Jefferson
Patient Access Representative (FT, 3p-11:30p) - Center City ED
Jefferson, Philadelphia, Pennsylvania, United States, 19102
Patient Access Representative
Provides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients. 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. Essential Functions: 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. Entering orders and confirming medical necessity for outpatient visits, if appropriate. Interviewing 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) Minimum Education and Experience Requirements: Education: Required High School Diploma or GED, Associates degree in healthcare or business administration preferred AND Experience: Outpatient/Admissions: Minimum 3 years of customer service experience. Previous experience working in insurance, physicians/medical office or hospital registration preferred. Emergency Department: Minimum 3 years of experience in hospital, physician practice, or other related healthcare environment customer service required. Prior registration experience in Emergency Dept. preferred. Competencies (Knowledge, Skills, and Abilities Required): Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner Knowledge of medical terminology, third-party insurance coverage including managed care plans Strong verbal and written communication and customer service skills Work Shift: Rotating (United States of America) Worker Sub Type: Regular Primary Location Address: 132 S 10th Street, Philadelphia, Pennsylvania, United States of America
Provides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients. 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. Essential Functions: 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. Entering orders and confirming medical necessity for outpatient visits, if appropriate. Interviewing 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) Minimum Education and Experience Requirements: Education: Required High School Diploma or GED, Associates degree in healthcare or business administration preferred AND Experience: Outpatient/Admissions: Minimum 3 years of customer service experience. Previous experience working in insurance, physicians/medical office or hospital registration preferred. Emergency Department: Minimum 3 years of experience in hospital, physician practice, or other related healthcare environment customer service required. Prior registration experience in Emergency Dept. preferred. Competencies (Knowledge, Skills, and Abilities Required): Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner Knowledge of medical terminology, third-party insurance coverage including managed care plans Strong verbal and written communication and customer service skills Work Shift: Rotating (United States of America) Worker Sub Type: Regular Primary Location Address: 132 S 10th Street, Philadelphia, Pennsylvania, United States of America