posted Today: REQ-0039310**Number of Positions In Requisition**1**Job Details**7A-3:30P Week 1: Sunday, Monday, Wednesday, Thursday, Friday Week 2: Monday, Tuesday, Wednesday, Friday, Saturday Every other holiday REQUIRED! 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.* 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 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** Emergency Department: Minimum 3 years’ experience in hospital, physician practice, or other 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**Workday Day (United States of America)**Worker Sub Type**Regular**Employee Entity**Thomas Jefferson University**Primary Location Address**131 S 10th Street, Philadelphia, Pennsylvania, United States of AmericaNationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to 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 group or status. **Benefits**Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.For more benefits information, please click here