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.
The primary function of the Patient Service Rep II is to ensure that families are ready to be seen by the Clinician in a timely manner. Requires some travel to off-site clinics.
Greets patients and families at the clinical setting according to AIDET. Systematically checks families in and out (as applicable).
Establishes and maintains a professional demeanor by maintaining tact, understanding and confidentiality when dealing with patients, team members, health practitioners and the public.
Completes the front desk function in the module including but not limited to:
“Preps” visits scheduled <=48 hours prior. Responsible for making all confirmation calls that is not completed, to a “Confirmed” status
Systematically collects consents and other required documents (real-time)
Scans insurance cards and other important documents real-time
Collects and posts co-pays, any past due balances, and reconciles money at end of shift
Responsible for requesting and logging MyNemours sign ups
Schedules follow up appointments (utilizes the Iguide to determine participation)
Achieve a daily “after visit” verification (insurance and demographics) percentage of =>95%
PSR’s are responsible for scheduling and manning the phones between check in and check-out patients. This responsibility includes, scheduling of incoming calls, consults received in scheduling workqueue, MyNemours in-basket request, recalls (including calling 3 time, sending a demand print letter, documenting in the patient chart and notifying of the inability to schedule follow up appointment from the recall), moving patients up from the waitlist, handling all follow up calls upon discharge
Works assigned work queues daily
Confirms authorization and/or collects referrals for the days’ visit. Notifies Pre-Registration and Authorization Department of visits scheduled same day. Faxes hard copy referrals to the PRAG department within 24 hours of receipt.
Monitors and ensures patient safety, cleanliness and security of module.
Responsible for accurate statusing of clinic appointments, differentiating between new versus recheck and no-show versus cancellation.
Responsible for sending letters to the PCP of all newly referred patients, notifying of no showed appointments. We are responsible for calling at least three times, sending another demand print no show letter, documenting in the chart the follow up action and notifying of the continued inability to reschedule their no showed appointment.
Communicates with Module clinical staff as to the status of patients waiting more than ten minutes and advises of clinical progress.
High School Diploma or equivalent.
Previous experience in a hospital or physician’s office setting
Excellent interpersonal and communication skills
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.
Internal Number: 30163
Nemours is committed to improving the health of children. As a non-profit children’s health organization, we consider the health of every child to be a sacred trust. Through family-centered care in our children’s hospitals and clinics in Delaware, New Jersey, Pennsylvania and Florida, as well as world-changing research, education and advocacy, Nemours fulfills the promise of a healthier tomorrow for all children — even those who may never enter our doors. Nemours began more than 70 years ago with the vision of Alfred I. duPont to improve the lives of children and to do whatever it takes to prevent and treat even the most disabling childhood conditions. Today, through our children’s hospitals and health system, we directly care for 250,000 children annually in Delaware Valley and Florida, including families who travel from across the country and world to see our specialists — treating every child as we would our own. We also reach beyond the walls of our hospitals and clinics to be a voice for children on a national and international level, and to lead the way in prevention, intervention, education, and research. Nemours is growing to better serve the children and families in our ca...re. We have 1.1 million square feet of space currently devoted to providing children’s healthcare or under construction, all designed with significant input and advice from our patients and families.