Patient Access Representative - Washington Twp ED

Jefferson Health; Washington Township (NJ); On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare provider is seeking a Patient Access Representative to ensure a positive experience for patients and families. The role involves gathering essential patient information, verifying insurance, and adhering to compliance requirements. Ideal candidates will have strong communication skills and a background in customer service within healthcare settings. Join a dedicated team focused on delivering exceptional service in a fast-paced environment.

Qualifications

• Minimum 3 years’ experience in a healthcare environment customer service.
• Prior registration experience in Emergency Dept preferred.

Responsibilities

• Provides positive patient experience while registering patients.
• Gathers complete demographic and insurance information.
• Communicates and collects out-of-pocket liability from patients.

Skills

Communication

Customer Service

Attention to Detail

Education

High School Diploma

Associate's degree in healthcare or business administration

Tools

Microsoft Office

EPIC

Cerner

Job description

Patient Access Representative - Washington Twp ED

Join to apply for the Patient Access Representative - Washington Twp ED role at Jefferson Health.

Job Details

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.

Essential Functions

• 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, if appropriate. Interviews 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.
• Ensures 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).

Minimum Education and Experience Requirements

Education: High School Diploma or GED required; an Associate's degree in healthcare or business administration is preferred.

Experience: Minimum 3 years’ experience in hospital, physician practice, or related healthcare environment customer service. Prior registration experience in Emergency Dept is preferred. Current Jefferson Seamless Access Representatives with at least 1 year of experience will also be considered as meeting the experience requirement.

Competencies (Knowledge, Skills, and Abilities)

• Proficient with computer and Microsoft Office skills; familiar with healthcare EHR applications such as EPIC, Cerner.
• Knowledge of medical terminology and third-party insurance coverage, including managed care plans.
• Strong verbal and written communication and customer service skills.
• Meticulous attention to detail.

Work Shift

Rotating (United States of America)

Location

435 Hurffville-Cross Keys Rd, Turnersville, New Jersey, United States of America