Patient Services Rep II - Ambulatory care center

Nemours in; Wilmington (DE); On-site; USD 34,000 - 52,000; Full time

Job summary

Nemours Children's Health seeks a Patient Services Rep II to support ambulatory care center operations in the Finance area. You will greet patients, verify demographics and insurance, schedule visits, obtain authorizations, and document referrals while maintaining orderly records and processing payments.

You will also help with Medicaid guidance, financial assistance, and facilitate patient flow, including preparing reports and coordinating transportation when needed.

Qualifications

• High School diploma or equivalent.
• Minimum 2 years medical office experience.
• Computer/typing skills required.
• EPIC experience preferred; clerical in a physician's office is a plus.

Responsibilities

• Receive patients professionally and with care.
• Verify demographics and insurance information.
• Schedule and confirm appointments.
• Obtain authorization and pre-certification.
• Document referrals and follow up on no-shows.
• Maintain medical records and perform chart filing.
• Process payments, post charges, and issue receipts.
• Order supplies and manage inventory.
• Assist families with Medicaid and Nemours Financial Assistance.
• Support patient flow and transportation arrangements.

Skills

Professionalism

Team player

Communication skills

Time management

Patient service oriented

Education

High School diploma or equivalent

2 years minimum medical experience

Computer/typing skills required

Clerical experience in a physician's office; EPIC experience preferred

Tools

EPIC

Job description

Patient Services Rep II - Ambulatory care center (Finance)

Responsible for organizing and operating the office systems related to appointment scheduling, patient intake including data verification, charge entry and cash collection, statistical tracking office communications, word processing and filing of patient records.

ESSENTIAL RESPONSIBILITIES

• 1. Receive patients in a professional and caring manner.
• 2. Gather and update information regarding demographics and insurance in a respectful and confidential fashion.
• 3. Schedule and confirm appointments.
• 4. Obtain authorization and pre-certification.
• 5. Document and follow up on referrals.
• 6. Document and follow up on no-shows and cancelations.
• 7. Answer telephone using proper phone etiquette and direct calls accordingly.
• 8. Maintain content and organization of medical records.
• 9. Register patients, collect payments from patients, post charges according to procedures, provide receipts and appropriately document all financial transactions. This includes cash reconciliation and bank deposit preparation.
• 10. Order clerical and clinical supplies and maintain records.
• 11. Monitor waiting rooms and keep patients informed as to schedule delays.
• 12. Advise families regarding obtaining Medicaid coverage and/or Nemours Financial Assistance for their children.
• 13. Assist with arrangements for transportation
• 14. Assist with patient flow.
• 15. Prepare office communications
• 16. Participate in quality improvement activities
• 17. Filing of patient charts, correspondence and related documentation scan documents into EPIC.
• 18. Maintain inventory of supplies and forms
• 19. Open and sort mail, lab reports and consultation reports. Stamp "received" and distribute for Provider review.

ADDITIONAL REQUIREMENTS

• 1. Accepts feedback
• 2. Asks questions for clarification
• 3. Gives accurate information
• 4. Makes suggestions for improvements
• 5. Is willing to accept change
• 6. Works as a team member
• 7. Uses listening skills
• 8. Manages resources prudently
• 9. Takes direction
• 10. Thinks pro-actively
• 11. Establishes positive rapport with patients and families, uses AIDET
• 12. Reports to duty promptly and utilizes time effectively to provide clerical support
• 13. Utilizes sick and vacation days appropriately
• 14. Participated in conferences/in-services
• 15. Attends staff meetings

POSITION QUALIFICATIONS

• *High School diploma or equivalent
• 2 years minimum medical experience
• *Computer/typing skills required
• *Clerical experience in a physician's office preferred; EPIC experience preferred

About Us

Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.

Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention.

Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.

Learn more at Nemours.org .