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

Memorial Healthcare System•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 completed and signed. For Memorial Physician Group specialty practices, additional duties include obtaining specialty authorizations, managing authorization denials and peer-to-peer processes, scheduling appointments and procedures, handling incoming calls and physician and hospital back-line calls, and obtaining and confirming referrals. Physician Practice employees (MPG, MPC, and UCC) must be willing to travel to other locations as business needs require; mileage reimbursement is provided. The role requires excellent communication and critical-thinking skills, decisive judgment, the ability to work with minimal supervision in a stressful environment, and the ability to collaborate and build relationships. No experience is required; one year of related hospital, medical office, or customer-service experience is preferred. A high school diploma or equivalent is required.

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.
No prior work experience is required.

Nice To Haves

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

Responsibilities

Obtain pre-certification and authorization.
Provide courteous, timely customer service and address patient and guarantor questions and concerns.
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 payment deposits.
Schedule walk-in appointments for services offered when needed.
Confirm physician and prescription orders for accuracy when needed.
Interview patients and guarantors at a workstation or bedside to collect required information, including a copy of identification.
Perform patient discharge tasks 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, and confirm active coverage.
Determine the correct insurance filing order when multiple coverages apply to a service.
For Memorial Physician Group specialty practices, obtain specialty authorizations; handle authorization denials and peer-to-peer processes; schedule patient appointments and procedures; handle incoming calls, including physician and hospital back-line calls; and obtain and confirm referrals.
Travel to other Physician Practice locations as business needs require; mileage reimbursement is provided.