Patient Access Representative - PRN, Varied Hours - Washington Twnship Outpatient
About The Position
The Patient Access Representative provides a positive experience for patients and families during outpatient registration and other patient access interactions. The role gathers and records accurate demographic and insurance information, identifies existing or new Jefferson medical records, verifies coverage and benefits, and collects patient out-of-pocket liability. The representative also retrieves or enters orders, confirms medical necessity, checks that referrals and authorizations are on file when required, answers phones, and identifies 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 completes all activities in accordance with departmental and institutional protocols and regulatory requirements. The role works varied hours within the stated service operating hours: hospital sites operate Monday–Friday, 5:00 a.m.–5:00 p.m., and Saturday, 7:30 a.m.–11:45 a.m.; OPIC operates Monday–Friday, 7:00 a.m.–8:00 p.m., and Saturday, 7:30 a.m.–4:00 p.m.
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 and strong customer service skills.
- Knowledge and 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 to patients and families.
- Interact with co-workers, visitors, and staff in a manner consistent with Jefferson’s values.
- Gather accurate demographic information and identify patients with an existing Jefferson medical record number or those needing a new one.
- Request and scan photo identification and insurance cards; record complete and accurate demographic and insurance information.
- Retrieve or enter orders and confirm medical necessity for outpatient visits, when appropriate.
- Interview Medicare patients to complete the Medicare Secondary Payer questionnaire accurately.
- Use RTE (Real Time Eligibility), Phreesia, or payer websites to verify insurance coverage, benefits, and patient out-of-pocket liability.
- Ensure referrals and authorizations are on file when needed.
- Identify uninsured patients for referral to Medical Assistance or Charity Care evaluation.
- Gather workers’ compensation or auto insurance information from accident patients.
- Collect patient out-of-pocket liability and copayments at the time of service.
- Answer phones for outpatient visits.
- Follow departmental and institutional protocols and meet regulatory and compliance requirements.
- Achieve individual and team performance metrics.
- Rotate assignments among Patient Access service areas, including Outpatient Registration and the Emergency Department.
Benefits
- Medical insurance, including prescription coverage
- Supplemental insurance
- Dental insurance
- Vision insurance
- Life and AD&D insurance
- Short- and long-term disability insurance
- 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 all colleagues, including per-diem colleagues and those working less than part-time
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What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
