Patient Services Rep II-Behavior and development

Tuck School of Business at Dartmouth; Wilmington (DE); On-site; USD 30,000 - 50,000; Full time

Job summary

An established industry player is looking for a dedicated PSR II to join their Behavior and Development team. In this pivotal role, you will be the first point of contact for families, ensuring a welcoming experience while managing patient check-ins and scheduling. Your attention to detail will be essential as you handle insurance information and assist with administrative tasks. This position offers the opportunity to contribute to a team committed to providing high-quality care and support to patients. If you are passionate about healthcare and have strong clerical and customer service skills, this role is perfect for you.

Qualifications

• High School diploma required; medical experience preferred.
• Proficient in computer/typing skills and clerical duties.

Responsibilities

• Greet families and check in/out patients for appointments.
• Schedule patients and manage referral requests accurately.
• Document patient information and assist with administrative tasks.

Skills

Customer Service Skills

Computer Skills

Clerical Skills

Insurance Knowledge

Education

High School Diploma or Equivalent

Tools

EPIC

Job description

Nemours is seeking a PSR II for our Behavior and Development team in Wilmington, DE.

Primary Functions:

Greets families according to Nemours Standards of Behavior and AIDET. Checks in/out patients for scheduled appointments, collects accurate demographic/insurance information, accurately documents in the system, schedules appointments, makes outbound scheduling/appointment confirmation calls, reviews copay and account balances, collects funds as needed, and completes administrative work as assigned.

Essential Functions:

1. Greets families according to Nemours Standards of Behavior and AIDET.
2. Accurately loads/updates patient demographics adhering to system warnings.
3. Accurately schedules patients and creates/completes referral shells according to Scheduling Reliable Method.
4. Submits electronic referral requests at the time of scheduling.
5. Obtains/understands insurance information provided by callers and accurately loads insurance into EPIC.
6. Understands how to read electronic response history to enter/update insurance changes in EPIC, i.e., copays, capitation agreements, PPO plan vs. HMO plan, coverage effective dates, etc.
7. Informs patients about current initiatives, i.e., online scheduling, evening clinics.
8. Reviews essential patient appointment information, i.e., location of appointment, NPO, brings all medications to appointment, prep information.
9. Processes requests for prescription refills.
10. Documents DAR notes where applicable.
11. Confirms referral requirements with caller.
12. Participates in daily huddles.
13. Manages the CCR template exceptions work, including cancelling, rescheduling, and blocking provider templates as requested via the CCR ticket process.
14. Manages the internal and external referral work queues.
15. Manages the PCP ticket requests to verify and update PCP information for EPIC.
16. Processes and completes incoming eReferral external physician requests for appointment scheduling.
17. Processes incoming staff messages by supporting the MyNemours website and the Access Center team.
18. Works according to the Standard Reliable Method.
19. Offers process improvement opportunities via the daily huddle.
20. Completes mandatory in-service training yearly, which includes but is not limited to safety, infection control, HIPAA, corporate compliance, and bioterrorism.
21. Assists with making discharge follow-up calls.

Job Requirements:

*High School diploma or equivalent.

6 months to 1 year of minimum medical experience.

*Computer/typing skills required.

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