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

Jefferson Health; United States; On-site; USD 36,000 - 54,000; Full time

Job summary

Jefferson Health is seeking a Patient Access Representative to register patients, collect demographics and insurance details, and verify coverage for outpatient visits. You will use Real Time Eligibility and Phreesia tools, ensure referrals and authorizations are on file, and communicate with patients and staff with a patient-first focus.

The role emphasizes strong attention to detail, robust customer service, and proficiency with EPIC and Cerner EHR systems, with weekend and holiday coverage as

Qualifications

• High School Diploma or GED required; associate’s degree in healthcare or business administration preferred.
• Minimum 3 years’ experience in hospital, physician practice or related healthcare customer service, with Emergency Dept experience preferred.
• Current Jefferson Seamless Access Representatives with at least 1 year of experience will be considered as meeting the experience requirement.

Responsibilities

• Register patients and gather complete demographic and insurance information.
• Enter orders and confirm medical necessity for outpatient visits when appropriate.
• Verify insurance coverage using Real Time Eligibility tools and collect out-of-pocket liabilities at point of service.
• Communicate effectively with patients, families and staff; assist with referrals and authorizations as needed; maintain compliance with departmental protocols.

Skills

Customer service

Registration

MSPQ questionnaire

Real Time Eligibility

EHR (EPIC/Cerner)

Verbal communication

Attention to detail

Education

High School Diploma or GED

Associate's degree in healthcare or business administration

Tools

EPIC

Cerner

Phreesia

MSPQ tools

Job description

Number of Positions In Requisition 1 Job Details 7A-3:30P Every 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 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 and familiar with healthcare EHR applications i.e. EPIC, Cerner. Knowledge of medical terminology and/or third-party insurance coverage including managed care plans. Strong verbal and written communication and customer service skills. 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 Emergency 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 Shift

Weekend Day (United States of America)

Job Location

Worker Sub Type Regular Employee Entity Thomas Jefferson University Primary Location Address 2301 South Broad 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.

About Jefferson

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.

EEO/DEI Statement

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 diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

Join Jefferson

In keeping with Jefferson's Mission, We Improve Lives, it is our goal to recruit, retain, develop and reward highly-qualified employees. If you are enthusiastic, caring and dedicated to service excellence, we invite you to consider joining Jefferson. Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education. With a long standing history, Jefferson has been advancing the medical field from the heart of Center City Philadelphia for nearly 200 years. Our Mission, We Improve Lives, expands to every corner of the organization. From our weekly farmer’s market, to our new Jefferson Accelerator Zone for innovation, our employees’ passion for the community is evident by the daily gestures towards our patients, students and each other.