Patient Access Representative - RELIEF, Days (7A-3:30P) - Methodist ED

Jefferson Health; Philadelphia (Philadelphia County); On-site; USD 25,000 - 33,000; Full time

Job summary

Jefferson Health in Philadelphia seeks a Patient Access Representative to register patients, verify insurance, and collect out-of-pocket payments for outpatient visits and the Emergency Department. You will gather comprehensive demographic data, confirm referrals and authorizations, and ensure medical necessity is documented.

Proficiency with EPIC and other systems, along with strong communication skills, is essential.

Qualifications

• High school diploma or GED; associate degree preferred.
• Minimum of 3 years in hospital/healthcare customer service required; prior registration experience preferred.
• Current Jefferson Seamless Access representative with 1 year of experience considered as meeting requirement.

Responsibilities

• Register patients and gather accurate demographic and insurance information.
• Verify insurance coverage, benefits, and patient out‑of‑pocket liability.
• Enter orders and confirm medical necessity for outpatient visits.
• Interview Medicare MSPQ questionnaire for all Medicare patients.
• Collect payments and copays at the point of service; obtain referrals and authorizations as needed.
• Answer phones and assist patients and visitors in a courteous, professional manner.
• Rotate to all points of service within Patient Access (Outpatient Registration and ED).
• Maintain regulatory compliance and accuracy in all data entry and documentation.

Skills

Communication skills

Customer service

Attention to detail

MS Office

EHR knowledge

Phone/guest interaction

Education

High School Diploma or GED

Associate’s degree in healthcare or business administration

Tools

EPIC EHR

Cerner

Phreesia

Real Time Eligibility (RTE)

Job description

Number of Positions In Requisition1Job Details7A-3:30PEvery other weekend & holiday ONLY!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 DescriptionInteracts 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 assignedRequests photo ID and insurance cards, scanning copiesRecords 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 protocolsAssures regulatory and compliance requirements are metAchieves individual and team performance metricsCommunicates and collects out-of-pocket liability from patients at the time of serviceRotates assignment to all points of service areas within Patient Access (Outpatient Registration and Emergency Department)Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, CernerKnowledge of medical terminology and/or third-party insurance coverage including managed care plansStrong verbal and written communication and customer service skillsMeticulous attention to detailMinimum Education and Experience RequirementsRequired High School Diploma or GED, associate’s degree in healthcare or business administration preferredANDEmergency Department: Minimum 3 years’ experience in hospital, physician practice, or other related healthcare environment customer service. Prior registration experience in Emergency Dept preferred. Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.Work ShiftWeekend Day (United States of America)Worker Sub TypeRegularEmployee EntityThomas Jefferson UniversityPrimary Location Address2301 South Broad Street,, Philadelphia, Pennsylvania, United States of AmericaNationally 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.BenefitsJefferson 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 diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.