Patient Access Representative - RELIEF, Days (7A-3:30P) - Methodist ED

Thomas Jefferson University•South Philadelphia, PA

2d•Onsite

About The Position

The Patient Access Representative provides a positive experience for patients and families by registering patients accurately and delivering strong communication and customer service. The role gathers demographic and insurance information, identifies uninsured patients for referral to Medical Assistance or Charity Care evaluation, retrieves orders, confirms medical necessity for outpatient visits, and answers phones. Responsibilities also include collecting worker’s compensation or auto insurance details from accident patients, verifying coverage, confirming referrals and authorizations, and collecting patient out-of-pocket liability and copays. The representative works with patients, families, coworkers, visitors, and other staff in keeping with Jefferson’s values. The role rotates among Patient Access service areas, including Outpatient Registration and the Emergency Department, and follows departmental and institutional protocols, regulatory requirements, and compliance standards. The position is relief coverage on a day schedule, working every other weekend and holiday only.

Requirements

High school diploma or GED.
At least 3 years of customer-service experience in a hospital, physician practice, or other related healthcare environment for Emergency Department work; current Jefferson Seamless Access Representatives with at least 1 year of experience will be considered as meeting this requirement.
Proficiency with computers and Microsoft Office.
Strong verbal and written communication and customer service skills.
Meticulous attention to detail.

Nice To Haves

Associate’s degree in healthcare or business administration.
Prior Emergency Department registration experience.
Familiarity with healthcare EHR applications such as EPIC or Cerner.
Knowledge of medical terminology and/or third-party insurance coverage, including managed care plans.

Responsibilities

Provide a positive patient experience through strong communication and customer service during registration.
Search for and select the correct patient and determine whether the patient has an existing Jefferson medical record number or needs one assigned.
Request and scan photo identification and insurance cards; record complete and accurate demographic and insurance information.
Identify uninsured patients for referral to Medical Assistance or Charity Care evaluation.
Retrieve orders and enter orders when appropriate; confirm medical necessity for outpatient visits.
Answer phones for outpatient visits.
Gather worker’s compensation or auto insurance information from accident patients.
Interview Medicare patients and accurately complete the Medicare Secondary Payer Questionnaire.
Use Real Time Eligibility, Phreesia, or payer websites to verify insurance coverage, benefits, and patient out-of-pocket liability.
Confirm required referrals and authorizations are on file.
Communicate and collect patient out-of-pocket liability and copays at the time of service.
Rotate among Patient Access service areas, including Outpatient Registration and the Emergency Department.
Follow departmental and institutional protocols and meet regulatory and compliance requirements.
Achieve individual and team performance metrics.
Interact with coworkers, visitors, and other staff consistently with Jefferson’s values.

Benefits

Medical insurance, including prescription coverage
Supplemental insurance
Dental insurance
Vision insurance
Life and AD&D insurance
Short- and long-term disability
Flexible spending accounts
Retirement plans
Tuition assistance
Voluntary benefits, including access to group insurance rates and discounts
Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
Access to medical insurance, including prescription coverage, for all colleagues, including those working less than part-time