Patient Access Representative - FT, Day (9A-5:30P) - Washington Twnship Outpatient

Health Partners Plans; New Jersey; Presencial; USD 36.000 - 48.000; Jornada completa

Descripción de la vacante

Kennedy University Hospitals, Inc in Turnersville, NJ is seeking a Regular Patient Access representative to register patients, collect demographics, verify insurance, and gather information for outpatient visits.

The role requires strong customer service and communication skills, with a minimum of 3 years in patient-facing settings; current Jefferson Seamless Access representatives with 1 year of experience may meet the requirement. Shift includes weekdays and every 3rd Saturday rotation.

Formación

• Required High School Diploma or GED.
• Outpatient/Admissions: minimum 3 years of customer service in a frontline role.
• Current Jefferson Seamless Access Representatives with at least 1 year meet the experience requirement.

Responsabilidades

• Register patients and gather complete demographic and insurance information.
• Verify coverage and collect out-of-pocket liability at the time of service.
• Search for existing medical records or assign new records as needed.
• Handle calls, answer questions, and assist with referrals and authorizations.
• Occupationally rotate across patient access areas and maintain compliance.

Conocimientos

Communication skills

Customer service

Attention to detail

Educación

High School Diploma or GED

Associate's degree in healthcare or business administration

Herramientas

Microsoft Office

Descripción del empleo

Number of Positions in Requisition

1

Job Details

9A-5:30P

Monday-Friday

Every 3rd Saturday rotation (Monday off weeks working Saturday)

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

Strong verbal and written communication; strong customer service, has knowledge and ability to utilize practices, tools, and techniques for communicating with a customer

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 type roles

Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Salary Range

The actual hiring rate will be determined based on candidate experience, skills and qualifications. This position is not eligible for an annual incentive.

Positions posted as annual salaries reflect an estimated amount for a 1.0 Full-Time Equivalent (FTE) (i.e. 40 hour equivalent)), positions for less than 1.0 FTE will be prorated.)

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular Employee Entity

Kennedy University Hospitals, Inc Primary Location Address

435 Hurffville-Cross Keys Rd, Turnersville, New Jersey, United States of America

Nationally 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, milit