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Patient Services Rep II-Behavior and development

2 months ago

Wilmington, United States Nemours Full time

Nemours is seeking a PSR II for our Behavior and Development team in Wilmington, DE. Primary Functions

: Greets families according to Nemours Standards of Behavior and AIDET. Check in/out patients for scheduled appointments, collects accurate demographic/verify insurance information, accurately document the system, schedules the appointment, makes outbound scheduling/appointment confirmation calls, reviews copay and account balances, collects funds as needed, and completes administrative work as assigned. Essential Functions: Greets families according to Nemours Standards of Behavior and AIDET Accurately load/update patient demographics adhering to system warnings Accurately schedules patients and creates/completes referral shells according to Scheduling Reliable Method Submit electronic referral requests at time of scheduling Obtain/understand insurance information provided by callers and accurately load insurance into EPIC Understand how to read electronic response history to enter/update insurance changes in EPIC, i.e. co-pays, capitation agreements, PPO plan vs. HMO plan, coverage effective dates etc. Informs patients about current initiatives, i.e. online scheduling, evening clinics Reviews essential patient appointment information, i.e. location of appointment, NPO, bring all medications to appointment, prep information Process requests for prescription refills Documents DAR notes where applicable Confirms referral requirements with caller Participates in daily huddles. Manages the CCR template exceptions work which includes cancelling, rescheduling and blocking provider templates as requested via the CCR ticket process. Manages the internal and external referral work queues. Manages the PCP ticket requests to verify and update PCP information for EPIC. Processes and completes incoming eReferral external physicians requests for appointment scheduling. Processes incoming staff messages by supporting the MyNemours website and the Access Center team. Works according to the Standard Reliable Method Offers process improvement opportunities via the daily huddle Completes mandatory in-service training yearly, which includes but is not limited to safety, infection control, HIPAA, corporate compliance, and bioterrorism Assists with making discharge follow-up calls Job requirements: *High School diploma or equivalent 6 months to 1 year of minimum medical experience *Computer/typing skills required *Clerical experience in a physician's office preferred; EPIC experience preferred Hours: Monday & Wednesday 10:15 AM - 7:15 PM, Tuesday, Thursday & Friday 9:00 AM - 5:30 PM.

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