Patient Access Specialist I (Admitting, Melbourne)

Nemours; Melbourne (FL); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player in pediatric healthcare is seeking a Patient Access Specialist I to join their dedicated team in Melbourne, Florida. This full-time role focuses on delivering exceptional service while managing patient registrations and insurance verifications. The ideal candidate will thrive in a fast-paced environment, ensuring compliance with healthcare standards and fostering strong communication with clinical partners. If you are passionate about making a difference in children's healthcare and enjoy working in a collaborative setting, this opportunity is perfect for you.

Qualifications

• High School Diploma required with healthcare experience preferred.
• Customer service experience is a plus.

Responsibilities

• Provide exemplary service and perform accurate registration functions.
• Verify insurance benefits and determine financial responsibility.

Skills

Customer Service

Insurance Verification

HIPAA Compliance

Time Management

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 Melbourne, 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.