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Patient Access Representative - FT, Nights (11P-7:30A) - Center City ED
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Full-time
high school, associate degree
Medical insurance, Prescription insurance, Supplemental insurance, Dental insurance, Vision insurance, Life insurance
Posted 1d ago
~40 hrs/week
Responsibilities
The Patient Access Representative is responsible for registering patients, gathering accurate demographic and insurance information, and ensuring medical necessity for outpatient visits. They also facilitate the patient experience by verifying insurance coverage, collecting out-of-pocket liabilities, and adhering to institutional protocols.
Requirements
Candidates must have a high school diploma or GED, with an associate's degree in healthcare or business administration preferred. A minimum of 3 years of experience in a hospital or healthcare customer service environment is required.
Full job description
Number of Positions In Requisition
1


Job Details
Week 1: Mon, Tues, Wed, Fri, Sat Week 2: Su, Mon, Tue, Thu, Fr
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.
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 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)
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, associate's 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
Workday Night (United States of America)
Worker Sub Type
Regular
Employee Entity
Thomas Jefferson University
Primary Location Address
131 S 10th Street, Philadelphia, Pennsylvania, United States of America
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 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's 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 8,300 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 diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
Jefferson Health Plans provides trusted health insurance plans that prioritize your well-being.
With a commitment to personalized healthcare, accessible health services, and a strong healthcare provider network, we empower individuals and families to take charge of their health. Our mission is to improve the lives of our communities by delivering quality plans with exceptional member service.
What We Offer:
✅ Comprehensive health coverage for all stages of life
✅ Easy access to quality healthcare and top providers
✅ Health and wellness programs to support your journey.
Managed Care OrganizationMedicaidCHIPIndividual and Family PlansHealth Insuranceand Medicare AdvantageConsumerHealth CareLife InsuranceInsurance
How many Customer Service & Support jobs are open in Philadelphia, PA right now?
There are currently 3,260 open customer service & support positions in Philadelphia, PA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Customer Service & Support roles in Philadelphia, PA?
Companies currently hiring include Temple Health – Temple University Health System, CVS Health, Aramark Healthcare+, Allied Universal, Albertsons Companies, among others. Browse the listings above to see every active employer.
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