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

Thomas Jefferson University•Gloucester County, NJ

1d•Onsite

About The Position

The Patient Access Representative provides a positive experience for patients and families while registering patients for outpatient visits. The role gathers and records accurate demographic and insurance information, identifies existing or new Jefferson medical records, verifies insurance coverage and benefits, and collects patient out-of-pocket liability at the time of service. The representative also retrieves orders, confirms medical necessity when appropriate, and ensures referrals and authorizations are on file when required. The role interviews Medicare patients to complete the Medicare Secondary Payer questionnaire, identifies uninsured patients for referral to Medical Assistance or Charity Care evaluation, and gathers workers’ compensation or auto insurance details from accident patients. Representatives answer phones and rotate among Patient Access points of service, including Outpatient Registration and the Emergency Department. Work is scheduled Monday through Friday, 9:00 a.m.–5:30 p.m., with every third Saturday worked and a Monday off during weeks with a Saturday shift.

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 to meet the experience requirement.
Proficiency with computers and Microsoft Office.
Strong verbal and written communication skills and strong customer service skills, including the ability to use customer communication practices, tools, and techniques.
Meticulous attention to detail.

Nice To Haves

Associate degree in healthcare or business administration preferred.

Responsibilities

Provide a positive patient experience to patients and families during registration.
Accurately search for and select the correct patient and gather complete demographic information to identify existing Jefferson records or assign a medical record number to new patients.
Request photo identification and insurance cards and scan copies.
Record complete and accurate demographic and insurance information.
Retrieve orders, 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 required referrals and authorizations are on file.
Identify uninsured patients for referral to Medical Assistance or Charity Care evaluation.
Gather workers’ compensation or auto insurance information from accident patients.
Collect patient out-of-pocket liability and copayments at the time of service.
Answer phones for outpatient visits.
Rotate assignments among Patient Access service areas, including Outpatient Registration and the Emergency Department.
Complete activities in accordance with departmental and institutional protocols and regulatory and compliance requirements.
Achieve individual and team performance metrics.
Interact with co-workers, 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 offering 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, available to all colleagues, including per diem colleagues, adjunct faculty, and Jeff Temps