Access Center Specialist II-PT

The Nemours Foundation; Orlando (FL); On-site; USD 22,000 - 30,000; Part time

Job summary

Nemours is seeking an Access Center Specialist II (Part Time) in Orlando, FL. The role handles high-volume scheduling, patient demographics and insurance data entry, and discussions of financial obligations with families.

You will work with other Nemours departments to meet patient access needs and provide superior customer service by telephone and electronic means. The position emphasizes accurate data collection, timely follow-up, and escalation when needed, with cross-coverage across

Qualifications

• 1+ year of customer service, medical office or call center experience.
• Experience handling patient information and insurance data is preferred.
• Strong communication and problem-solving abilities.

Responsibilities

• Answers calls for assigned clinic specialties in an efficient manner using standardized greeting, content, and closure of call.
• Accurately captures and verifies patient demographics, guarantor, legal guardian, and insurance information in the EMR system.
• Schedules appointments in the EMR according to scheduling and insurance guidelines; provides directions and paperwork as needed.
• Reviews electronic communications and process documentation to stay updated and notifies leadership with questions.
• Answers questions and assists customers; escalates health concerns per guidelines.
• Collects copays and balances; partners with Financial Advocate when appropriate.
• Identifies and attempts to resolve complaints; escalates as needed.
• Demonstrates mastery across scheduling groups for cross-coverage.
• Supports MyChart messages, canceled clinics, follow-up and waitlist reports.

Skills

Customer service excellence

Call center experience

Scheduling experience

Communication skills

Education

High School Diploma

Tools

EMR system

Job description

Nemours is seeking an Access Center Specialist II (Part Time) to join our team in Orlando, FL.

The Access Center Specialist II has mastered all requirements of the Access Center Specialist listed below and is trained in scheduling groups beyond their assigned specialty clinics and can be regularly assigned to additional specialties in times of need to stay within call center metrics. The Access Center is a high-volume contact center handling appointment scheduling, clinical escalation and general call routing and requests for information. The Access Center Specialist is responsible for obtaining and entering accurate demographic and insurance information for all encounters and must discuss financial obligations with patient families, collecting payments or escalating to Financial Advocates when appropriate. In addition, the Access Center Specialist is responsible for monitoring registration and insurance related items that fall into patient work queues to ensure timely claim filing. This role works collaboratively with other Nemours departments to ensure all patient access needs are met. The Access Center Specialist serves as an initial contact for patients and families via telephone in a manner consistent with Nemours Children's Health customer service and standards of behavior. The Access Specialist is 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 always. The Access Center Specialist communicates with patients and providers via telephone and other electronic means to ensure accurate, prompt, and courteous scheduling of specialty appointments according to established specialty guidelines.

Essential Functions:

• Answers calls for assigned clinic specialties in an efficient manner, using standardized greeting, content, and closure of call.
• Accurately captures and verifies patient demographics, guarantor, legal guardian, and insurance information in the EMR system. Utilizes quality review work queue to identify and correct discrepancies.
• Schedules appointments in the EMR system, following scheduling and insurances guidelines. Provides all necessary appointment information at time of scheduling, and all necessary directions and paperwork via mail or email following closure of the scheduling call.
• Actively reviews electronic communications and process documentation to stay abreast of correct department processes and notifies leadership immediately of any questions.
• Ensures accuracy in answering questions and assisting customers with requests. Utilizes escalation guideline criteria to prioritize patient health concerns and follows reliable methods to document and elevate calls as instructed in guidelines.
• Collects copays, outstanding balances, and any applicable prepayments at time of scheduling. Partners with Financial Advocate when appropriate.
• Identifies and attempts to resolve complaints. When unable to resolve complaints, utilizes escalation guidelines to route callers to the appropriate Nemours associate.
• Demonstrates mastery in all scheduling groups to provide cross coverage when needed.
• All other duties as assigned by supervisor including but not limited to assisting with MyChart messages, Canceled Clinics, follow up and wait list reports.

Requirements:

• High School Diploma
• 1 year of more of customer service, medical office or call center experience required
• CRCR Certified Revenue Cycle Representative - HFMA Certification - Preferred

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