Patient Access Representative - PT, Evening (3P-7:30P) - Washington Twnship OPIC
About The Position
The Patient Access Representative provides a positive experience for patients and families while registering patients for outpatient visits. The role gathers accurate demographic, insurance, and accident-related information; verifies coverage and benefits; confirms referrals and authorizations; and collects patient out-of-pocket liability. The representative retrieves orders, enters orders and confirms medical necessity when appropriate, answers phones, and identifies uninsured patients for referral to Medical Assistance or Charity Care evaluation. The representative rotates among Patient Access service areas, including Outpatient Registration and the Emergency Department. Work is scheduled Monday through Friday from 3:30 p.m. to 7:30 p.m. Responsibilities must be completed in accordance with departmental and institutional protocols, regulatory requirements, and compliance standards, while meeting individual and team performance metrics.
Requirements
- High school diploma or GED.
- At least 3 years of customer service experience in customer-facing roles for outpatient/admissions work.
- Current Jefferson Seamless Access Representatives with at least 1 year of experience may meet the experience requirement.
- Proficiency with computers and Microsoft Office.
- Strong verbal and written communication skills.
- Strong customer service skills and the ability to use practices, tools, and techniques for communicating with customers.
- Meticulous attention to detail.
Nice To Haves
- Associate degree in healthcare or business administration preferred.
Responsibilities
- Provide a positive patient experience to patients and families during registration.
- Search for and select the correct patient and gather accurate demographic information to identify existing Jefferson patients or determine when a new medical record number is needed.
- Request photo identification and insurance cards, scan copies, and record complete and accurate demographic and insurance information.
- Identify uninsured patients for referral to Medical Assistance or Charity Care evaluation.
- Retrieve and enter orders and confirm medical necessity for outpatient visits when appropriate.
- Answer phones for outpatient visits.
- Gather workers’ compensation or auto insurance information from accident patients.
- Interview Medicare patients and accurately complete the Medicare Secondary Payer questionnaire.
- Use Real Time Eligibility (RTE), Phreesia, or payer websites to verify insurance coverage, benefits, and patient out-of-pocket liability.
- Ensure referrals and authorizations are on file when required.
- Communicate and collect patient out-of-pocket liability, including copayments, at the time of service.
- Rotate assignments among Patient Access service areas, including Outpatient Registration and the Emergency Department.
- Complete activities in accordance with departmental and institutional protocols and 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 coverage
- 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
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
