Patient Access Representative (FT, Evenings) - Cherry Hill ED

Thomas Jefferson University & Jefferson Health; Voorhees Township (NJ); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare provider in New Jersey is seeking a Patient Access Representative to enhance patient experiences through effective communication and accurate information gathering. The role involves verifying insurance, collecting patient information, and ensuring compliance with healthcare protocols. Ideal candidates will have strong customer service skills and a background in healthcare settings. Join a dedicated team committed to providing exceptional service and support to patients and families.

Qualifications

• Minimum 3 years' experience in healthcare customer service.
• Prior registration experience in Emergency Dept preferred.

Responsibilities

• Gathers accurate demographic information and verifies insurance coverage.
• Communicates and collects out-of-pocket liability from patients.
• Rotates assignments within Patient Access areas.

Skills

Communication

Customer Service

Attention to Detail

Education

High School Diploma

Associate's degree in healthcare or business administration

Tools

Microsoft Office

EPIC

Cerner

Job description

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.

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 customer service. Prior registration experience in Emergency Dept preferred. Current Jefferson Seamless Access Representatives with at least 1 year of experience will be considered as meeting the experience requirement.

Competencies (Knowledge, Skills, and Abilities):

• Proficient with computer and Microsoft Office skills; 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

Workday Evening (United States of America)

Worker Sub Type

Regular

Primary Location Address

2201 Chapel Ave West & Cooper Landing Rd, Cherry Hill, New Jersey, United States of America