What are the responsibilities and job description for the Patient Services Rep II-Behavior and development position at NemoursCareerSite?
Nemours is seeking a PSR II for our Behavior and Development team in Wilmington, DE.
Primary Functions:
Greets families according to Nemours Standards of Behavior and AIDET. Check in/out patients for scheduled appointments, collects accurate demographic/verify insurance information, accurately document the system, schedules the appointment, Make outbound scheduling/appointment confirmation calls, review copay and account balances, collect funds as needed, complete administrative work as assigned.
Essential Functions:
- Greets families according to Nemours Standards of Behavior and AIDET
- Accurately load/update patient demographics adhering to system warnings
- Accurately schedules patients and creates/completes referral shells according to Scheduling Reliable Method
- Submit electronic referral requests at time of scheduling
- Obtain/understand insurance information provided by callers and accurately load insurance into EPIC
- Understand how to read electronic response history to enter/update insurance changes in EPIC, i.e. co pays, capitation agreements, PPO plan vs. HMO plan, coverage effective dates etc.
- Informs patients about current initiatives, i.e. online scheduling, evening clinics
- Reviews essential patient appointment information, i.e. location of appt, NPO, bring all meds to appt., prep information
- Process requests for prescription refills
- Documents DAR notes were applicable
- Confirms referral requirements with caller
- Participate in daily huddles.
- Manages the CCR template exceptions work which includes cancelling, rescheduling and blocking provider templates as requested via the CCR ticket process.
- Manages the internal and external referral work queues.
- Manages the PCP ticket requests to verify and update PCP information for EPIC.
- Processes and completed incoming eReferral external physicians requests for appointment scheduling.
- Processes incoming staff messages by supporting the MyNemours website and the Access Center team.
- Works according to the Standard Reliable Method
- Offers process improvements opportunities via the daily huddle
- Completes mandatory in-service training yearly which includes but not limited to safety, infection control, HIPAA, corporate compliance, and bioterrorism
- Assist with making discharge follow up calls
Job requirements:
*High School diploma or equivalent
6 months to 1 year of minimum medical experience
*Computer/typing skills required
*Clerical experience in a physician's office preferred; EPIC experience preferred
