Patient Access Representative - FT, Days (7A-3:30P) - Abington ED

Jefferson Health Plans

76d

About The Position

The position involves providing a positive patient experience to patients and families while demonstrating strong communication and customer service skills during patient registration. Responsibilities include accurately gathering demographic and insurance information, identifying uninsured patients for referral, retrieving orders, confirming medical necessity, and answering phones for outpatient visits. The role requires interaction with co-workers, visitors, and other staff consistent with the values of Jefferson, ensuring adherence to departmental and institutional protocols, and achieving individual and team performance metrics.

Requirements

• High School Diploma or GED required; Associate's degree in healthcare or business administration preferred.
• Minimum 3 years experience in hospital, physician practice, or other related healthcare environment customer service.
• Prior registration experience in Emergency Department preferred.
• Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.
• Proficient with computer and Microsoft Office skills.
• Familiar with healthcare EHR applications (e.g., 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.

Responsibilities

• 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.
• Records complete and accurate demographic and insurance information.
• 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.
• 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.
• 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).

Benefits

• Comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance.
• Short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance.
• Access to tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service.
• All colleagues have access to medical (including prescription) insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees