Patient Access Representative - Washington Twp ED

Thomas Jefferson University & Jefferson Health; Washington Township (NJ); On-site; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to enhance patient experiences. This role involves registering patients, gathering critical demographic and insurance information, and ensuring compliance with healthcare protocols. The ideal candidate will have strong communication skills and a meticulous attention to detail, contributing to a team that prioritizes high-quality patient care. Join a dynamic healthcare environment that values compassion and excellence, and be part of a mission to improve community health while advancing your career in a supportive setting.

Qualifications

• 3+ years in a healthcare customer service role.
• Experience with patient registration in a hospital setting preferred.

Responsibilities

• Register patients and gather accurate demographic and insurance information.
• Verify insurance coverage and benefits using healthcare applications.

Skills

Customer Service Skills

Communication Skills

Attention to Detail

Medical Terminology Knowledge

Proficient in Microsoft Office

Education

High School Diploma or GED

Associate's Degree in Healthcare or Business Administration

Tools

EPIC

Cerner

Job description

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.

Job Description

Essential Functions

1. Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
2. 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.
3. Requests photo ID and insurance cards, scanning copies.
4. 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.
5. 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.
6. Completes all activities with adherence to departmental and institutional protocols.
7. Ensures regulatory and compliance requirements are met.
8. Achieves individual and team performance metrics.
9. Communicates and collects out-of-pocket liability from patients at the time of service.
10. Rotates assignment to all points of service areas within Patient Access (Outpatient Registration and Emergency Department).

Minimum Education and Experience Requirements:

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

Experience: 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 at least 1 year of experience will 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/or 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)

Worker Sub Type

Regular

Primary Location Address

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

Jefferson, based in the greater Philadelphia region, Lehigh Valley, Northeastern Pennsylvania, and southern New Jersey, is reimagining healthcare and higher education to create unparalleled value. With over 65,000 staff, Jefferson is dedicated to providing high-quality, compassionate clinical care, improving community health, preparing future professionals, and advancing research. Thomas Jefferson University, home to Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, offers over 200 undergraduate and graduate programs to more than 8,300 students. Jefferson Health, ranked among the top 15 nonprofit healthcare systems nationally, operates 32 hospitals and over 700 outpatient locations, serving millions annually. Jefferson Health Plans provides broad health coverage options across Pennsylvania and New Jersey for over 35 years.

Jefferson is committed to equal opportunity employment and education, regardless of age, race, color, religion, creed, sexual orientation, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military or veteran status, disability, or any other protected status.