Patient Access Specialist I (Admitting, Lakeland)

Nemours Children's Health • Lakeland, FL

12d • Onsite

About The Position

Nemours Children’s Health is seeking a full-time Patient Access Specialist I for its Admitting team in Lakeland, Florida. The position provides service consistent with Nemours Standards of Behaviors and performs accurate patient registration. The specialist verifies insurance benefits, determines financial responsibility, creates good faith estimates when applicable, and collects patient responsibility and outstanding balances at the time of service. The role also verifies and updates patient demographics, insurance information, primary care or referral physician details, and pharmacy preference when required, and explains and secures essential legal forms for each service type.

The specialist supports patient access operations through bedside admissions, pre-registration, account resolution, workqueue management, and cross-coverage for Patient Financial Services, including cross-training with the Emergency Room. The position requires collaboration with clinical and ancillary partners, protection of confidential information in accordance with HIPAA, adherence to applicable regulations and policies, timely completion of training, participation in meetings, and schedule flexibility. Travel to other locations is required.

Requirements

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

Nice To Haves

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

Responsibilities

• Provide exemplary service in accordance with Nemours Standards of Behaviors and perform registration functions accurately.
• Verify insurance benefits, determine financial responsibility, and create good faith estimates when applicable.
• Verify and update patient demographics, insurance information, PCP and/or referral physician, and pharmacy preference when 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 verification of cash analysis and receipt balances.
• Identify patients, update demographic information, and secure required forms in compliance with regulatory and Nemours Children’s Hospital policies.
• Register bedside admissions using a workstation on wheels or downtime process when necessary, or perform pre-registration when assigned.
• Protect confidential patient information and follow HIPAA privacy rules.
• Resolve patient accounts according to departmental standards, including clearing assigned workqueues.
• Cross-cover registration functions in support of Patient Financial Services as needed, and cross-train with the Emergency Room.
• 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.
• Manage time and attendance effectively to limit unauthorized overtime.
• 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 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 the organization’s not-for-profit status.
• Florida residents working in Florida do not pay state income tax; Delaware-based associates 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