Patient Access Representative - Relief, Days (11:30A-8P) - Gibbons Outpatient

Jefferson Health Plans•Philadelphia, PA

7d•Onsite

About The Position

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. Job Description 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) 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

Requirements

High School Diploma or GED, Associates degree in healthcare or business administration preferred
Outpatient/Admissions: Minimum 3 years of customer service experience, in customer facing type roles
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)
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

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.
All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here
In keeping with Jefferson's Mission, We Improve Lives, it is our goal to recruit, retain, develop and reward highly-qualified employees.
If you are enthusiastic, caring and dedicated to service excellence, we invite you to consider joining Jefferson.
Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education.
With a long standing history, Jefferson has been advancing the medical field from the heart of Center City Philadelphia for nearly 200 years.
Our Mission, We Improve Lives, expands to every corner of the organization.
From our weekly farmer’s market, to our new Jefferson Accelerator Zone for innovation, our employees’ passion for the community is evident by the daily gestures towards our patients, students and each other.