Patient Access Specialist I
4 weeks ago
Nemours Children's Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also features the area's only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children's Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world-class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve, we also provide specialty outpatient care in several clinics located throughout the region.
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
- 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.
- Focus on back-end pre-work, pre-registration of accounts, patient responsibility population, updating patient demographics and others
- 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.
- High School Diploma required.
- Healthcare experience and customer service experience preferred.
- Medical Office/Call Center.
- Travel to other locations required.
Schedule
This position is required to cover NCH and other locations as needed Monday to Friday, anywhere from 7:30AM - 7:00PM.
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