Lead Patient Access Representative (FT, 7a-3:30p)

Thomas Jefferson University & Jefferson Health
United States, Pennsylvania, Langhorne
380 North Oxford Valley Road (Show on map)
Dec 18, 2024
Job Details Provides day-to-day support to Patient Access Representatives. Acts as a subject matter and technical expert. Ensures that staff offer a positive patient experience to patients and families. Demonstrates effective communication and customer service skills when interacting with staff, patients, families, and leadership. Trains and educates staff to enter complete and accurate orders, demographic and insurance information including authorizations, referrals, medical necessity. Ensures staff's compliance with departmental and institutional protocols including communicating and collecting out of pocket liability from patients. Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Ensures timely, efficient, and accurate registration processes are followed by staff. Excels in all functions performed by staff. Keeps current on insurance tip sheets and workflow updates Ensures regulatory and compliance requirements are met; complies with departmental and institutional protocols Distributes work assignments, daily QAs a sample of registrations to ensure overall accuracy, provides feedback on deficiencies. Coaches and tracks for performance improvement, daily Backfills for staff during meal breaks. Covers scheduled PTO /ETO or unscheduled absences, as needed Demonstrates a professional demeanor with patients, families, coworkers, clinical and leadership by consistently fostering a positive interaction in the department Trains all new hires to accurately record orders, demographic and insurance information including authorizations, referrals, medical necessity. Provides real-time coaching and feedback to staff on any workflow changes or quality errors. Achieves individual and team performance metrics Interacts with a diverse patient base while ensuring door to doctor time is maintained according to departmental standard wait times Rotates assignment to all points of service within Patient Access (Outpatient Registration and Emergency Department. Job Description Competencies (Knowledge, Skills, and Abilities Required): Knowledge of patient registration, third-party insurance coverage including manage care plans, benefits, authorizations/referrals and coverage requirements. Proficient with Computer and Microsoft Office skills and familiar with healthcare HER applications i.e. EPIC, Cerner. Minimum Education and Experience Requirements: Education: High School Diploma or GED required AND Experience: 3 years of patient registration experience. Previous experience working in a physician's office or hospital registration setting strongly preferred HFMA Certifications preferred Work Shift Workday Day (United States of America) Worker Sub Type Regular Primary Location Address 380 North Oxford Valley Road, Langhorne, 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.