Lead Patient Financial Services Associate

MedQuest Associates LLC•Vienna, VA

About The Position

The Lead Patient Financial Services (PFS) Associate is a working leader on the PFS team. This role supports the PFS Team’s daily operations, in addition to managing center-related needs and providing patient support. The Lead PFS Associate is also responsible for executing all individual duties including but not limited to verification of patient eligibility and the pre-authorization services required. This position is approximately 70% staff duties and 30% oversight and team performance support.

Requirements

High School Diploma or equivalent required
Minimum 4 years’ relevant experience required
Ability to understand basic medical terminology
Knowledge of pre-certification process for insurance companies
Ability to calculate deductible and co-insurance correctly
Ability to communicate effectively to patients about their medical conditions and the financial aspects of their care
Ability to coordinate the pre-collection without losing scan and increasing cancellation rate
Ability to represent the Center in a professional manner when interacting with patients, guests, physicians and their staff
Ability to handle service issues professionally
Ability to follow through with customers
Share relevant information with other employees
Volunteer to assist others when time permits
Ability to type proficiently

Nice To Haves

Associate’s or bachelor’s degree in business administration or related field preferred
Previous team leadership experience preferred

Responsibilities

Aid and support Manager of PFS and PFS leadership with recruiting new hires and fulfilling all training needs.
Maintain and manage process improvement changes, payer updates, training documentation and guidance for Team; including but not limited to workflow changes, WIKI updates and policy maintenance.
Assist Manager of PFS with weekly coverage strategies to ensure all facility work queues are adequately managed (as needed).
Actively watch and maintain teamwork queues (combined market list) for STAT exams, same-day appointment add-ons, and /or patients nearing date of service deadlines with missing action.
Coordinate all communication with facility teams; act as lead interface with all center staff triage to fulfill urgent needs, patient requests, payer guidance, etc.
Support Manager of PFS of phone queue management as necessary.
Provides interim supervision in the absence of the Manager of PFS and PFS Team Leader/Supervisor.
Verify patient’s insurance status and benefit eligibility.
Accurately determine the patient’s un-met deductible, co-insurance, and co-payment amounts.
Accurately and timely provide for any pre-authorization or pre-certification of services.
Delegate price requests in the absence of the Manager of PFS and PFS Team Leader.
Provide high level of customer service with goal of maintaining a low cancellation rate while increasing Time of Service collection rates.
Other duties as assigned.