Patient Access Representative - FT, Evening (3P-11:30P) - Center City ED

Jefferson Health Plans•Philadelphia, PA

2d•Onsite

About The Position

This role is responsible for providing a positive patient experience by registering patients, gathering accurate demographic and insurance information, and identifying uninsured patients for referral. The representative will also retrieve orders, confirm medical necessity, answer phones, gather accident patient information, collect out-of-pocket liabilities/copays, verify insurance, and confirm referrals and authorizations. The position involves rotating assignments between Outpatient Registration and the Emergency Department.

Requirements

Required High School Diploma or GED
Minimum 3 years experience in hospital, physician practice, or other related healthcare environment customer service.
Prior registration experience in Emergency Dept preferred.
Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.
Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner
Knowledge of medical terminology and/or third-party insurance coverage including managed care plans
Strong verbal and written communication and customer service skills
Meticulous attention to detail

Nice To Haves

Associates degree in healthcare or business administration preferred

Responsibilities

Provides a positive patient experience to patients and families.
Demonstrates strong communication and customer service skills while registering patients.
Accurately searches and selects the correct patient.
Gathers complete and accurate demographic and insurance information from patients and families.
Identifies uninsured patients for referral to Medical Assistance/Charity Care evaluation.
Retrieves orders, confirms medical necessity and answers phones for outpatient visits.
Gathers worker’s comp or auto insurance information from accident patients, collects patient out-of-pocket liability/copays, verifies insurance, and confirms referrals and authorizations are on file, if required.
Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
Gathers accurate demographic information to identify Jefferson patients who have an existing medical record number or new Jefferson patients who need a medical record number assigned.
Requests photo ID and insurance cards, scanning copies.
Records complete and accurate demographic and insurance information.
Entering orders and confirming medical necessity for outpatient visits, if appropriate.
Interviewing patients to accurately complete the Medicare Secondary Payer (MSPQ) questionnaire for all Medicare patients.
Uses RTE (Real Time Eligibility), Phreesia or payer websites to verify patients’ insurance coverage and benefits including patient’s out of pocket liability.
Ensures proper referral and authorizations are on file as needed.
Completes all activities with adherence to departmental and institutional protocols.
Assures regulatory and compliance requirements are met.
Achieves individual and team performance metrics.
Communicates and collects out-of-pocket liability from patients at the time of service.
Rotates assignment to all points of service areas within Patient Access (Outpatient Registration and Emergency Department).

Benefits

medical (including prescription)
supplemental insurance
dental
vision
life and AD&D insurance
short- and long-term disability
flexible spending accounts
retirement plans
tuition assistance
voluntary benefits, which provide colleagues with access to group rates on insurance and discounts.
tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.