Patient Services Rep II-Cardiology (Finance)
Nemours Cardiology in Wilmington, DE is seeking a Part-Time PSR II to join our team.
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.
Provide service excellence to each patient and family by performing and completing designated business processes associated with an outpatient visit. At each outpatient visit, complete processes in an efficient fashion, ensuring that the patient and family are prepared for their outpatient appointment in a timely fashion. Also, ensure that all demographic and financial information is accurately verified in advance of the patient visit, and monitor the waiting room and work environment to ensure patient safety and high service levels.
Participate in Nemours programs for continuous quality, performance, and service improvement and work with department management to improve the services provided, through a team-based approach.
Essential Functions:
- Prepare for scheduled patient visits <=48 hours prior to the appointment of each patient using protocol established for each location/service.
- Make confirmation calls that are not completed by Televox to ensure all visits are in "confirmed" status prior to visit or per Department protocol.
Confirm authorization and/or collect referrals for the days' visit. Notify Pre-Registration and Authorization Department of visits scheduled same day, as necessary. Fax hard copy referrals to the PRAG department within 24 hours of receipt.
- At the time of patient check-in, while maintaining patient confidentiality and all aspects of HIPAA,:
- confirm all patient personal demographic information.
- confirm patient identification with two identifiers as approved by Nemours.
- confirm legal guardianship
- confirm referral information for patient visit; if applicable
- prepare, complete and/or collect consents and all other required documents
- scan insurance cards and other important documents
- collect and post co-pays and past due balances
- Access, print, distribute price estimate.
- achieve Registration Accuracy percentage of => 95%
- Schedule follow up appointments (utilizing iGuide to determine participation, if appropriate)
3.Responsible for MyNemours sign ups and facilitation activations.
4.Throughout shift, regularly communicate with clinical staff in the assigned work area regarding the status of waiting patients, particularly those who have been waiting more than ten minutes and then with waiting patients/families to ensure they have status updates on their appointment.
- communicate clinic status to families in the waiting area using the principles of AIDET
- contact manager with problem situations or when assessment is that service recovery is necessary.
5.Accurately reconcile payment collections at the end of each shift, as per Cash Collections Policy, and completes End of Day (EOD) Reports including DCRF and LDCRS.
6.Complete assigned work queues daily.
7.Maintain computer and electronic system competency including but not limited to processes for: scheduling, appointment cancellations and order entry for clinical system, use of Iguide, EOD status changes, work queue processing, linking referrals, posting "other" payments, use of scanner device and electronic insurance verifications.
8.Maintain inventory of clerical supplies and ensure the work environment and outpatient waiting room is in an orderly and clean condition to ensure patient safety and security.
9.Complete EOD (End of Day) Report.
10 Other duties that may be assigned by manager/supervisor may include:
- Schedule and cover the phones between check-in and check-out duties as necessary or determined by supervisor. This responsibility may include scheduling:
- incoming calls as an agent for automated call distribution (ACD) services
- Maintaining in-basket regarding clerical functions from Online Scheduling, MyNemours and office communication.
- recalls
- clinic cancellations
11. Works collaboratively with clinical team by opening, sorting and routing correspondence, laboratory and imaging results, procedures and consultations to appropriate team member to complete patient communication, as necessary.
POSITION QUALIFICATIONS
Minimum 1 - 3 years job related experience.
*High School diploma or equivalent
*Computer/typing skills required
About Us
Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.
As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.
Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.
To learn more about Nemours Children's and how we go well beyond medicine, visit us at www.nemours.org .
