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Patient Services Rep II-Behavior and development
1 month ago
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, collect accurate demographic/verify insurance information, accurately document the system, schedule the appointment, make outbound scheduling/appointment confirmation calls, review copay and account balances, collect funds as needed, and complete 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
Participate 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 physician 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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