Greets patients and families in person or on the telephone. Obtains demographic, third party payer information, financial information, medical information, and identification to schedule or register the patient for services. Obtains authorization, referrals, and collects payments as required.
Job Specific Duties
Complies with applicable governmental regulations such as HIPAA (Health Information Portability and Accountability Act of 1996) and EMTALA (Emergency Medical Treatment Active Labor Act).
Greets patients and families in person or on the telephone displaying excellent customer skills and responds to questions and/or problems. Keeps open lines of communication with patients and families.
Interviews patients and families to obtain demographic, third party payer information, financial/medical information, identification to schedule, and pre-register or register patient.
Verifies third party payer information via the web or telephone and seeks appropriate authorization and/or referral for physician and hospital services.
Documents all activity as appropriate in the collection notes in the computer system.
Obtains all necessary consents for treatment of patients either in person or verbally. Directs families to waiting area to be called in.
Verifies patients are accompanied by legal guardian and notifies Risk Management if patient is present with anyone other than legal guardian for any non-emergent visits.
Notifies patient/family of deductibles, co-payments, outstanding balances, and/or deposits required. Collects all out-of-pocket patient responsibility.
Communicates with departments or co-workers if any issues and questions arise or to accommodate any special needs for patients.
Obtains and validates prescription when appropriate.
Responsible for tracking patients arriving to office and correcting any registration errors made utilizing the QA system.
Scans all documents in the appropriate folder in the PEDS system.
Schedules physician or hospital services as appropriate.
Confirms appointments two days prior to visits.
Minimum Job Requirements
1-3 years Customer service experience
Knowledge, Skills, and Abilities
High school education or equivalent preferred.
Medical or healthcare office experience preferred.
Fluent in Spanish preferred.
Basic proficiency in Microsoft Office including Word, Excel, and Outlook.
Ability to communicate effectively verbally and in writing.
Able to accurately enter and interpret data.
Able to adapt and react calmly under stressful conditions.
Able to relate cooperatively and constructively with clients and co-workers.
Able to serve customers with courtesy and respect.
Able to maintain confidentiality of sensitive information.
Ability to follow complex written or verbal instructions to solve problems.
Able to establish necessary relations and interact effectively with internal and external customers.
Able to take and respond to on-call shift or shifts as assigned on weekdays, weekends, and holidays.
Primary Location :
Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus
Nicklaus Children’s Health System, is the region’s only healthcare system exclusively for children. In addition to Nicklaus Children’s Hospital and a growing number of outpatient centers located throughout the tri-county area, the health system includes Nicklaus Children’s Hospital Foundation, the organization’s fundraising arm; Nicklaus Children's Pediatric Specialists, a nonprofit physician practice subsidiary; a management services organization, and an ambulatory surgery center. Our vision is to be where the children are. Ultimately, this means being there through all stages of health and life, both physically and emotionally. To be a trusted partner to children and their families, not only in times of illness, but throughout their life journey. Our mission is to inspire hope and promote lifelong health by providing the best care to every child.