Patient Access Representative - PRN, Day - Einstein Philly ED

Jefferson Health Plans•Philadelphia, PA

3d•Onsite

About The Position

The Patient Access Representative provides a positive experience to patients and families while registering patients in outpatient and emergency department settings. The representative identifies existing patient records or creates new medical record numbers, gathers and records accurate demographic and insurance information, and scans photo identification and insurance cards. Responsibilities also include verifying coverage and benefits, confirming referrals and authorizations, collecting patient out-of-pocket costs, entering orders and confirming medical necessity for outpatient visits when appropriate, and completing Medicare Secondary Payer questionnaires for Medicare patients. The role may also involve identifying uninsured patients for Medical Assistance or Charity Care evaluation, obtaining workers’ compensation or auto insurance information from accident patients, retrieving orders, and answering phones for outpatient visits. Representatives rotate among Patient Access service areas, including Outpatient Registration and the Emergency Department, and follow departmental protocols, regulatory requirements, and performance measures.

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.
Availability on weekdays and weekends.

Nice To Haves

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

Responsibilities

Provide positive, customer-focused service to patients and families during registration.
Search for and select the correct patient record, or gather information needed to assign a new medical record number.
Request and scan photo identification and insurance cards.
Gather and accurately record demographic and insurance information.
Enter orders and confirm medical necessity for outpatient visits when appropriate.
Complete Medicare Secondary Payer questionnaires for Medicare patients.
Use RTE, Phreesia, or payer websites to verify insurance coverage, benefits, and patient out-of-pocket liability.
Confirm that 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.
Retrieve orders and answer phones for outpatient visits.
Rotate among Patient Access service areas, 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 consistent 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
Flexible spending accounts
Retirement plans
Tuition assistance
Voluntary benefits with 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