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

Job Description

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.

Responsibilities

• 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.

Requirements

• High School Diploma or GED, Associates degree in healthcare or business administration preferred.
• Emergency Department: Minimum 3 years experience in hospital, physician practice, or other related healthcare environment customer service. Prior registration experience in Emergency Dept preferred.
• Minimum 1 year of experience for Emergency Department roles.

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.

Skills

• Verbal and written communication skills.
• Attention to detail.

Benefits

• Medical (including prescription).
• Supplemental insurance.
• Dental.
• Vision.
• Lifetime Life and AD&D insurance.
• Short- and long-term disability.
• Flexible spending accounts.
• Retirement plans.
• Tuition assistance.
• Voluntary benefits.

Pay

N/A

Schedule

Weekend Evening (United States of America)