Job ID: 289971666  |  Last Updated: 3/1/2021

Patient Services Rep II - duPont Pediatrics, Collegevill PA

Collegeville, PA
Applicant Contact
Accepts J-1 Visas

Job Description

As one of the nations 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 -

Provide service excellence to each patient and family by performing and completing designated business processes associated with an outpatient visit. At each outpatient visit, complete processes in an efficient fashion, ensuring that the patient and family are prepared for their outpatient appointment in a timely fashion. Also, ensure that all demographic and financial information is accurately verified in advance of the patient visit, and monitor the waiting room and work environment to ensure patient safety and high service levels.

Participate in Nemours programs for continuous quality, performance, and service improvement and work with department management to improve the services provided, through a team-based approach.

Essential Functions

Greet and communicate with each patient and family at the start of their outpatient visit and at each interaction using AIDET protocol (acknowledge-introduce-inform about duration-explain-thank).

Accomplish tasks that are a part of the Nemours outpatient appointment business functions prior to and at the time of appointment check-in, visit and check-out. Duties may be specific to each outpatient location. All general duties include but are not limited to:
- Prepare for scheduled patient visits =48 hours prior to the appointment of each patient using protocol established for each location/service.
- Make confirmation calls that are not completed by Televox to ensure all visits are in confirmed status prior to visit or per Department protocol.
- Confirm authorization and/or collect referrals for the days visit. Notify Pre-Registration and Authorization Department of visits scheduled same day, as necessary. Fax hard copy referrals to the PRAG department within 24 hours of receipt.
- At the time of patient check-in, while maintaining patient confidentiality and all aspects of HIPAA,:
confirm all patient personal demographic information.
- confirm patient identification with two identifiers as approved by Nemours.
- confirm legal guardianship
- confirm referral information for patient visit; if applicable
- prepare, complete and/or collect consents and all other required documents
- scan insurance cards and other important documents
- collect and post co-pays and past due balances
- achieve Registration Accuracy percentage of = 95%

- Schedule follow up appointments (utilizing iGuide to determine participation, if appropriate)

Responsible for MyNemours sign ups and facilitation activations.

Throughout shift, regularly communicate with clinical staff in the assigned work area regarding the status of waiting patients, particularly those who have been waiting more than ten minutes and then with waiting patients/families to ensure they have status updates on their appointment.
- communicate clinic status to families in the waiting area using the principles of AIDET
- contact manager with problem situations or when assessment is that service recovery is necessary.

Accurately reconcile payment collections at the end of each shift, as per Cash Collections Policy, and completes End of Day (EOD) Reports including DCRF and LDCRS.

Complete assigned work queues daily.

Maintain computer and electronic system competency including but not limited to processes for: scheduling, appointment cancellations and order entry for clinical system, use of Iguide, EOD status changes, work queue processing, linking referrals, posting other payments, use of scanner device and electronic insurance verifications.

Maintain inventory of clerical supplies and ensure the work environment and outpatient waiting room is in an orderly and clean condition to ensure patient safety and security.

Complete EOD (End of Day) Report.

Other duties that may be assigned by manager/supervisor may include:
- Schedule and cover the phones between check-in and check-out duties as necessary or determined by supervisor. This responsibility may include scheduling:

- incoming calls as an agent for automated call distribution (ACD) services
- maintaining in-basket regarding clerical functions from Online Scheduling, MyNemours and office communication.
- recalls
- patients from waitlist
- follow-up calls upon discharge from inpatient units
- clinic cancellations

Works collaboratively with clinical team by opening, sorting and routing correspondence, laboratory and imaging results, procedures and consultations to appropriate team member to complete patient communication, as necessary.

Additional Requirements:

High School Diploma

1-3 years of job related experience

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.

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