Patient Access Specialist — Scheduling & Check-In

Nicklaus Children's Health System; Florida; On-site; USD 21,000 - 26,000; Full time

Job summary

Nicklaus Children's Health System in Miramar, FL is seeking a clerical/admin professional to greet patients, collect demographics, verify insurance, and schedule or pre-register services. You will obtain authorizations, collect payments, and document activities in the hospital system with attention to HIPAA guidelines.

The role requires strong communication skills in English, Spanish language ability, and proficiency with Microsoft Office.

Qualifications

• 1 year of customer service experience.
• Able to communicate effectively in English both verbally and in writing.
• Fluent in Spanish strongly preferred.
• Basic proficiency in Microsoft Office including Word, Excel and Outlook.
• Able to accurately enter and interpret data.
• Able to maintain confidentiality of sensitive information.

Responsibilities

• Greets patients and families in person or on the telephone in a respectful and empathetic manner.
• Responds to questions and/or problems and keeps open lines of communication with patients/families.
• Complies with HIPAA and EMTALA regulations.
• Interviews patients/families to obtain demographic, third party payer, financial/medical information, and identification to schedule or pre-register/register and/or check-in patients.
• Collects payments and provides receipts.
• Verifies third party payer information via the web or telephone.
• Obtains and documents appropriate authorization for hospital services via web or fax, and follows up until authorization is obtained.
• Documents all activities in the Collection Notes file of the computer system as appropriate.
• Obtains all necessary consents for patient.
• Obtains all advanced directives for patients and assist in completing/ providing Living Will document when appropriate.
• Secures patient ID bracelet, ensures accuracy, and obtains validation from patient and/or legal guardian.
• Directs families to the appropriate location in the facility by phone, text, email, and/or in person.
• Notifies patient/family of deductibles, co-payments, deposits required for registration, and advises/requests payments for out-of-pocket expenses.
• Notifies management of any insurance/financial discrepancies for approval.
• Communicates with appropriate departments if any issues/questions arise and/or to accommodate any special needs for patients.
• Obtains and validates prescriptions and clinical documents when appropriate.
• Places and monitors patients arriving for outpatient services by using patient tracking system.
• Corrects any registration errors made utilizing the QA system.
• Scans all documents to the appropriate folder in the PEDS system.
• Schedules hospital services as appropriate.
• Triages incoming facility inquiries and routes appropriately.
• Secures adult exemptions for outpatient procedures when necessary.
• Identifies duplicate financial and medical record numbers and handles as appropriate.
• Performs down time manual registration as needed.

Skills

Customer service

English communication

Spanish preferred

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

Nicklaus Children's Health System in Miramar, FL is seeking a clerical/admin professional to greet patients, collect demographics, verify insurance, and schedule or pre-register services. You will obtain authorizations, collect payments, and document activities in the hospital system with attention to HIPAA guidelines.

The role requires strong communication skills in English, Spanish language ability, and proficiency with Microsoft Office.