Patient Access Representative - PRN, Day - Einstein Philly ED

Thomas Jefferson University • Philadelphia, PA

1d • Onsite

About The Position

The Patient Access Representative provides a positive patient experience by registering patients and gathering accurate demographic, insurance, and payment information. The role supports both outpatient registration and the Emergency Department, rotating among Patient Access points of service. It includes verifying coverage and benefits, confirming medical necessity and required referrals or authorizations, collecting patient out-of-pocket liability, and ensuring compliance with departmental and institutional protocols.

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; familiarity with healthcare EHR applications such as EPIC or Cerner.
• Strong verbal and written communication and customer service skills.
• Meticulous attention to detail.
• Availability for weekday and weekend work.

Nice To Haves

• Associate degree in healthcare or business administration.
• Prior Emergency Department registration experience.
• Knowledge of medical terminology and/or third-party insurance coverage, including managed care plans.

Responsibilities

• Interact with co-workers, visitors, patients, and other staff in a manner consistent with Jefferson’s values.
• Search for and select the correct patient, identify existing Jefferson medical record numbers, and arrange new medical record numbers when needed.
• Request and scan photo identification and insurance cards; collect complete and accurate demographic and insurance information.
• Enter outpatient orders and confirm medical necessity when appropriate.
• 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 required referrals and authorizations are on file.
• Identify uninsured patients for referral to Medical Assistance or Charity Care evaluation.
• Collect worker’s compensation or auto insurance information from accident patients and communicate and collect patient out-of-pocket liability or copayments at the time of service.
• Answer phones for outpatient visits.
• Complete activities in accordance with departmental and institutional protocols and regulatory and compliance requirements.
• Meet individual and team performance metrics.
• Rotate among outpatient registration and Emergency Department points of service.

Benefits

• Medical insurance, including prescription coverage, for colleagues including per diem colleagues.
• 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 offering 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.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED