Patient Services Representative I - People's Plaza, Primary Care

Nemours is seeking a Patient Services Representative I to join our team in Delaware.

As one of the nation’s premier pediatric health care systems, Nemours provides world-class clinical care in four states – Delaware, Florida, New Jersey and Pennsylvania. Located in Wilmington, Delaware, the Nemours/Alfred I. duPont Hospital for Children offers intensive and acute inpatient and outpatient services covering more than 30 pediatric specialties. Ranked among the nation’s best in pediatric specialty care by U.S. News & World Report, this world-renowned teaching hospital has served children from 42 states and 14 nations.  Extending the world-class care of the Nemours/Alfred I duPont Hospital, the Nemours Children’s Clinic provides expert care for even more children across the Delaware Valley through community-based physician services and collaborative partnerships with health and hospital systems.

To keep pace with the changing health care environment and build a healthier future for our children, Nemours has embarked on a multi-phase expansion to create a children’s hospital like no other in the region. Upon completion in June 2014, the hospital will include private, family-centered, technologically advanced patient rooms, a new Pediatric Intensive Care Unit, and a new expanded Emergency Department.

Enters and/or verifies patient/guarantor demographic and insurance information.

Schedules/cancels/reschedules and confirms patient appointments.  Appropriately statuses patient in computer system.

Handles phone calls to/from patients, physician offices, insurance companies, internal customers, etc. utilizing proper telephone etiquette.

Obtains authorization for ancillary and specialty services from insurance carriers and documents actions taken appropriately.

Collects payments from patients - including copayments, current charges and prior account balances, posts charges, provides receipts and documents all financial transactions, including charge entry at checkout.  Prepares daily cash reconcilliation and bank deposits.   Ensures work queues are up to date.

Performs template exceptions as instructed by the manager or PIC.

Completes all tasks according to Standard Business Practices.

Supports the Nemours Mission, Vision and Values.

Respects the confidentiality of all patient information.

Monitors and ensures patient safety and office cleanliness and security.

Opens, sorts and routes mail, lab and consult reports.

Participates in the departmental and system wide quality assessment and improvement activities.

Maintains positive professional relationships with providers and coworkers