Seamless Access Representative (PT Nights)

Thomas Jefferson University & Jefferson Health; Voorhees Township (NJ); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to enhance patient experiences through strong communication and customer service skills. This role involves registering patients, verifying insurance coverage, and ensuring compliance with regulatory requirements. The ideal candidate will thrive in a dynamic environment, contributing to the overall efficiency of patient access services. Join a compassionate team committed to improving health care delivery while enjoying the benefits of working in a supportive and innovative workplace.

Qualifications

• 3+ years of customer service experience in healthcare or related fields.
• Experience in outpatient admissions or emergency department registration preferred.

Responsibilities

• Register patients and gather complete demographic and insurance information.
• Verify insurance coverage and ensure proper referrals and authorizations.

Skills

Customer Service

Communication Skills

Insurance Verification

Demographic Information Gathering

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.
• Gathers accurate demographic information to identify Jefferson patients with an existing medical record number or new patients needing 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).

Education:

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

AND

Experience:

• Outpatient/Admissions: Minimum 3 years of customer service experience in customer-facing roles.
• Emergency Department: Minimum 3 years experience in hospital, physician practice, or related healthcare environment customer service. Prior registration experience in Emergency Dept preferred.

Work Shift

Night shift (United States of America)

Worker Sub Type

Regular

Primary Location Address

18 East Laurel Road, Stratford, New Jersey, United States of America

Jefferson, located in the greater Philadelphia region, Lehigh Valley, Northeastern Pennsylvania, and southern New Jersey, is reimagining health care and higher education to create unparalleled value. With over 65,000 staff, Jefferson provides high-quality, compassionate clinical care, makes communities healthier, and prepares future professionals. Jefferson comprises 10 colleges and three schools with 200+ programs serving over 8,300 students. Jefferson Health, ranked among the top 15 non-profit health care systems nationally, operates 32 hospitals and over 700 outpatient locations. Jefferson Health Plans offers broad health coverage options in Pennsylvania and New Jersey for over 35 years. Jefferson is committed to equal opportunity employment and education, regardless of age, race, color, religion, gender, or other protected status.