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Access Specialist – Therapy Services
Center for Health Care Strategies. Communicate with patients and providers by telephone to schedule therapy appointments accurately, promptly, and courteously.
About the role
Key responsibilities & impact- Communicate with patients and providers by telephone to schedule therapy appointments accurately, promptly, and courteously.
- Obtain and enter accurate demographic and insurance information for all encounters.
- Discuss financial obligations with patient families and collect payments when appropriate.
- Monitor registration and insurance-related items in patient work queues to ensure timely claim filing.
- Collaborate with program managers and supervisors to meet patients’ access needs.
- Provide superior customer service to internal and external customers and represent Nemours professionally.
- Answer incoming calls and make outbound follow-up calls.
- Process and document insurance verification, registration, and billing information in the Electronic Medical Record (EMR) system.
- Schedule appointments according to division guidelines and communicate updates and barriers in a timely manner.
- Prioritize urgent diagnoses and appointments and use escalation processes when necessary.
- Verify insurance eligibility and authorizations using available resource tools.
- Use the Managed Care Manual to verify participating insurances and requirements.
- Inform callers of financial responsibility, offer advance collection, and ensure accurate daily cash reconciliation.
- Inform callers when authorization is required at the time of scheduling.
- Refer patients to Financial Advocates when financial assistance is needed.
- Educate callers about appointment preparation and visit requirements.
- Accurately annotate patient accounts for clinic, registration, authorization, family financial, and billing departments.
Requirements
What you’ll need- High School Diploma required.
- Minimum of three (3) years experience required.
- Customer Service experience required.
- Call center experience preferred.
- Front end healthcare experience preferred.
- NAHAM Certification-CHAA preferred.