Patient Financial Service Representative I - Peds Nephrology - FT-Days - MPG

Memorial Healthcare•Hollywood, FL

About The Position

The Patient Financial Services Representative (PFSR) is the first point of contact for patients and guarantors in a hospital, ambulatory, or medical office setting. The representative gathers and verifies demographic, financial, and insurance eligibility information, answers questions, and ensures required notices and consent forms are signed. The role requires excellent communication and critical-thinking skills, decisive judgment, the ability to work with minimal supervision in a stressful environment, and collaborative relationship-building. No experience is required; one year of related hospital, medical office, or customer service experience is preferred. For Memorial Physician Group specialty practices, additional duties include obtaining specialty authorizations, participating in authorization denial and peer-to-peer processes, scheduling appointments and procedures, handling incoming calls including physician and hospital back lines, and obtaining and confirming referrals. Physician Practices employees must be willing to travel to other locations based on business needs; mileage reimbursement is provided.

Requirements

High school diploma or equivalent.
Excellent communication skills.
Critical-thinking skills and decisive judgment.
Ability to work with minimal supervision and take appropriate action in a stressful environment.
Ability to work collaboratively and build relationships.
Must be willing to travel to other Physician Practice locations based on business needs.

Nice To Haves

One year of related hospital, medical office, or customer service experience.

Responsibilities

Obtain pre-certification and authorization.
Provide exceptional customer service and address questions and concerns in a timely and courteous manner.
Guide patients to the appropriate service destination when needed.
Collect patient out-of-pocket responsibility according to collection guidelines, provide estimates upon request, and prepare and balance daily deposits of collections.
Schedule walk-in appointments for services when needed.
Confirm physician and prescription orders and ensure accuracy when needed.
Interview patients and guarantors at a workstation or bedside to collect necessary information, including a copy of identification.
Perform patient discharge functions when needed, including reviewing the after-visit summary, scheduling future appointments, and arranging referrals.
Explain policies and regulatory and financial consent forms, and obtain required signatures.
Verify insurance benefits, obtain insurance cards, confirm active coverage, and determine the correct insurance filing order when multiple coverages apply.
For Memorial Physician Group specialty practices, obtain specialty authorizations, address authorization denials and peer-to-peer processes, schedule patient appointments and procedures, handle incoming calls and physician and hospital back lines, and obtain and confirm referrals.
For Physician Practices (MPG, MPC, and UCC), travel to other locations as business needs require.