Patient Access Representative Relief, Night (11P-730A) JHN ED

Job Details

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. 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 patients 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)

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

Minimum Education and Experience Requirements
Required High School Diploma or GED Associates degree in healthcare or business administration preferred
AND
Emergency Department: Minimum 3 years experience in hospital physician practice or other related healthcare environment customer service. Prior registration experience in Emergency Dept preferred. Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Work Shift

Worker Sub Type

Employee Entity

Primary Location Address

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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