Patient Access Representative - PRN, Mid Shift (10A-1P) - Honickman Outpatient

Jefferson Health Plans; Philadelphia (Philadelphia County); On-site; USD 25,000 - 36,000; Part time

Benefits offered by this job

Per diem role

Job summary

Jefferson Health Plans is seeking a per diem Patient Access Representative for the United States (Philadelphia area) to support outpatient registration and insurance verification.

You will gather demographic information, collect documentation, verify eligibility via RTE and Phreesia, and ensure accurate records and compliance. Strong customer service and attention to detail are essential.

Qualifications

• High School Diploma or GED required; associate degree preferred.
• Outpatient/Admissions: Minimum 3 years of customer service in customer-facing roles.
• Current Jefferson Seamless Access Representatives with at least 1 year of experience meet the requirement.

Responsibilities

• 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; enters orders and confirms medical necessity for outpatient visits.
• Interviews patients to complete the MSPQ questionnaire for Medicare patients.
• Verifies insurance coverage and benefits using RTE, Phreesia or payer websites; ensures referrals and authorizations are on file as needed.
• Completes activities with adherence to protocols and regulatory requirements; achieves individual and team performance metrics.
• Communicates and collects out-of-pocket liability at time of service.
• Rotates to all points of service areas within Patient Access (Outpatient Registration and Emergency Department).

Skills

Verbal communication

Written communication

Customer service

Microsoft Office

Attention to detail

Education

High School Diploma or GED

Associate degree in healthcare or business administration preferred

Tools

RTE (Real Time Eligibility)

Phreesia

Job description

Number of Positions In Requisition

1

Job Details

True Per Diem need
10A-1P
Monday-Friday

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 (Outpatient Registration and Emergency Department)

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 (associate’s 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

Employee Entity

Thomas Jefferson University

Primary Location Address

100 S 9th Street, Philadelphia, 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

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time(including per diemcolleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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