Patient Access Specialist - #308037

The Patient Access Specialist I 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.

• 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.

• Check in/check out patients in a timely manner.

• Schedule appointments according to office scheduling policies.

• All other duties as assigned by supervisor or manager.

Job Requirements

• High School Diploma required. Specialized (1 year of training beyond high school)

• Minimum three (3) months of experience required.

• Must have Medical Office or Call Center experience.

• Customer Service and Healthcare experience preferred.

• Bilingual (English/Spanish) preferred.

• EPIC experience preferred.