Patient Access Representative - RELIEF, Night (12A-8A) - 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.
Safeguards 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.
Requirements
- Required High School Diploma or GED, associate's 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 Education And Experience Requirements: Requires 1 year of experience for Jefferson Seamless Access Representatives.
Qualifications
- Meticulous attention to detail
- Strong verbal and written communication and customer service skills
- Proficient with computer and Microsoft Office skills
- Knowledge of medical terminology and/or third-party insurance coverage including managed care plans
Skills
- Microsoft Office skills
- Medical terminology
- Third-party insurance coverage
- Managed care plans
Benefits
- Medical (including prescription)
- Supplemental insurance
- Dental
- Vision
- Lifetime
- Short- and long-term disability
- Flexible spending accounts
- Retail
- Tuition assistance
- Voluntary benefits