Healthcare Operations Specialist

5 days ago


Pensacola, Florida, United States Nemours Children's Health Full time
About the Role

Nemours Children's Health is seeking a skilled Healthcare Operations Specialist to join our team. In this role, you will play a critical part in ensuring the smooth operation of our healthcare services.

Key Responsibilities
  • Authorization and Verification: Obtain authorization for scheduled office visits, verify and update demographics, insurance, and PCP authorization/referral information when required at each encounter.
  • Work Queue Management: Process encounters via the DAG work-queue daily and work in various work queues assigned.
  • Team Support: Be a source of support to the team and community PCP offices, and assist in the Registration Department when needed.
  • Communication: Communicate professionally and respectfully with assigned clinics regarding unattainable authorizations, and respond appropriately and professionally to emails for the DAG email pool.
  • Collaboration: Maintain a close working relationship with clinical partners, ancillary, and patient access department in a clear and respectful manner.
  • Customer Service: Demonstrate excellent customer service that promotes patient, staff, and customer satisfaction and reflects the mission, vision, and values of Nemours.
Qualifications
  • Education: High School Diploma
  • Experience: Minimum of 1 year of insurance knowledge and customer service role, and 1-3 years of medical office experience
About Nemours

Nemours Children's Health is one of the nation's premier pediatric healthcare systems, dedicated to preventing and treating even the most disabling childhood conditions. We are committed to equity, diversity, and inclusion, and strive to provide culturally relevant care, reduce health disparities, and build a diverse and inclusive environment.



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