Patient Access Specialist

About the role

The Patient Access Specialist I is responsible for providing exemplary service in accordance with Nemours Standards of Behaviors and performs registration functions accurately.

Responsibilities

• Provides exemplary service in accordance with Nemours Standards of Behaviors and performs registration functions accurately.
• Matures 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.
• Matures 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.
• Ensures all financial assessments, eligibility, and benefits are accurate.
• Properly identifies patients, accurately updates demographics information, and secures the required forms to ensure compliance with regulatory and NCH policies.
• Schedules appointments according to office scheduling policies.
• Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled.
• 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.
• Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime.
• Resolves all patient accounts subject to departmental standards including clearing the various Workqueues, as assigned, to ensure accuracy.
• 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.
• Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled.
• Maintains schedule flexibility, as required.
• Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled.

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.

Qualifications

• 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.

Skills

• Medical Office or Call Center experience.
• Customer Service and Healthcare experience.
• Bilingual (English/Spanish).
• Epic experience.

Benefits

Nemours offers competitive benefits including health insurance, retirement plans, paid time off, and more.

Pay

Compensation is commensurate with experience.

Schedule

Full-time position.

Company Information

Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals — Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida — along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive. Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.