Patient Access Representative - PRN, Varied Hours - Washington Twnship Outpatient
About The Position
The Patient Access Representative provides a positive patient experience by registering patients and supporting outpatient visits. The role involves identifying patients and accurately collecting demographic, insurance, and accident-related information; verifying coverage, benefits, referrals, and authorizations; confirming medical necessity; and collecting patient out-of-pocket costs. Representatives also retrieve orders, answer phones, and identify uninsured patients for referral to Medical Assistance or Charity Care evaluation. The position rotates among Patient Access service areas, including Outpatient Registration and the Emergency Department, and follows departmental protocols and regulatory requirements. Hours of operation are 5:00 a.m.–5:00 p.m. Monday through Friday and 7:30 a.m.–11:45 a.m. Saturday at hospital sites; OPIC hours are 7:00 a.m.–8:00 p.m. Monday through Friday and 7:30 a.m.–4:00 p.m. Saturday. The posted shift is Workday Day. This is a PRN position with varied hours.
Requirements
- High school diploma or GED.
- At least 3 years of customer service experience in customer-facing roles for Outpatient/Admissions.
- Current Jefferson Seamless Access Representatives with at least 1 year of experience will be considered as meeting the experience requirement.
- Proficient computer and Microsoft Office skills.
- 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.
Responsibilities
- Provide a positive patient experience and communicate effectively with patients and families during registration.
- Search for and select the correct patient, determine whether the patient has an existing medical record number, and obtain a new number when needed.
- Request photo identification and insurance cards, and scan copies.
- Collect complete and accurate demographic and insurance information.
- Enter orders and confirm medical necessity for outpatient visits when appropriate.
- Complete the Medicare Secondary Payer questionnaire accurately for Medicare patients.
- Use 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.
- Gather workers’ compensation or auto insurance information from accident patients.
- Communicate and collect patient out-of-pocket liability and copayments at the time of service.
- Retrieve orders and 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 coworkers, visitors, and other staff consistent with Jefferson values.
Benefits
- Medical insurance, including prescription coverage
- Supplemental insurance
- Dental insurance
- Vision insurance
- Life and AD&D insurance
- Short- and long-term disability
- 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 who work less than part-time, including per diem colleagues, adjunct faculty, and Jeff Temps
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
