Patient Access Representative - FT, Day (7A-3:30P) - Center City ED

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 in the Emergency Department and other Patient Access service areas. The role gathers and records accurate demographic, insurance, and accident-related information; identifies existing or new Jefferson medical records; verifies coverage and benefits; and collects patient out-of-pocket liability. The representative also handles outpatient orders, medical-necessity checks, referrals and authorizations, and phone inquiries as appropriate. Work is performed in accordance with departmental and institutional protocols, regulatory requirements, and Jefferson’s values. This is a regular, full-time day position, scheduled 7:00 a.m.–3:30 p.m., with a rotating two-week schedule.

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 roles.
• 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 and customer service skills.
• Meticulous attention to detail.

Nice To Haves

• Associate degree in healthcare or business administration.
• Prior Emergency Department registration experience.
• Familiarity with healthcare EHR applications such as EPIC or Cerner.
• Knowledge of medical terminology and/or third-party insurance coverage, including managed care plans.

Responsibilities

• Provide a positive patient experience and demonstrate strong communication and customer service when registering patients.
• Search for and select the correct patient and determine whether an existing Jefferson medical record number is available or a new one is needed.
• Request photo identification and insurance cards, scan copies, and gather and record complete, accurate demographic and insurance information.
• Identify uninsured patients for referral to Medical Assistance or Charity Care evaluation.
• Retrieve outpatient orders, enter orders when appropriate, confirm medical necessity, and answer phones for outpatient visits.
• Interview Medicare patients and accurately complete the Medicare Secondary Payer questionnaire.
• Use Real Time Eligibility (RTE), Phreesia, or payer websites to verify insurance coverage, benefits, and patient out-of-pocket liability.
• Ensure referrals and authorizations are on file when required.
• 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.
• 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 coworkers, visitors, and other staff in a manner 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, including access to group insurance rates and discounts
• Tuition discounts at Thomas Jefferson University after one year of full-time service

What This Job Offers

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