Patient Access Representative - RELIEF, Evening (4P-12A) - Einstein Philly 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.
Sets up proper referral and authorizations 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.
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 candidates.
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
Benefits
- Medical (including prescription)
- Supplemental insurance
- Dental
- Vision
- Life and AD&D insurance
- Short- and long-term disability
- Flexible spending accounts
- Retirement plans
- Tuition assistance
- Voluntary benefits