RELIEF - Patient Access Representative - S New Jersey Emergency Departments

Jefferson Health Plans • Stratford, NJ

6d • Onsite

About The Position

The Patient Access Representative in the Emergency Departments of Southern New Jersey Jefferson Hospitals (Cherry Hill/Washington Township/Stratford) is responsible for providing a positive patient experience by registering patients efficiently and accurately. This role requires strong communication and customer service skills to gather demographic and insurance information, identify uninsured patients for assistance, and manage outpatient visit orders. The representative will also handle worker's compensation or auto insurance details for accident patients, collect co-pays, verify insurance, and confirm necessary referrals and authorizations.

Requirements

• 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
• 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.

Nice To Haves

• Associate's 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.
• Requests photo ID and insurance cards, scanning copies.
• Records complete and accurate demographic and insurance information.
• Enters orders and confirms medical necessity for outpatient visits, if appropriate.
• Interviews 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
• tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED