Patient Access Representative - Outpatient - FT Days

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare provider in Philadelphia is seeking a Patient Access Representative for full-time day shifts. This role focuses on delivering exceptional patient experiences by accurately registering patients, managing records, and ensuring compliance with insurance requirements. Ideal candidates will have strong communication skills and a background in customer service. Join a team dedicated to improving patient access and satisfaction.

Qualifications

• Minimum 3 years of customer service experience in a customer-facing role.
• Proficient with computer skills.

Responsibilities

• Gathering accurate demographic information and managing patient records.
• Verifying insurance coverage and benefits using RTE, Phreesia, or payer websites.

Skills

Communication

Customer Service

Attention to Detail

Education

High School Diploma or GED

Associate's degree in healthcare or business administration

Tools

Microsoft Office

Job description

Join to apply for the Patient Access Representative - Outpatient - FT Days role at Jefferson Health

Job Details:

1. Day Shift: M-F w/ occasional Saturdays
2. 8A-4:30P
3. 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.

Responsibilities include:

• Interacting with co-workers, visitors, and other staff consistent with Jefferson's values.
• Gathering accurate demographic information and managing patient records.
• Requesting and scanning photo ID and insurance cards.
• Entering orders, confirming medical necessity, and interviewing patients for Medicare Secondary Payer (MSPQ) questionnaires.
• Verifying insurance coverage and benefits using RTE, Phreesia, or payer websites.
• Ensuring regulatory and compliance requirements are met.
• Achieving individual and team performance metrics.
• Communicating and collecting out-of-pocket liabilities at the time of service.
• Rotating assignments across all points of service within Patient Access.

Qualifications:

• Proficient with computer and Microsoft Office skills.
• Strong verbal and written communication skills, customer service skills.
• Meticulous attention to detail.

Minimum Education and Experience:

• High School Diploma or GED required; Associate's degree in healthcare or business administration preferred.
• Minimum 3 years of customer service experience in a customer-facing role, or current Jefferson Seamless Access Representatives with at least 1 year of experience.

Work Shift: Day (United States of America)

Location: 4900 Frankford Avenue, Philadelphia, PA

Jefferson Health is committed to equal opportunity employment.