Patient Financial Service Representative-Total Heart Center-FT-Days-MRH

Memorial Healthcare

1d•Onsite

About The Position

Performs receptionist, registration, and clerical duties associated with registering patient for inpatient and outpatient services. At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Requirements

High School Diploma or Equivalent (Required)
No experience required. One (1) year of related hospital, medical office, or customer service experience preferred.
Excellent communication skills
Critical thinking skills
Decisive judgment
Ability to work with minimal supervision
Ability to work in a stressful environment and take appropriate action
Ability to work and build relationships collaboratively

Nice To Haves

Obtain specialty authorizations
Authorization denial and peer to peer process
Patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations
Handle all incoming calls and physician and hospital back line
Obtain and confirm referrals
Upon validation of patient identity, place identification band on patient
Obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting
Obtain authorizations for walk-in appointments
Determine when financial assistance is needed
MIH-MPC program patient referral, payment collection and eligibility scheduling
Process referral work-ques and same day access requests
Work with Patient Access Center on real time patient requests
Address prescription refill requests, patient advice requests through MyChart, and provider scheduling template

Responsibilities

Verifies insurance benefits and obtains pre-certification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.
Round with patients in practice to ensure Excellent Patient Experience is met. Follow-up on reported issues and assist with service recovery.
Meets with surgical/procedural patient or patient's caregiver to exchange necessary information and documentation. Provides explanation of process, pre-procedure instructions, and addresses concerns and questions. Schedule patient/family surgical conferences.
Reviews patient charts to ensure imaging is available and all pertinent information to maximize appointment.
Communicates with referring physician's office, clinical department(s), and/or other appropriate personnel to exchange necessary information and coordinate surgical/procedural/diagnostic testing and DME as appropriate. Assists in completing surgical orders as directed by department. Routes as appropriate.
Builds critically important relationships with physicians, OR staff, as well as insurance representatives in order to help facilitate all scheduling duties.
Responsible for managing physician calendars.
Work Department incoming referral work queue daily. Assist patients with appointments in other specialist offices as requested/referred by our physicians.
Performs general clerical duties including assisting with the front/back desk as well as scheduling appointments. Assist with signing up patients/Proxy with MyChart activations and Telehealth visits.