Patient Access Specialist I (Port St. Lucie)

Nemours Children's Health • Port Saint Lucie, FL

2d • Onsite

About The Position

Nemours Children’s Health is seeking a full-time Patient Access Specialist I to join its team in Port St. Lucie, Florida. This position provides exemplary service in accordance with Nemours Standards of Behavior and performs accurate patient registration functions. The specialist verifies insurance benefits, determines financial responsibility, creates good faith estimates when applicable, and collects patient responsibility or outstanding balances at the time of service.

The role includes verifying and updating patient demographics, insurance, primary care provider and/or referral physician, and pharmacy information; explaining required legal and service-specific forms; and ensuring financial assessments, eligibility, and benefits are accurate. The specialist also supports bedside admissions, preregistration, patient-account resolution, registration coverage, and coordination with clinical and other departments. The position requires travel to other locations and cross-training with the Emergency Room.

Requirements

• High school diploma.
• Healthcare experience preferred.
• Customer service experience preferred.
• Medical office or call center experience listed.

Nice To Haves

• Healthcare experience.
• Customer service experience.

Responsibilities

• Provide service in accordance with Nemours Standards of Behavior and complete registration functions accurately.
• Verify insurance benefits promptly, determine financial responsibility, and create good faith estimates when applicable.
• Verify and update demographics, insurance information, PCP and/or referral physician, and pharmacy of preference for each encounter, as required.
• 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.
• Identify patients accurately, update demographic information, and obtain required forms to comply with regulatory requirements and NCH policies.
• Register bedside admissions using a workstation on wheels or downtime process when necessary, and perform preregistration workflows when assigned.
• Protect confidential patient information in accordance with HIPAA privacy rules and use discretion when discussing patient-related information.
• Resolve patient accounts according 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 close working relationships and clear, respectful communication with clinical, ancillary, and patient access departments.
• Complete mandatory training and education on time, participate in scheduled huddles and department meetings, meet attendance requirements, and maintain schedule flexibility as required.
• Manage time and attendance effectively to limit unauthorized overtime.
• Cross-train with the Emergency Room.
• Travel to other locations as required.
• Perform other duties assigned by a supervisor or manager.

Benefits

• Competitive base compensation in the top quartile of the market.
• Annual incentive compensation that values clinical activity, academic accomplishments, and quality improvement.
• Health, life, dental, and vision benefits.
• 403B with employer match.
• Licensure, CME, and dues allowance.
• Eligibility for Public Service Loan Forgiveness through not-for-profit status.
• Florida residents working in Florida benefit from no state income tax; associates based in Delaware 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