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

Job ID: 3P-11:30P
Week 1: Tues & Sat
Week 2: Sun & Thurs

About the role

Provides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients.

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.
• 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.
• 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).

Requirements

• Proficient with computer and Microsoft Office skills.
• Familiar with healthcare EHR applications (e.g., 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.

Qualifications

• Required: High School Diploma or GED.
• Preferred: Associate’s degree in healthcare or business administration.
• Emergency Department: Minimum 3 years of experience in a hospital, physician practice, or other related healthcare environment in customer service.
• Prior registration experience in the Emergency Department preferred.
• Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Pay

Salary Range: $17.00 to $21.89 hourly. The actual hiring rate will be determined based on candidate experience, skills, and qualifications.

Schedule

Workday Evening (United States of America).

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including:

• Medical (including prescription), supplemental insurance, dental, and vision.
• Life and AD&D insurance.
• Short- and long-term disability.
• Flexible spending accounts.
• Retirement plans.
• Tuition assistance and access to tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service.
• Voluntary benefits, providing access to group rates on insurance and discounts.

All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.