Patient Access Representative - FT, Day (9A-5:30P) - Washington Twnship Outpatient

Jefferson Health Plans•Washington Township, NJ

2d•Onsite

About The Position

The Patient Access Representative provides a positive experience for patients and families by registering patients and delivering strong communication and customer service. The role identifies and selects the correct patient, gathers complete demographic and insurance information, and helps identify uninsured patients for Medical Assistance or Charity Care evaluation. It retrieves orders, enters orders when appropriate, confirms medical necessity, answers phones for outpatient visits, and verifies insurance, referrals, and authorizations. The representative also gathers workers’ compensation or auto insurance information from accident patients and collects applicable out-of-pocket liability and copayments. The role works across Patient Access points of service, including Outpatient Registration and the Emergency Department, and follows departmental and institutional protocols as well as regulatory and compliance requirements. The schedule is 9:00 a.m.–5:30 p.m., Monday through Friday, with every third Saturday in rotation; the Monday of a week when Saturday is worked is off.

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 the experience 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 and family experience while registering patients.
Search for and select the correct patient record, and gather accurate demographic information to identify existing Jefferson records or determine when a new medical record number is needed.
Request photo identification and insurance cards and scan copies.
Record complete and accurate demographic and insurance information.
Enter 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 referrals and authorizations are on file when required.
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.
Retrieve orders and 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 coworkers, visitors, and other staff consistently 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 or two years of part-time service
Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time