Patient Access Representative (FT Evenings, 3p-11:30p) - 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 dedicated Patient Access Representative to enhance patient experiences. This role involves interacting with patients and families, ensuring accurate registration, and verifying insurance details. The ideal candidate will excel in communication and customer service, contributing to a compassionate healthcare environment. Join a team that values quality clinical care and is committed to improving community health. If you have a passion for helping others and thrive in a dynamic setting, this opportunity is perfect for you.

Qualifications

• Minimum 3 years in healthcare customer service required.
• Experience in Emergency Department registration preferred.

Responsibilities

• Gather and verify patient demographic and insurance information.
• Communicate and collect out-of-pocket liabilities from patients.

Skills

Customer Service

Communication Skills

Insurance Verification

Demographic Data Entry

Education

High School Diploma or GED

Associate's Degree in Healthcare or Business Administration

Tools

RTE (Real Time Eligibility)

Phreesia

Job description

Job Details

Evening Shift (3p-11p) - M-F & EOW

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 needing 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. Ensures 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:

Required High School Diploma or GED; an associate's degree in healthcare or business administration is preferred.

AND

Emergency Department: Minimum 3 years of experience in hospital, physician practice, or other related healthcare environment customer service required. Prior registration experience in Emergency Dept. is preferred. Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Work Shift

Rotating (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 healthcare and higher education to create unparalleled value. With over 65,000 staff, Jefferson provides high-quality, compassionate clinical care, making communities healthier, and preparing future professionals. Jefferson comprises 10 colleges and three schools, offering over 200 undergraduate and graduate programs to more than 8,300 students. Jefferson Health, ranked among the top 15 non-profit healthcare systems nationally, operates 32 hospital campuses and over 700 outpatient and urgent care locations. Jefferson Health Plans has been providing 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 regardless of 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.