Patient Access Representative (FT, Days) - Torresdale ED

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 Patient Access Representative to enhance patient experiences. In this role, you will interact with patients and families, ensuring accurate registration and insurance verification. Your strong communication and customer service skills will be vital in gathering essential information and addressing patient needs. Join a dedicated team committed to providing high-quality care and improving community health. This is an exciting opportunity to make a meaningful impact in a dynamic healthcare environment while working within a supportive and collaborative team.

Qualifications

• 3+ years of experience in healthcare customer service.
• Proficient with EHR applications and Microsoft Office.

Responsibilities

• Register patients and gather accurate demographic information.
• Verify insurance coverage and collect out-of-pocket costs.

Skills

Customer Service

Communication Skills

Attention to Detail

Insurance Verification

Medical Terminology

Education

High School Diploma or GED

Associate's Degree in Healthcare or Business Administration

Tools

Microsoft Office

EPIC

Cerner

Job description

Job Details

Patient Access Representative (FT, Days) - Torresdale ED
EOW Rotation
7A-3:30P

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.

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. 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).

Minimum Education and Experience Requirements:

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

Experience: 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 also be considered as meeting the experience requirement.

Competencies (Knowledge, Skills, and Abilities):

• Proficient with computer and Microsoft Office; familiar with healthcare EHR applications such as EPIC, Cerner.
• Knowledge of medical terminology and third-party insurance coverage, including managed care plans.
• Strong verbal and written communication and customer service skills.
• Meticulous attention to detail.

Work Shift

Day shift (United States of America)

Worker Sub Type

Regular

Primary Location Address

10800 Knights Road, Philadelphia, Pennsylvania, United States of America

Jefferson, located mainly in the Philadelphia region, Lehigh Valley, Northeastern Pennsylvania, and southern New Jersey, is reimagining health care and higher education to create unparalleled value. With over 65,000 staff, Jefferson is dedicated to providing high-quality, compassionate clinical care, improving community health, preparing future professionals, and advancing research. It includes Thomas Jefferson University, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, offering over 200 programs to more than 8,300 students. Jefferson Health is ranked among the top 15 not-for-profit health systems nationally, serving patients through 32 hospitals and over 700 outpatient locations. Jefferson Health Plans offers broad health coverage options in PA and NJ for over 35 years.

Jefferson is committed to equal opportunity employment, regardless of age, race, color, religion, gender, sexual orientation, gender identity, marital status, pregnancy, national origin, military status, veteran status, disability, or other protected groups.