Patient Access Specialist II Behavioral Health and Developmental Medicine (Finance)
Nemours is seeking a Behavioral Health and Developmental Medicine Patient Access Specialist II to join our Nemours Children's Health team in Wilmington, DE.
Schedule: Monday - Friday 8:45am - 5:15pm
Primary Function
Receive inbound calls, collect accurate demographic/verify insurance information, accurately document the system, schedules the appointment, Make outbound scheduling calls, collect funds as needed, complete administrative work as assigned.
Essential Functions
1. Greets families according to Nemours Standards of Behavior and AIDET
2. Accurately load/update patient demographics adhering to system warnings
3. Accurately schedules patients and creates/completes referral shells according to Scheduling Reliable Method
4. Submit electronic referral requests at time of scheduling
5. Obtain/understand insurance information provided by callers and accurately load insurance into EPIC
6. 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.
7. Informs patients about current initiatives, i.e. online scheduling, evening clinics
8. Reviews essential patient appointment information, i.e. location of appt, NPO, bring all meds to appt., prep information
9. Process requests for prescription refills
10. Documents DAR notes were applicable
11. Confirms referral requirements with caller
12. Participate in daily huddles.
13. Manages the CCR template exceptions work which includes cancelling, rescheduling and blocking provider templates as requested via the CCR ticket process.
14. Manages the internal and external referral work queues.
15. Manages the PCP ticket requests to verify and update PCP information for EPIC.
16 Processes and completed incoming eReferral external physicians requests for appointment scheduling.
17. Processes incoming staff messages by supporting the MyNemours website and the Access Center team.
18. Works according to the Standard Reliable Method
19. Offers process improvements opportunities via the daily huddle
20. Completes mandatory in-service training yearly which includes but not limited to safety, infection control, HIPPA, corporate compliance, and bioterrorism
21. Assist with making discharge follow up calls
Requirements
HS Diploma or equivalent
One year specialized training beyond HS
One to three years experience required
