Patient Access Representative (FT Evenings, 3p-11:30p) - Torresdale ED

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 in a dynamic healthcare environment. This role involves interacting with patients, gathering crucial demographic and insurance information, and ensuring compliance with healthcare protocols. The ideal candidate will possess exceptional communication skills and a strong background in customer service, particularly in outpatient or emergency department settings. Join a team committed to delivering quality care and support to patients and families, while contributing to performance metrics and maintaining regulatory standards. If you are passionate about healthcare and helping others, this is the perfect opportunity for you.

Qualifications

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

Responsibilities

• Provide positive patient experience and gather accurate demographic information.
• Verify insurance coverage and collect out-of-pocket liabilities from patients.

Skills

Customer Service Skills

Communication Skills

Insurance Verification

Demographic Information Gathering

Education

High School Diploma or GED

Associates Degree in Healthcare or Business Administration

Tools

Microsoft Office

EPIC

Cerner

Job description

Patient Access Representative (FT, 3p-11:30p) - Torresdale ED

Job Details

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.

Essential Functions:

• 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).

Minimum Education and Experience Requirements:

Education: Required High School Diploma or GED, Associates degree in healthcare or business administration preferred.

Experience:

• Outpatient/Admissions: Minimum 3 years of customer service experience. Previous experience working in insurance, physicians/medical office or hospital registration preferred.
• 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. preferred. Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Competencies (Knowledge, Skills, and Abilities Required):

• Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner.
• Knowledge of medical terminology, third-party insurance coverage including managed care plans.
• Strong verbal and written communication and customer service skills.

Work Shift

Rotating (United States of America)

Worker Sub Type

Regular

Primary Location Address

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

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.