Patient Access Specialist I -PART TIME at Nemours in Orlando, Florida

Job Description:

As one of the nation’s leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children – even those who may never enter our doors – through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. 

Equity, diversity, and inclusion guide our growth and strategy.  We are looking for individuals who are passionate about, and committed to leading efforts to provide culturally relevant care, reducing health disparities, and helping build a diverse and inclusive team environment. All Nemours associates are expected to ensure that these philosophies are embedded in their day to day work with colleagues, patients and families.

This position is responsible for providing exemplary service in accordance with Nemours Standards of Behaviors and performs registration functions accurately. Meets or exceeds collection standard by timely verification of insurance benefits, and determines financial responsibility by creating a good faith estimate when applicable.  Meets or exceeds accuracy standard goals by verifying and updating demographics, insurance information, PCP and/or referral physician, pharmacy of preference when required for each encounter. Explains all essential and legal forms for each service type and collects any patient responsibility or outstanding balance at the time of service.

Essential Functions

• Ensures all financial assessments, eligibility, and benefits are accurate.  Collects all patient responsibility amount due for services rendered, adheres to end of day business processing standard verifying cash analysis and receipts balances


• Properly identifies patients, accurately updates demographics information, and secures the required forms to ensure compliance with regulatory and NCH policies.


• Registers bedside admissions utilizing the workstation on wheels or downtime process when necessary or performs pre-registration workflow when assigned


• Understands HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties


• Resolves all patient accounts subject to departmental standards including clearing the various Workqueues, as assigned, to ensure accuracy


• Ability to cross cover registration functions to support the Patient Financial Services department as needed


• Practices and displays Nemours’ Standards of Behavior while adhering to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies


• Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments in a clear and respectful manner


• Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled. Meets attendance requirements, and maintains schedule flexibility, as required. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime


• All other duties as assigned by supervisor or manager

Requirements

• High School


• Customer Service and Health Care experience preferred


• More than 3 months of Medical Office/Call Center experience

Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique “Bridge to a Healthy Future” pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.