Patient Access Representative (Part-Time)

Insight Global; Florida; Hybrid; USD 42,000 - 56,000; Full time

Job summary

Nemours in Jacksonville, FL is seeking an Access Specialist II in a hybrid role. This position schedules specialty appointments, collects demographic and insurance data, and ensures timely processing in the EMR system.

You will verify insurance eligibility, discuss financial obligations with families, and coordinate with clinic staff while maintaining confidentiality and professional service.

Qualifications

• High School Diploma required.
• 1+ year of customer service, medical office, or call center preferred.
• NAHAM CHAA certificate preferred.

Responsibilities

• Promptly answers calls to schedule appointments and makes outbound follow-ups.
• Provides excellent customer service and effective communication for internal and external customers.
• Verifies insurance eligibility and authorizations using available tools.
• Enters and documents demographic and insurance information in the EMR system.
• Notifies patients of financial responsibilities and collects payments when appropriate.
• References Financial Advocates for financial assistance as needed.
• Maintains patient account confidentiality and professionalism at all times.

Skills

Customer service

Scheduling appointments

Communication

Insurance verification

Data entry

Confidentiality

EMR systems

Education

High School Diploma

NAHAM CHAA certificate (preferred)

Tools

EMR system

Job description

Job Description

Location: Hybrid - Jacksonville, FL

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 escalation 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
• Comprehensive benefits: health, life, dental, vision
• 403B with employer match.
• Not-for-profit status; eligibility for Public Service Loan Forgiveness
• For those