Patient Services Representative II - Primary Care Wayne, PA

Nemours Foundation Wayne , PA 19080

Posted 2 months ago

As one of the nation's leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children - even those who may never enter our doors - through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own.

Equity, diversity, and inclusion 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 a diverse and inclusive team environment. All Nemours associates are expected to ensure that these philosophies are embedded in their day to day work with colleagues, patients and families.

Primary Function: Receive inbound calls, collect accurate demographic/verify insurance information, accurately document the system, schedules the appointment, Make outbound scheduling calls, collect funds as needed, complete administrative work as assigned

This is a 32 hours a week full-time role.

Essential Functions:

  • Greets families according to Nemours Standards of Behavior and AIDET

  • Accurately load/update patient demographics adhering to system warnings

  • Accurately schedules patients and creates/completes referral shells according to Scheduling Reliable Method

  • Submit electronic referral requests at time of scheduling

  • Obtain/understand insurance information provided by callers and accurately load insurance into EPIC

  • Understand how to read electronic response history to enter/update insurance changes in EPIC, i.e. co pays, capitation agreements, PPO plan vs. HMO plan, coverage effective dates etc.

  • Informs patients about current initiatives, i.e. online scheduling, evening clinics

  • Reviews essential patient appointment information, i.e. location of appt, NPO, bring all meds to appt., prep information

  • Process requests for prescription refills

  • Documents DAR notes were applicable

  • Confirms referral requirements with caller

  • Participate in daily huddles.

  • Manages the CCR template exceptions work which includes cancelling, rescheduling and blocking provider templates as requested via the CCR ticket process.

  • Manages the internal and external referral work queues.

  • Manages the PCP ticket requests to verify and update PCP information for EPIC.

  • Processes and completed incoming eReferral external physicians requests for appointment scheduling.

  • Processes incoming staff messages by supporting the MyNemours website and the Access Center team.

  • Works according to the Standard Reliable Method

  • Offers process improvements opportunities via the daily huddle

  • Completes mandatory in-service training yearly which includes but not limited to safety, infection control, HIPPA, corporate compliance, and bioterrorism

  • Assist with making discharge follow up calls

Requirements:

High School Diploma

More than 1 and up to 3 years of job related training.

Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique "Bridge to a Healthy Future" pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Fullstack Engineer / C / 125K / Wayne Pa

Management Decisions, Inc.

Posted 3 weeks ago

VIEW JOBS 2/10/2021 12:00:00 AM 2021-05-11T00:00 Tired of living in a corporate box? Looking to make a real, positive impact on an organization's codebase while your voice is heard? Look no further, for a growing company based in Fort Washington PA is hiring a full stack developer to support their ever-growing feature set across their product lines. You'll work with a team of engineers, designers, and product managers that churn out correct, maintainable, high-performance C# code to craft a cohesive experience for managers, administrators, and their officers in the field. Applicants should have a minimum of 5 years of experience with C#, .NET frameworks, JavaScript and jQuery. Working knowledge of Azure SQL server is a plus. By joining the team, you will play a significant role in the growth of our engineering effort and have a real opportunity to make an impact, with involvement across all aspects of the SDLC. This is a fulltime position willing to pay up to 120k, DOE. Required Skills & Experience * Minimum 5 year's of professional experience * C# with .NET frameworks * JavaScript, jQuery * SQL Server * Strong Communication Skills Desired Skills & Experience * Azure SQL Server * Blazor is a plus! What You Will Be Doing Tech Breakdown * 40% Frontend development * 60% Backend development Daily Responsibilities * 80% Hands On * 20% Team Collaboration The Offer * Competitive Salary: Up to $120K/year, DOE You will receive the following benefits: * Medical Insurance & Health Savings Account (HSA) * 401(k) * WFH Flex * 4 weeks paid vacation time * Paid Sick Time Leave Applicants must be currently authorized to work in the United States on a full-time basis now and in the future. #LI-TBG Management Decisions, Inc. Wayne PA

Patient Services Representative II - Primary Care Wayne, PA

Nemours Foundation