Nemours is seeking a Access Center Specialist I (Casual) to join our team in Jacksonville Florida.
The Access Center Specialist communicates with patients/providers via telephone to ensure accurate prompt and courteous scheduling of specialty appointments according to established division guidelines. This position is responsible for obtaining and entering accurate demographic and insurance information for all encounters. The Access Center Specialist is required to discuss financial obligations with patient families and collect payments or escalate to Financial Advocates when appropriate.
The Access Specialist is responsible for monitoring registration and insurance related items that fall into patient work queues to ensure timely claim filing. This role works collaboratively with other Nemours departments to ensure all patient access needs are met. The Access Center Specialist is required to provide superior customer service to both internal and external customers and represent Nemours in a positive professional manner. They are responsible for demonstrating a commitment to service organization values and professionalism.
Essential Functions:
calls for assigned clinic specialties in an efficient manner using standardized greeting content and closure of call.
captures and verifies patient demographic guarantor legal guardian and insurance information in the EMR system. Utilizes quality review work queue to identify and correct discrepancies.
appointments in the EMR system following scheduling and insurances guidelines. Provides all necessary appointment information at time of scheduling and all necessary directions and paperwork via mail or email following closure of the scheduling call.
reviews electronic communications and process documentation to stay abreast of correct department processes and notifies leadership immediately of any questions.
accuracy in answering questions and assisting customers with requests. Utilizes escalation guideline criteria to prioritize patients health concerns and follows reliable methods to document and escalate calls as instructed in guidelines.
copays outstanding balances and any applicable prepayments at time of scheduling. Partners with Financial Advocate when appropriate.
and attempts to resolve complaints. When unable to resolve complaints utilizes escalation guidelines to route callers to the appropriate Nemours associate.
other duties as assigned by supervisor.
Requirements:
High School Diploma
NAHAM certificate CHAA Preferred
More than one (1) year of customer service medical office or call center experience.
Required Experience:
IC
Nemours Children’s Health is an internationally recognized children’s health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children’s hospitals — Nemours Children’s Hospital, Delaware an ... View more