As one of the nation’s 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. 

At our three clinic locations in the Jacksonville area, Nemours is a leading provider of pediatric specialty care in north Florida with many of our pediatric specialists regularly recognized as the “Best Doctors in America®.” We offer comprehensive, family-centered care in more than 30 pediatric specialties. Several of those specialties, offered in collaboration with Wolfson Children’s Hospital, have been named among the best in the country by U.S. News & World Report.

This position is responsible for:

• Greet patients in accordance with Nemours Standards of Behavior. 
• Obtain authorization for scheduled visit by following the NCC Standard of Business Practice. 
• Communicate with assigned clinics regarding unattainable authorizations.
• Verify and update demographic, insurance, PCP and authorizations/referral information when required at each encounter.
• Monitor voice mail and return calls as appropriate for the main HMO phone line.
• Workqueues:  Process encounters via the DAG workqueue daily
• All other duties as assigned by supervisor or manager.

Job Requirements

• HS diploma required
• Customer Service and healthcare experience preferred

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.