Patient Access Representative - RELIEF, Day (8A-4P) - Einstein Philly ED

Jefferson Health Plans•Philadelphia, PA

1d•Onsite

About The Position

The Patient Access Representative provides a positive experience for patients and families while registering patients in outpatient and emergency department settings. The role gathers and records accurate demographic and insurance information, identifies existing or new Jefferson medical records, and requests and scans photo identification and insurance cards. It also identifies uninsured patients for referral to Medical Assistance or Charity Care evaluation; enters orders and confirms medical necessity for outpatient visits when appropriate; and completes Medicare Secondary Payer questionnaires for Medicare patients. The representative verifies insurance coverage and benefits using real-time eligibility tools, Phreesia, or payer websites; confirms referrals and authorizations; and communicates and collects patient out-of-pocket costs, including copays. The role may also obtain workers’ compensation or auto insurance information from accident patients and answer phones for outpatient visits. Responsibilities are carried out according to departmental and institutional protocols and regulatory requirements, while meeting individual and team performance metrics. The representative rotates among Patient Access service areas, including outpatient registration and the Emergency Department.

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 to meet this requirement.
Proficiency with computers and Microsoft Office.
Familiarity with healthcare EHR applications such as EPIC or 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.

Nice To Haves

Associate degree in healthcare or business administration preferred.
Prior Emergency Department registration experience preferred.

Responsibilities

Provide a positive experience to patients and families during registration.
Accurately search for and select the correct patient and gather complete demographic and insurance information.
Identify patients with existing Jefferson medical record numbers and new patients requiring a medical record number.
Request and scan photo identification and insurance cards.
Identify uninsured patients for referral to Medical Assistance or Charity Care evaluation.
Enter orders and confirm medical necessity for outpatient visits when appropriate.
Complete Medicare Secondary Payer questionnaires for Medicare patients.
Verify insurance coverage, benefits, and patient out-of-pocket liability using RTE, Phreesia, or payer websites.
Ensure required referrals and authorizations are on file.
Communicate and collect patient out-of-pocket liability and copays at the time of service.
Gather workers’ compensation or auto insurance information from accident patients.
Answer phones for outpatient visits.
Rotate among Patient Access points of service, 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 co-workers, 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
Medical insurance, including prescription coverage, is available to colleagues working less than part-time, including per diem colleagues, adjunct faculty, and Jeff Temps.