Patient Access Representative

Responsibilities

• 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.
• 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.
• 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).

Qualifications

• 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.