Patient Access Representative (FT Nights, 11p-7a) - Torresdale ED

Thomas Jefferson University & Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 40,000 - 65,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to enhance patient experiences. This role involves registering patients, gathering essential demographic and insurance information, and ensuring compliance with healthcare protocols. You will utilize various EHR applications and insurance verification tools to facilitate smooth patient interactions. Join a team committed to compassionate care and innovation in healthcare, where your contributions directly impact the community's health and well-being. If you have a passion for customer service and healthcare, this opportunity is perfect for you.

Qualifications

• 3+ years of experience in a healthcare customer service role.
• Familiarity with healthcare EHR applications and insurance verification.

Responsibilities

• Register patients and gather accurate demographic and insurance information.
• Verify insurance coverage and confirm medical necessity for outpatient visits.

Skills

Customer Service

Communication Skills

Attention to Detail

Medical Terminology

Insurance Verification

Education

High School Diploma or GED

Associates Degree in Healthcare or Business Administration

Tools

Microsoft Office

EPIC

Cerner

Real Time Eligibility (RTE)

Phreesia

Job description

Job Details

FT Nights 11p-7A
Tuesday - Saturday OR Wednesday - Sunday

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. 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:

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

Rotating (United States of America)

Worker Sub Type

Regular

Primary Location Address

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

Jefferson, located in the greater Philadelphia region, Lehigh Valley, Northeastern Pennsylvania, and southern New Jersey, is reimagining health care and higher education to create unparalleled value. With over 65,000 staff, Jefferson is dedicated to providing high-quality, compassionate clinical care, making communities healthier, and preparing future professionals through education and research. Jefferson encompasses Thomas Jefferson University, Jefferson Health, and Jefferson Health Plans, serving millions annually across numerous hospitals and outpatient locations. Jefferson is committed to equal opportunity employment and education, regardless of age, race, gender, or other protected statuses.