Patient Access Representative - PRN (Days) - Outpatient - Varied Locations

Davita Inc.; Lansdale (Montgomery County); On-site; USD 35,000 - 55,000; Full time

Job summary

A healthcare provider is seeking a Patient Access Representative to ensure efficient patient registration at our Warminster location. The role involves gathering patient information, verifying insurance, and providing excellent customer service. Ideal candidates will have a strong background in customer-facing positions, attention to detail, and the ability to utilize various tools for communication with patients.

Benefits

Health and Retirement Benefits

Paid Time Off

Life and Disability Insurance

Educational Benefits

Financial and Mental Health Resources

Qualifications

• Minimum 3 years of customer service experience in roles involving direct interaction with customers.
• Proficient with Microsoft Office and other computer applications.

Responsibilities

• Registering patients and gathering complete and accurate demographic information.
• Verifying insurance coverage and confirming medical necessity for outpatient visits.
• Communicating effectively with patients and staff, and ensuring regulatory compliance.

Skills

Customer Service

Communication

Attention to Detail

Computer Skills

Education

High School Diploma or GED

Associates Degree in Healthcare or Business Administration

Job description

Job Details

PRN Role for Warminster, PA and Blairwood Campus, Willow Grove. Hours vary between 7:30am to 4pm or 11:00am-7:30pm

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

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• 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
• Requests photo ID and insurance cards, scanning copies
• 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.
• 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.
• Completes all activities with adherence to departmental and institutional protocols
• Assures regulatory and compliance requirements are met
• Achieves individual and team performance metrics
• Communicates and collects out-of-pocket liability from patients at the time of service
• Rotates assignment to all points of service areas within Patient Access

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

Minimum Education and Experience Requirements
Required High School Diploma or GED, Associates degree in healthcare or business administration preferred
AND
Outpatient/Admissions: Minimum 3 years of customer service experience, in customer facing type roles
Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Primary Location Address

215 Newtown Road, Warminster, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

At Jefferson, we offer a comprehensive total rewards package designed to support the health and well-being of our colleagues and their families. It includes a wide range of benefits including competitive pay, health and retirement benefits, life and disability insurance, paid time off, educational benefits, financial and mental health resources and much more. Our diverse benefits offerings ensure you have the coverage and access to services you need to thrive both personally and professionally.