Patient Access Representative - PT, Evening (3P-7:30P) - Washington Twnship OPIC

Jefferson Health Plans • Washington Township, NJ

2d • Onsite

About The Position

The Patient Access Representative provides a positive experience for patients and families while registering patients for outpatient services. The role gathers and records accurate demographic and insurance information, identifies existing or new Jefferson medical records, verifies insurance coverage and benefits, confirms required referrals and authorizations, and collects patient out-of-pocket costs. The representative also retrieves or enters orders, confirms medical necessity when appropriate, answers phones for outpatient visits, and identifies uninsured patients for referral to Medical Assistance or Charity Care evaluation. Assignments rotate across Patient Access service areas, including outpatient registration and the Emergency Department. The role follows departmental and institutional protocols, meets regulatory and compliance requirements, and works toward individual and team performance metrics.

Requirements

• High school diploma or GED.
• At least 3 years of customer service experience in a customer-facing role for outpatient/admissions work.
• Current Jefferson Seamless Access Representatives with at least 1 year of experience will be considered as meeting the experience requirement.
• Proficiency with computers and Microsoft Office.
• Strong verbal and written communication skills.
• Strong customer service skills and the ability to use customer communication practices, tools, and techniques.
• Meticulous attention to detail.

Nice To Haves

• Associate degree in healthcare or business administration.

Responsibilities

• Provide a positive patient experience to patients and families while registering patients.
• Gather accurate demographic information and identify patients with an existing medical record number or those who need a new one.
• Request photo identification and insurance cards, and scan copies.
• Record complete and accurate demographic and insurance information.
• Enter or retrieve orders and confirm medical necessity for outpatient visits, when appropriate.
• Interview Medicare patients to accurately complete the Medicare Secondary Payer questionnaire.
• Use RTE (Real Time Eligibility), 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 copays at the time of service.
• Answer phones for outpatient visits.
• Rotate assignments among Patient Access service areas, including Outpatient Registration and the Emergency Department.
• Complete activities in accordance with departmental and institutional protocols and regulatory and compliance requirements.
• Achieve individual and team performance metrics.

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
• Access to medical insurance, including prescription coverage, for all colleagues, including those working less than part-time

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED