Patient Access Specialist I (Admitting, Lakeland)

The Nemours Foundation • Lakeland, FL

11d • Onsite

About The Position

Nemours is seeking a full-time Patient Access Specialist I to join Nemours Children’s Health in Lakeland, Florida. Nemours Children’s Hospital is a 100-bed pediatric hospital with the region’s only 24-hour pediatric emergency department, outpatient clinics, and specialty care locations throughout Central Florida.

The Patient Access Specialist I provides exemplary service in accordance with Nemours Standards of Behavior and accurately performs registration functions. The role verifies insurance benefits, determines financial responsibility, prepares good faith estimates when applicable, and collects patient responsibility and outstanding balances. It verifies and updates patient demographics, insurance, primary care and referral physician, and pharmacy information as required; explains service-related forms; and obtains required documentation for regulatory and organizational compliance.

The position may register bedside admissions using a workstation on wheels or a downtime process, or perform pre-registration when assigned. It handles patient information in accordance with HIPAA, resolves patient accounts and assigned workqueues, and cross-covers registration functions to support Patient Financial Services. The specialist works closely and respectfully with clinical and ancillary partners, completes required training, participates in scheduled huddles and meetings, meets attendance expectations, and maintains schedule flexibility. Cross-training with the Emergency Room is required. Travel to other locations is required.

Requirements

• High school diploma required.
• Travel to other locations required.

Nice To Haves

• Healthcare experience preferred.
• Customer service experience preferred.
• Medical office or call center experience preferred.

Responsibilities

• Provide exemplary service in accordance with Nemours Standards of Behavior.
• Perform registration functions accurately.
• Verify insurance benefits in a timely manner and determine financial responsibility, creating good faith estimates when applicable.
• Verify and update patient demographics, insurance information, primary care physician and/or referral physician, and preferred pharmacy information as required for each encounter.
• Explain essential and legal forms for each service type and collect patient responsibility or outstanding balances at the time of service.
• Ensure financial assessments, eligibility, and benefits are accurate.
• Collect amounts due for services and follow end-of-day business processing standards, including verifying cash analysis and receipt balances.
• Properly identify patients, update demographic information, and obtain required forms to comply with regulations and Nemours Children’s Hospital policies.
• Register bedside admissions using a workstation on wheels or downtime process when necessary, and perform pre-registration workflows when assigned.
• Protect confidential patient information in accordance with HIPAA privacy rules.
• Resolve patient accounts to departmental standards, including clearing assigned workqueues.
• Cross-cover registration functions to support the Patient Financial Services department as needed.
• Follow applicable local, state, and federal rules and regulations and accrediting-body requirements.
• Maintain open, clear, and respectful communication with clinical and ancillary partners.
• Complete mandatory training and education on time and participate in scheduled huddles and department meetings.
• Meet attendance requirements and maintain schedule flexibility as needed.
• Manage time and attendance effectively to limit unauthorized overtime.
• Cross-train with the Emergency Room.
• Perform other duties as assigned by a supervisor or manager.

Benefits

• Competitive base compensation in the top quartile of the market.
• Annual incentive compensation that recognizes clinical activity, academic accomplishments, and quality improvement.
• Comprehensive health, life, dental, and vision benefits.
• 403(b) with employer match.
• Licensure, continuing medical education, and dues allowance.
• Not-for-profit status and eligibility for Public Service Loan Forgiveness.
• Florida employees benefit from no state income tax; Delaware employees benefit from the state's moderate tax structure.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED