Weekend Patient Access Specialist

Health Partners Plans; Philadelphia (Philadelphia County); Vor Ort; USD 38.000 - 52.000; Vollzeit

Zusammenfassung

Jefferson Health in Philadelphia seeks a Patient Access Representative to register patients, collect demographics and insurance information, and verify coverage. You will work with EPIC/Cerner systems, gather MSPQ data, and handle upfront payments and referrals.

The role emphasizes accuracy, compliance, and patient-centered service. Weekend day shifts and regular rotation across outpatient and emergency departments are involved.

Qualifikationen

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

Aufgaben

• 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.
• Interviewing patients to accurately complete the Medicare Secondary Payer (MSPQ) questionnaire for all Medicare patients.
• Uses Real Time Eligibility (RTE), Phreesia or payer websites to verify insurance coverage and benefits including patient 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; familiar with 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

Kenntnisse

Customer service

Communication skills

Registration experience

EPIC

Cerner

Ausbildung

High School Diploma or GED

Associate degree preferred

Tools

EPIC

Cerner

Jobbeschreibung

Jefferson Health in Philadelphia seeks a Patient Access Representative to register patients, collect demographics and insurance information, and verify coverage. You will work with EPIC/Cerner systems, gather MSPQ data, and handle upfront payments and referrals.

The role emphasizes accuracy, compliance, and patient-centered service. Weekend day shifts and regular rotation across outpatient and emergency departments are involved.