Patient Access Representative (FT, Evenings) - Methodist ED

Thomas Jefferson University & Jefferson Health; Philadelphia, Danbury (Philadelphia County, CT); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to enhance patient experiences through exceptional customer service and accurate information gathering. This role involves interacting with patients and families, verifying insurance details, and ensuring compliance with healthcare regulations. Join a forward-thinking organization that values compassion and quality in patient care, while offering opportunities for professional growth and development in a supportive environment.

Benefits

Health Insurance

Retirement Plan

Paid Time Off

Professional Development Opportunities

Qualifications

• Minimum 3 years' experience in healthcare customer service.
• Proficient with healthcare EHR applications.

Responsibilities

• Gathers accurate demographic and insurance information.
• Communicates and collects out-of-pocket liability from patients.

Skills

Customer Service

Communication Skills

Attention to Detail

Insurance Verification

Microsoft Office

Education

High School Diploma or GED

Associates Degree in Healthcare or Business Administration

Tools

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. 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.
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, Associates degree in healthcare or business administration preferred.

Experience: 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.

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 and/or 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

2301 South Broad Street, Philadelphia, Pennsylvania, United States of America

Jefferson, located in the greater Philadelphia region, Lehigh Valley, Northeastern Pennsylvania, and southern New Jersey, is reimagining healthcare and higher education to create value. With over 65,000 staff, Jefferson provides high-quality, compassionate clinical care, community health, professional education, and research. Founded in 1824, 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 hospitals and over 700 outpatient and urgent care centers. Jefferson Health Plans has provided broad health coverage options in PA and NJ for over 35 years.

Jefferson is committed to equal opportunity employment and education without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, disability, or other protected groups.