Patient Services Rep II - duPont Pediatrics, Newtown Sq
Nemours Childrenâ€™s Health System
June 12, 2018
Newtown Square, Pennsylvania
As one of the nation's leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children â“ even those who may never enter our doors â“ through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.
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.
Greets families according to Nemours Standards of Behavior and AIDET
Accurately load/update patient demographics adhering to system warnings
Accurately schedules patients and creates/completes referral shells according to Scheduling Reliable Method
Submit electronic referral requests at time of scheduling
Obtain/understand insurance information provided by callers and accurately load insurance into EPIC
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.
Informs patients about current initiatives, i.e. online scheduling, evening clinics
Reviews essential patient appointment information, i.e. location of appt, NPO, bring all meds to appt., prep information
Process requests for prescription refills
Documents DAR notes were applicable
Confirms referral requirements with caller
Participate in daily huddles.
Manages the CCR template exceptions work which includes cancelling, rescheduling and blocking provider templates as requested via the CCR ticket process.
Manages the internal and external referral work queues.
Manages the PCP ticket requests to verify and update PCP information for EPIC.
Processes and completed incoming eReferral external physicians requests for appointment scheduling.
Processes incoming staff messages by supporting the MyNemours website and the Access Center team.
Works according to the Standard Reliable Method
Offers process improvements opportunities via the daily huddle
Completes mandatory in-service training yearly which includes but not limited to safety, infection control, HIPPA, corporate compliance, and bioterrorism
Assist with making discharge follow up calls
*High School diploma or equivalent *Computer/typing skills required *Clerical experience in a physician's office preferred
Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique âœBridge to a Healthy Futureâ pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.