Therapy Access Specialist — Scheduling & Billing

Nemours in; Wilmington (DE); On-site; USD 38,000 - 48,000; Full time

Job summary

Nemours Children's Health seeks an Access Specialist (Therapy Services) to join our team in Wilmington, Delaware. The role involves scheduling therapy appointments, collecting demographic and insurance information, and discussing financial obligations with families.

The specialist ensures accurate documentation in the EMR and prioritizes urgent appointments, working with program managers and supervisors to meet patient access needs.

Qualifications

• High School Diploma required.
• Minimum of three (3) years experience required.
• Customer Service experience required.
• Call center experience preferred. Front end healthcare experience preferred.
• NAHAM Certification-CHAA preferred.

Responsibilities

• Promptly answers incoming calls to schedule appointment for patients; makes outbound calls when follow-up is needed.
• Provide a smooth transition for all internal and external customers by utilizing excellent customer service skills and effective communication.
• Ensures efficient processing and documentation of all information required for insurance verification, registration and billing in the Electronic Medical Record (EMR) system.
• Schedule patient appointment according to established division guidelines and communicate updates and barriers in a timely manner.
• Ensure urgent diagnosis and appointments are handled with priority and escalation processes are utilized when necessary.
• Verify insurance eligibility and authorizations utilizing the available resource tools.
• Utilize the Managed Care Manual to verify participating insurances and their requirements.
• Inform the caller of their financial responsibility that is due at the time of service/offer to collect in advance at the time of scheduling and ensure accurate daily cash reconciliation.
• Adhere to the authorization process by informing the caller that an authorization is needed (if applicable) at the time the appointment is made.
• Refer patients to the Financial Advocates if financial assistance is needed.
• Educate the callers on the preparation for the appointment or requirements needed to ensure a productive visit.
• Accurately notate the patient’s accounts to communicate pertinent information to clinic, registration, authorization, family financial, and billing departments.

Skills

Customer service

Communication skills

Scheduling appointments

Call center experience

Education

High School Diploma

Tools

EMR system

Job description

Nemours Children's Health seeks an Access Specialist (Therapy Services) to join our team in Wilmington, Delaware. The role involves scheduling therapy appointments, collecting demographic and insurance information, and discussing financial obligations with families.

The specialist ensures accurate documentation in the EMR and prioritizes urgent appointments, working with program managers and supervisors to meet patient access needs.