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

Memorial Healthcare

About The Position

The Patient Financial Services Representative (PFSR) is the first point of contact for patients and guarantors in hospital, ambulatory, or medical office settings. The representative obtains and verifies demographic, financial, and insurance eligibility information, answers questions, and ensures required notices and consent forms are completed and signed. The role may include scheduling walk-in appointments, confirming physician and prescription orders, interviewing patients or guarantors, assisting with discharge tasks, explaining policies and financial forms, verifying insurance coverage and filing order, obtaining authorizations, collecting payments, preparing daily deposits, and providing courteous customer service. For Physician Practices (MPG, MPC, and UCC), the employee must be willing to travel to other locations based on business needs; mileage reimbursement is provided. Work 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. Physical and environmental conditions include frequent keyboard and computer-monitor use, sitting, standing, walking, bending, reaching, and other listed movement demands, along with potential exposure to biological hazards, chemicals, needles or sharp objects, and other workplace hazards.

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.

Nice To Haves

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

Responsibilities

Greet patients and guarantors and interview them to obtain required demographic, financial, and insurance information, including identification.
Schedule walk-in appointments for services offered, as applicable.
Confirm physician and prescription orders for accuracy, as applicable.
Perform patient discharge functions as applicable, including reviewing the after-visit summary, scheduling future appointments, and making referrals.
Explain policies and regulatory and financial consent forms, and obtain required signatures.
Verify insurance benefits and active coverage, obtain insurance cards, and determine the correct filing order when multiple coverages apply.
Obtain pre-certifications and authorizations.
Provide courteous customer service, address questions and concerns promptly, and guide patients to appropriate service destinations as needed.
Collect patient out-of-pocket responsibility according to collection guidelines and provide estimates upon request.
Prepare and balance a daily deposit of payment collections.
For Memorial Physician Group specialty practices, obtain specialty authorizations, handle authorization denials and peer-to-peer processes, schedule appointments and procedures, handle incoming calls and physician and hospital back-line calls, and obtain and confirm referrals.
For hospital settings, place patient identification bands after validating identity, obtain signatures for hospital-specific regulatory forms, obtain authorizations for walk-in appointments, and determine when financial assistance is needed.
For Memorial Primary Care, support the MIH-MPC program with patient referrals, payment collection, and eligibility scheduling; process referral work queues and same-day access requests; work with the Patient Access Center on real-time requests; and address prescription refill requests, MyChart patient advice requests, and provider scheduling templates.
Travel to other Physician Practices locations as required by business needs.