Patient Access Specialist I (Admitting, Lakeland)

Nemours; Lakeland (FL); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive base pay

Annual incentive program

Comprehensive benefits: health, life,,

403B with employer match

Licensure, CME and dues allowance

Public Service Loan Forgiveness (PSLF)

No state income tax in Florida

Job summary

Nemours Children’s Health in Lakeland, FL seeks a Patient Access Specialist I (full-time) to perform patient registration, verify insurance, and collect patient responsibility at the point of service.

The role emphasizes HIPAA compliance, accurate data entry, and collaboration with clinical staff, with cross-training opportunities in the Emergency Department.

Qualifications

• High School Diploma required.
• Healthcare experience and customer service experience preferred.
• Medical Office/Call Center experience desired.

Responsibilities

• Register patients and verify accurate demographics and insurance information.
• Explain forms to patients and collect any patient responsibility or balances at the time of service.
• Verify eligibility and benefits and determine financial responsibility with a good faith estimate when applicable.
• Support pre-registration and bedside admissions as needed and maintain HIPAA privacy compliance.
• Resolve patient accounts and assist in the Patient Financial Services area as needed.
• Cross-train with Emergency Room and coordinate with clinical partners for open communication.

Skills

Healthcare experience

Customer service

Education

High School Diploma

Job description

Nemours is seeking a Patient Access Specialist I (FULL-TIME), to join our Nemours Children's Health team in Lakeland, Florida.

Nemours Children’s Hospital is the newest addition to the Nemours integrated healthcare system. Our 100-bed pediatric hospital also features the area’s only 24-hour Emergency Department designed just for kids as well as outpatient pediatric clinics including several specialties previously unavailable in the region. A hospital designed by families for families, Nemours Children’s Hospital blends the healing power of nature with the latest in healthcare innovation to deliver world‑class care to the children of Central Florida and beyond. In keeping with our goal of bringing Nemours care into the communities we serve; we also provide specialty outpatient care in several clinics located throughout the region.

This position is responsible for providing exemplary service in accordance with Nemours Standards of Behaviors and performs registration functions accurately. Meets or exceeds collection standard by timely verification of insurance benefits and determines financial responsibility by creating a good faith estimate when applicable. Meets or exceeds accuracy standard goals by verifying and updating demographics, insurance information, PCP and/or referral physician, pharmacy of preference when required for each encounter. Explains all essential and legal forms for each service type and collects any patient responsibility or outstanding balance at the time of service

• Ensures all financial assessments, eligibility, and benefits are accurate. Collects all patient responsibility amount due for services rendered, adheres to end of day business processing standard verifying cash analysis and receipts balances.
• Properly identifies patients, accurately updates demographics information, and secures the required forms to ensure compliance with regulatory and NCH policies.
• Registers bedside admissions utilizing the workstation on wheels or downtime process when necessary or performs pre-registration workflow when assigned.
• Understands HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties.
• Resolves all patient accounts subject to departmental standards including clearing the various Workqueues, as assigned, to ensure accuracy.
• Ability to cross cover registration functions to support the Patient Financial Services department as needed.
• Practices and displays Nemours’ Standards of Behavior while adhering to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.
• Maintains a close working relationship with clinical partners to ensure continual open communication between clinical, ancillary and patient access departments in a clear and respectful manner.
• Completes all mandatory training and education in a timely manner, as well as participate in huddles and/or department meetings as scheduled. Meets attendance requirements, and maintains schedule flexibility, as required. Exhibits effective time management skills by monitoring time and attendance to limit use of unauthorized overtime.
• Cross training with the Emergency Room.
• All other duties as assigned by supervisor or manager.

Job Requirements

• High School Diploma required.
• Healthcare experience and customer service experience preferred.
• Medical Office/Call Center.
• Travel to other locations required.

Nemours Children's Health offers a comprehensive and competitive benefit package which includes:

• 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
• 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.