Patient Access Representative - PRN, Mid Shift (10A-1P) - Honickman Outpatient
About The Position
The Patient Access Representative provides a positive experience for patients and families while completing outpatient registration and related patient access activities. The role gathers accurate demographic, insurance, and accident-related information; identifies existing or new patient records; and helps ensure required orders, referrals, authorizations, and medical-necessity information are in place. The representative also verifies coverage and benefits, communicates and collects patient out-of-pocket costs, and refers uninsured patients for Medical Assistance or Charity Care evaluation. The position rotates among Patient Access points of service, including Outpatient Registration and the Emergency Department. This is a per-diem position with a stated Monday–Friday schedule of 10 a.m.–1 p.m. The representative must follow departmental and institutional protocols, meet regulatory and compliance requirements, and contribute to individual and team performance metrics.
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 this requirement.
- Proficiency with computers and Microsoft Office.
- 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 to patients and families.
- Gather and verify demographic information to identify patients with existing Jefferson medical record numbers or determine when a new number is needed.
- Request and scan photo identification and insurance cards.
- Record complete and accurate demographic and insurance information.
- Enter or retrieve orders and confirm medical necessity for outpatient visits when appropriate.
- Interview Medicare patients and 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.
- 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 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 all colleagues, including per-diem colleagues
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What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
