Access Center Specialist II

NemoursCareerSite; Orlando (FL); Híbrido; USD 40.000 - 60.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive compensation

403B with employer match

Licensure, CME and dues allowance

Descripción de la vacante

Nemours is seeking an Access Center Specialist II to join our hybrid Orlando team. The role focuses on patient and provider communication to schedule specialty appointments, capture demographic and insurance data, and discuss financial obligations with families.

Role requires handling insurance verification, registration, and billing in the EMR, while ensuring timely care with a patient-first approach and strong teamwork with clinic staff and leadership.

Formación

• High School Diploma required.
• 1+ year of customer service or medical office experience preferred.
• NAHAM CHAA certification preferred.

Responsabilidades

• Respond to patient and provider inquiries by phone to schedule appointments and relay information.
• Verify insurance eligibility and authorizations; document all interactions in the EMR.
• Provide superior customer service and restore access needs efficiently for patients and families.

Conocimientos

Customer service

Medical office experience

Call center experience

Educación

High School Diploma

Descripción del empleo

Nemours is seeking an Access Center Specialist II (Full-Time),to join our Orlando, Florida team.

This is a hybrid position.

The Access Specialist II 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 Specialist II is required to discuss financial obligations with patient families and collect when appropriate.

The Access Specialist IIis responsible for monitoring registration and insurance related items that fall into patient work queues to ensure timely claim filing. This role works collaboratively with medical secretaries and department managers to ensure all patients’ access needs are met. The Access Specialist IIis 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 through appropriate conduct and demeanor at all times.

• Promptly answers incoming calls to schedule appointment for patients; makes outbound calls when follow-up is needed.
• Provide a smooth transition for all internal and external customers by utilizing excellent customer service skills and effective communication.
• Ensures efficient processing and documentation of all information required for insurance verification, registration and billing in the Electronic Medical Record (EMR) system.
• Schedule patient appointment according to established division guidelines and communicate updates and barriers in a timely manner.
• Ensure urgent diagnosis and appointments are handled with priority and escalation processes are utilized when necessary.
• Verify insurance eligibility and authorizations utilizing the available resource tools.
• Utilize the Managed Care Manual to verify participating insurances and their requirements.
• Inform the caller of their financial responsibility that is due at the time of service/offer to collect in advance at the time of scheduling and ensure accurate daily cash reconciliation.
• Adhere to the authorization process by informing the caller that an authorization is needed (if applicable) at the time the appointment is made.
• Refer patients to the Financial Advocates if financial assistance is needed.
• Educate the callers on the preparation for the appointment or requirements needed to ensure a productive visit.
• Accurately notate the patient’s accounts to communicate pertinent information to clinic, registration, authorization, family financial, and billing departments.
• Request medical records when necessary.
• Review work queues on a daily basis, make corrections and/or elevate to leadership if necessary.
• Respond to and complete staff message.
• Provide support for Cancelled Clinic requests.
• Review and take the necessary action to ensure patient scheduled appointments are accurate.
• Always offer specific directions to the clinic and location that they will be seen.
• Stay up to date of appointment scheduling changes and insurance requirements.
• Interact with coworkers and clinic personnel in a professional manner.
• Communicates effectively with patients, physicians and/or other departments regarding delays or any issues relating to patient appointments.
• Consistently achieve team metric standards and expectations.
• Maintains strict confidentiality at all times.
• Positively support mission, vision and values of Nemours.
• Brings forth any compliance/ethic issues and recommendations for operational improvement.
• Ensures successful adherence to policies, procedures and changes to the organization
• Other duties as assigned.

Job Requirements

• High School Diploma required.
• More than one (1) year of customer service, medical office, or call center experience preferred.
• NAHAM certificate (National Association of Healthcare Access Management)- CHAA preferred.

What We Offer

• Competitive base compensation in the top quartile of the market
• Annual incentive compensation that values clinical activity, academic accomplishments and quality improvement
• 403B with employer match.
• Licensure, CME and dues allowance
• Not-for-profit status; eligibility for Public Service Loan Forgiveness
• For those living and working in Florida, enjoy the benefit of no state income tax. Those based in Delaware benefit from the state's moderate tax structure.

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About Us

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.

Job Info

• Job Identification 20293
• Job Category Non-Clinical Support Staff
• Degree Level High School Graduate
• Job Schedule Full time