Patient Access Representative - RELIEF, Days (7A-3:30P) - Methodist ED

Jefferson Health Plans•Philadelphia, PA

3d•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 accurately identifies patients, gathers demographic and insurance information, identifies uninsured patients for referral to Medical Assistance or Charity Care evaluation, and supports outpatient visits by retrieving orders and confirming medical necessity. Responsibilities also include answering phones, gathering workers’ compensation or auto insurance details from accident patients, collecting patient out-of-pocket costs and copays, verifying coverage, and confirming required referrals and authorizations. The position works in Patient Access service areas, including Outpatient Registration and the Emergency Department. The schedule is 7:00 a.m.–3:30 p.m., with work every other weekend and holiday only. The role is based at 2301 South Broad Street in Philadelphia, Pennsylvania.

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.
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 and family experience through strong communication and customer service.
Search for and select the correct patient and determine whether the patient has an existing Jefferson medical record number or needs one assigned.
Request photo identification and insurance cards and scan copies.
Gather and record complete, accurate demographic and insurance information.
Enter orders and confirm medical necessity for outpatient visits, when appropriate.
Interview Medicare patients to complete the Medicare Secondary Payer questionnaire accurately.
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 needed.
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 points of service, 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 or two years of part-time service
Medical insurance, including prescription coverage, is available to all colleagues, including those working less than part-time