Patient Access Representative (Relief, 3p-11:30p EOW) - Center City ED

Thomas Jefferson University & Jefferson Health
United States, Pennsylvania, Philadelphia
Dec 21, 2024
Job Details 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. Job Description Essential Functions: 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) Minimum Education and Experience Requirements: Education: Required High School Diploma or GED, Associates degree in healthcare or business administration preferred AND Experience: Outpatient/Admissions: Minimum 3 years of customer service experience. Previous experience working in insurance, physicians/medical office or hospital registration preferred. Emergency Department: Minimum 3 years of experience in hospital, physician practice, or other related healthcare environment customer service required. Prior registration experience in Emergency Dept. preferred. Competencies (Knowledge, Skills, and Abilities Required): Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner Knowledge of medical terminology, third-party insurance coverage including managed care plans Strong verbal and written communication and customer service skills Work Shift Rotating (United States of America) Worker Sub Type Regular Primary Location Address 132 S 10th Street, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.