Seamless Access Representative

Jefferson Health; Abington (MA); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare provider is seeking a Seamless Access Representative to enhance patient experiences by accurately registering patients and verifying insurance information. The role requires strong communication skills, attention to detail, and a commitment to compliance. Ideal candidates will have a background in customer service and familiarity with healthcare systems. Join a dedicated team focused on delivering high-quality care to the community.

Qualifications

• Minimum 3 years of customer service experience required.
• Proficient with healthcare EHR applications.

Responsibilities

• Provides a positive patient experience and gathers accurate information.
• Verifies insurance coverage and collects out-of-pocket liability.

Skills

Communication

Customer Service

Attention to Detail

Education

High School Diploma or GED

Associate's Degree in Healthcare or Business Administration

Tools

Microsoft Office

EPIC

Cerner

Job description

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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 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.
• 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)
  
  

Emergency Department

Competencies (Knowledge, Skills, and Abilities Required):

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

Outpatient/Admissions

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

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.

Outpatient/Admissions: Previous experience working in insurance, physician’s/medical office or hospital registration preferred

Work Shift

Workday Night (United States of America)

Worker Sub Type

Regular

Primary Location Address

1200 Old York Road, Abington, 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.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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