Patient Access Representative - FT, Day (8A-4:30P) - Gibbons Outpatient

Thomas Jefferson University • Philadelphia, PA

8d • Onsite

About The Position

This role is responsible for providing a positive patient experience by registering patients accurately and efficiently. The Patient Access Representative gathers essential demographic and insurance information, identifies uninsured patients for potential assistance, retrieves orders, confirms medical necessity, and handles inquiries for outpatient visits. They also manage specific insurance details for accident patients, collect co-pays, verify insurance, and ensure necessary referrals and authorizations are in place. The position requires interaction with colleagues and staff in alignment with Jefferson's values.

Requirements

• High School Diploma or GED
• Minimum 3 years of customer service experience, in customer facing type roles
• 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

Nice To Haves

• Associates degree in healthcare or business administration preferred
• Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

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.
• 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).

Benefits

• medical (including prescription)
• supplemental insurance
• dental
• vision
• life and AD&D insurance
• short- and long-term disability
• flexible spending accounts
• retirement plans
• tuition assistance
• voluntary benefits
• tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED