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

Jefferson Health Plans; Stratford (CT); On-site; USD 48,712,000 - 62,724,000; Full time

Job summary

Kennedy University Hospitals, Inc in Stratford, NJ is seeking a Patient Access Representative to register patients for outpatient visits, collect accurate demographic and insurance information, and verify coverage using Real Time Eligibility and payer websites.

You will interview patients, obtain photo IDs and insurance cards, and ensure referrals and authorizations are on file while maintaining regulatory compliance and delivering excellent customer service in a busy hospital setting.

Qualifications

• High School Diploma or GED required; Associates preferred.
• 3+ years in hospital/physician practice customer service, ED preferred.
• Registration experience with Jefferson Seamless Access beneficial.

Responsibilities

• Interacts with co-workers, visitors and staff per values.
• Gathers demographic info to identify existing or new patients.
• Requests photo ID and insurance cards; scans copies.
• Enters orders; confirms medical necessity for outpatient visits.
• Interviews patients for MSPQ questionnaire for Medicare patients.
• Uses Real Time Eligibility and payer sites to verify coverage.
• Ensures referrals and authorizations are on file as needed.
• Adheres to protocols; complies with regulatory requirements.
• Meets individual and team performance metrics.
• Collects out-of-pocket liability at the time of service.
• Rotates assignments across Patient Access points.

Skills

Customer service

Communication

Data entry

Medical terminology

EHR (EPIC)

Education

HS Diploma or GED

Associates in healthcare or business

Tools

EPIC

Cerner

Phreesia

Job description

Job Details

3P-11:30P
Week 1: Mon, Tues, Thurs, Fri, Sat
Week 2: Sun, Tues, Wed, Thurs, Fri

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, Associates 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

Kennedy University Hospitals, Inc

Primary Location Address

18 East Laurel Road, Stratford, 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, 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 diemcolleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

For more benefits information, please click here