Patient Access Representative (Per Diem)

St. Luke's University Health Network - Nurse; Pennsburg (Montgomery County); On-site; USD 35,000 - 45,000; Full time

Job summary

St. Luke's University Health Network is seeking a Patient Access Representative to manage patient registration processes. Responsibilities include verifying patient information, handling insurance details, and providing excellent customer service. Join a team dedicated to improving healthcare access in the community.

Qualifications

• High school diploma required, healthcare-related degree preferred.
• Excellent customer service and interpersonal skills required.
• Insurance background and medical terminology knowledge preferred.

Responsibilities

• Identify and validate patients in the hospital information system.
• Handle patient registration and insurance verification.
• Promote use of MyChart patient portal for engagement.

Skills

Customer Service

Interpersonal Skills

Basic Computer Skills

Education

High School Diploma

Healthcare-related Certificate

Tools

Epic

Job description

St. Luke's is proud of the skills, experience, and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization, which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses, and other healthcare providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for healthcare.

Job Summary

The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. A Patient Access Representative I must have excellent customer service skills and exhibit PCRAFT values at all times with internal and external customers. They communicate and coordinate with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure an excellent patient experience, clean claim submission, and payment for services. Occasional travel between campuses or regional locations may be required. Cross-training in all departments at the campus or within the region is also required.

Job Duties and Responsibilities

1. Identify and validate patients in the hospital information system to maintain the integrity and accuracy of electronic medical records. Report any potential identity theft situations to clinical department and leadership for escalation.
2. Maintain knowledge of network policies on Patient Identification, including Mark for Merge, Chart Corrections, and Patient Look-Up.
3. Handle patient registration, including demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider, diagnosis, insurance and guarantor verification, real-time insurance eligibility, point of service cash collections, and work queue error resolution.
4. Cross-train in all areas of the location or region, including outpatient and Emergency Department areas, and any nuances between off-campus locations.
5. Greet and direct patients and visitors, providing friendly and courteous service, and enforce visitor policies if applicable.
6. Answer calls on the main department/facility line, providing information and answering questions about the facility and services.
7. Promote and encourage use of MyChart patient portal and self-service capabilities to enhance patient engagement in their healthcare.
8. Assist patients with Welcome Kiosk and On My Way technology, including monitoring online self-scheduling and patient flow throughout their visit.
9. Coordinate with SLPG practice or Network Prior Authorization Department to obtain necessary insurance referrals and pre-authorizations to reduce denials.
10. Obtain provider information such as Medical License Number, NPI, and UPIN for outpatient providers to ensure accurate routing and claim processing.

Physical and Sensory Requirements

Sitting/standing up to 8 hours per day, with periods of continuous sitting or standing. Frequent use of hands and fingers for data entry. Ability to walk frequently and push up to 250 pounds in a wheelchair. Occasionally lift or carry up to 15 pounds. Normal hearing and vision are required.

Minimum Qualifications

• High school diploma or equivalent required. Healthcare-related certificate or degree preferred.
• Excellent customer service and interpersonal skills required.
• Basic computer skills, including typing fluency, accuracy, and speed, required.
• Insurance background, medical terminology knowledge, and previous healthcare experience are preferred.
• Familiarity with health information systems (such as Epic) is preferred.

Please complete your application using your full legal name and current home address. Include employment history for the past seven years, and upload a current resume with all relevant work history, education, and certifications/licenses if applicable. Creating a profile after submitting your application is highly recommended. Thank you for your interest in St. Luke's!

St. Luke's University Health Network is an Equal Opportunity Employer.