Patient Access Representative - FT, Evening (3P-11:30P) - Cherry Hill ED

Health Partners Plans; New Jersey; On-site; USD 23,000 - 30,000; Full time

Job summary

Jefferson Health Northeast seeks a Patient Access professional for the Outpatient Registration and Emergency Department areas in Cherry Hill, NJ. You will gather demographic data, verify insurance using RTE/Phreesia, obtain IDs and insurance cards, and enter orders with medical necessity review.

The role requires 3+ years in healthcare customer service, knowledge of EPIC/Cerner, and strong communication skills.

Qualifications

• Required High School Diploma or GED, associate's degree in healthcare or business administration preferred
• Emergency Department: Minimum 3 years' experience in hospital, physician practice, or other related healthcare environment customer service. Prior registration experience in Emergency Dept preferred.

Responsibilities

• Gathers accurate demographic information to identify patients with an existing medical record number or assign a new one
• Requests photo ID and insurance cards, scanning copies
• Records complete and accurate demographic and insurance information and enters orders and confirms medical necessity for outpatient visits
• Interviews patients to complete the Medicare Secondary Payer (MSPQ) questionnaire for all Medicare patients
• Uses Real Time Eligibility (RTE), Phreesia or payer websites to verify insurance coverage and benefits, including patient out-of-pocket liability
• Ensures proper referral and authorizations are on file as needed
• Completes activities with adherence to departmental and institutional protocols and regulatory/compliance requirements
• Rotates assignment to all points of service areas within Patient Access (Outpatient Registration and Emergency Department)
• Proficient with computer and Microsoft Office; familiar with EPIC and Cerner EHRs
• 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

Skills

Customer service

Microsoft Office

EPIC/Cerner

Medical terminology

Communication skills

Education

High school diploma

Associate degree in healthcare or business administration

Tools

EPIC

Cerner

Job description

Number of Positions in Requisition 1

Job Details

3P-11:30P

Week 1: Mon, Tues, Wed, Fri and Sat

Week 2: Sun, Mon, Wed Thurs, Fri

Every other holiday 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.

Salary Range

$17.00 to $21.89 Hourly 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 Evening (United States of America)

Worker Sub Type

Regular Employee Entity

Jefferson Health Northeast Primary Location Address

2201 Chapel Ave West & Cooper Landing Rd, Cherry Hill, 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