Patient Financial Service Representative- Multi-Specialty -FT-Days- MPG Boca Raton

Memorial Healthcare•JDCH - Specialty Center Boca, PR

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 that required notices and consent forms are completed and signed. The role may include obtaining authorizations, confirming orders, scheduling appointments, assisting with discharge functions, collecting payments, preparing daily deposits, and supporting referrals and patient requests. Duties vary by setting, including Memorial Physician Group specialty practices, hospitals, and Memorial Primary Care. For Physician Practices (MPG, MPC, and UCC), willingness to travel to other locations based on business needs is required; mileage reimbursement is provided. The position 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. It is primarily for office workers and is not eligible for shift differential.

Requirements

High school diploma or equivalent.
No experience required.
Excellent communication and critical-thinking skills.
Decisive judgment and ability to work with minimal supervision.
Ability to work in a stressful environment and take appropriate action.
Ability to work collaboratively and build relationships.
Willingness to travel to other locations based on business needs for Physician Practices (MPG, MPC, and UCC).

Nice To Haves

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

Responsibilities

Obtain pre-certification and authorization; in specialty practices, obtain specialty authorizations and support the authorization denial and peer-to-peer process.
Confirm physician and prescription orders when applicable.
Provide courteous, timely customer service and address patient and guarantor questions and concerns.
Guide patients to appropriate service destinations when applicable.
Interview patients and guarantors at a workstation or bedside to gather required information, including copies of identification cards.
Perform patient discharge functions when 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.
Collect patient out-of-pocket responsibility according to collection guidelines, provide estimates as requested, and prepare and balance daily deposits.
Verify insurance benefits, obtain insurance cards, confirm active coverage, and determine the correct filing order when multiple coverages apply.
Schedule walk-in appointments when applicable.
In Memorial Physician Group specialty practices, schedule patient appointments and procedures, handle incoming calls and physician and hospital back-line calls, and obtain and confirm referrals.
In hospitals, place identification bands after validating patient identity, obtain signatures for hospital-specific regulatory forms, obtain authorizations for walk-in appointments, and determine when financial assistance is needed.
In Memorial Primary Care, support MIH-MPC referrals, payment collection, and eligibility scheduling; process referral work queues and same-day access requests; coordinate real-time patient requests with the Patient Access Center; address prescription refill and patient advice requests through MyChart; and support provider scheduling templates.
For Physician Practices (MPG, MPC, and UCC), travel to other locations based on business needs.