Patient Access Representative - PRN, Mid Shift (10A-1P) - Honickman Outpatient

Thomas Jefferson University • Philadelphia, PA

3d • Onsite

About The Position

The Patient Access Representative provides a positive experience for patients and families while registering patients for outpatient visits. The role gathers and records accurate demographic and insurance information, verifies coverage and benefits, confirms referrals and authorizations, and collects patient out-of-pocket liability. It also retrieves orders, confirms medical necessity when appropriate, answers phones, and identifies uninsured patients for referral to Medical Assistance or Charity Care evaluation. The representative may rotate among Patient Access service areas, including Outpatient Registration and the Emergency Department, and completes all work in accordance with departmental protocols and institutional compliance requirements.

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 preferred.

Responsibilities

• Interact with co-workers, visitors, patients, and other staff in a manner consistent with Jefferson’s values.
• Search for and select the correct patient, identify existing Jefferson medical records, and determine when a new medical record number is needed.
• Request and scan photo identification and insurance cards; gather and record complete, 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 copayments at the time of service.
• Answer phones for outpatient visits.
• Rotate assignments among Patient Access service areas, including Outpatient Registration and the Emergency Department.
• Adhere to departmental and institutional protocols and regulatory and compliance requirements.
• Meet individual and team performance metrics.

Benefits

• Medical insurance, including prescription coverage, with access also available to per diem colleagues.
• 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.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED