Patient Access Representative - FT, Nights (11P-7:30A) - Center City ED

Jefferson Health Plans•Philadelphia, PA

2d•Onsite

About The Position

This role provides a positive patient experience by registering patients with strong communication and customer service skills. The representative accurately searches for and selects the correct patient, gathering complete and accurate demographic and insurance information. They identify uninsured patients for referral to Medical Assistance/Charity Care evaluation, retrieve orders, confirm medical necessity, and answer phones for outpatient visits. Additionally, they gather worker’s comp or auto insurance information from accident patients, collect patient out-of-pocket liability/copays, verify insurance, and confirm referrals and authorizations are on file, if required. The position involves interacting with co-workers, visitors, and other staff consistent with Jefferson's values. Responsibilities include gathering accurate demographic information, requesting and scanning photo ID and insurance cards, recording complete and accurate information, entering orders, confirming medical necessity, and completing the Medicare Secondary Payer (MSPQ) questionnaire for Medicare patients. The role also involves using RTE (Real Time Eligibility), Phreesia, or payer websites to verify insurance coverage, benefits, and out-of-pocket liability, ensuring proper referrals and authorizations are on file. Adherence to departmental and institutional protocols, meeting regulatory and compliance requirements, and achieving individual and team performance metrics are key. The representative will communicate and collect out-of-pocket liability from patients at the time of service and rotate assignments to all points of service areas within Patient Access (Outpatient Registration and Emergency Department).

Requirements

Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. 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
Required High School Diploma or GED
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 as meeting the experience requirement.

Nice To Haves

associate's degree in healthcare or business administration preferred

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.
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.
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