Patient Access Specialist II Behavioral Health and Developmental Medicine

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

 

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 and Nemours Children’s Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.

As one of the nation's premier pediatric health systems, we’re on a journey to discover better ways of approaching children’s health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child’s world a place to thrive. It’s a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.

Equity, diversity, and inclusion guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build a diverse and inclusive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families. 

To learn more about Nemours Children’s and how we go well beyond medicine, visit us at www.nemours.org.