Patient Services Representative - FT Days

Thomas Jefferson University & Jefferson Health; Lansdale, Buffalo (Montgomery County, NY); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player seeks a dedicated Patient Access Representative to enhance patient experiences through exceptional customer service. In this role, you will interact with patients and families, ensuring accurate demographic and insurance information is collected. Your meticulous attention to detail and strong communication skills will be vital in verifying insurance coverage and confirming referrals. Join a team committed to providing high-quality care and making a difference in the community. If you thrive in a fast-paced environment and are passionate about patient care, this opportunity is for you.

Qualifications

• Minimum 3 years of customer service experience in customer-facing roles.
• Proficient with computer and Microsoft Office skills.

Responsibilities

• Gathers accurate demographic information and verifies insurance coverage.
• Communicates and collects out-of-pocket liability from patients.

Skills

Customer Service

Communication Skills

Attention to Detail

Microsoft Office

Education

High School Diploma or GED

Associate's Degree in Healthcare or Business Administration

Tools

RTE (Real Time Eligibility)

Phreesia

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

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. (Do not delete, move or over-write this statement)
• 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

Primary Location Address

500 Old York Road, Jenkintown, 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.