Patient Access Representative - Outpatient - FT Days

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 the patient experience. This role involves registering patients, gathering essential demographic and insurance information, and ensuring compliance with institutional protocols. With a strong emphasis on customer service and communication skills, you'll play a crucial part in verifying insurance coverage and collecting necessary information at the time of service. Join a team committed to delivering high-quality care and making a difference in the community. If you're detail-oriented and passionate about helping others, this opportunity is perfect for you.

Qualifications

• 3+ years of customer service experience in customer-facing roles.
• Proficient with computer and Microsoft Office skills.

Responsibilities

• Register patients and gather accurate demographic and insurance information.
• Verify patients' insurance coverage and benefits using RTE and Phreesia.
• Communicate and collect out-of-pocket liability from patients.

Skills

Customer Service

Communication Skills

Attention to Detail

Microsoft Office

Education

High School Diploma or GED

Associate's Degree in Healthcare or Business Administration

Tools

RTE (Real Time Eligibility)

Phreesia

Job description

Job Details

Day Shift: M-F w/ occasional Saturdays
8A-4:30P

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

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).

Proficient with computer and Microsoft Office skills.
Strong verbal and written communication; strong customer service skills; knowledge and ability to utilize practices, tools, and techniques for communicating with customers.
Meticulous attention to detail.

Minimum Education and Experience Requirements

Required High School Diploma or GED, Associate's degree in healthcare or business administration preferred.
AND
Outpatient/Admissions: Minimum 3 years of customer service experience in customer-facing roles.
Current Jefferson Seamless Access Representatives with at least 1 year of experience will be considered as meeting the experience requirement.

Work Shift

Day shift (United States of America)

Worker Sub Type

Regular

Primary Location Address

4900 Frankford Avenue, 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 is dedicated to providing high-quality, compassionate clinical care, making communities healthier, and preparing future professionals. It encompasses Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering, and Commerce, offering over 200 programs to more than 8,300 students. Jefferson Health, ranked among the top 15 nonprofit healthcare systems nationally, operates 32 hospitals and over 700 outpatient locations. Jefferson Health Plans has provided broad health coverage options in Pennsylvania and New Jersey for over 35 years.

Jefferson is committed to equal opportunity in education and employment, regardless of age, race, color, religion, sexual orientation, gender identity, marital status, pregnancy, national origin, citizenship, military or veteran status, disability, or any other protected status.