Patient Financial Services Representative I - Cardiac Services - FT - Days - MPG

Memorial Healthcare

1d•Onsite

About The Position

The Patient Financial Services Representative (PFSR) serves as the first point of contact in greeting patients and guarantors in the hospital, ambulatory or medical office setting. The PFSR engages with the patient or guarantor to obtain pertinent information and answer any questions in an effort to ensure that all required demographic, financial, and insurance eligibility information is gathered and verified. Ensures all required notices and consent forms are signed accordingly. In Memorial Physician Group (specialty practices), additional responsibilities include: (1) obtain specialty authorizations (2) authorization denial and peer to peer process (3) patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations (4) handle all incoming calls and physician and hospital back line (5) obtain and confirm referrals In the Hospital, additional responsibilities include: (1) Upon validation of patient identity, place identification band on patient (2) obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting (3) obtain authorizations for walk-in appointments (4) determine when financial assistance is needed. In Memorial Primary Care, additional responsibilities include: (1) MIH-MPC program patient referral, payment collection and eligibility scheduling (2) process referral work-ques and same day access requests (3) work with Patient Access Center on real time patient requests (4) address prescription refill requests, patient advice requests through MyChart, and provider scheduling template.

Requirements

High School Diploma or Equivalent (Required)
BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART)
Requires excellent communication skills, critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Ability to work and build relationships collaboratively.
No experience required.

Nice To Haves

One (1) year of related hospital, medical office, or customer service experience preferred.

Responsibilities

Follow-up on reported issues and assists with service recovery.
Manages and facilitates all in-basket messages and patient phone calls.
Activates of My Chart Accounts where appropriate.
Ensures Telehealth connectivity for scheduled appointments and trouble shoots as needed.
Under the supervision of physician, physician assistant, nurse practitioner or nurse, assists with performing patient assessments and treatments.
Obtains and accurately documents patient vital signs, height and weight, takes brief history on current illness or injury, current medications, allergies, required screenings, and other pertinent information as appropriate.
Rounds with patients in practice to ensure Excellent Patient Experience is met.
Reviews/Documents Social Determinants.
Provides education/resources as needed.
Performs administrative or clerical duties as assigned, including scanning, reception, scheduling, data entry, and patient registration.
Monitors and communicates changes in patient condition.
Documents patient care provided.
Provides discharge instructions and follows-up with patient as needed.
Recognizes and seeks help in emergent situations.
Maintains equipment and medical supplies, including reordering, stocking, cleaning/disinfection per protocol, and troubleshooting.
Maintains examination areas.
Performs basic diagnostic procedures and specimen collection, including phlebotomy, splint application and procedural tray/room set-up.
Reviews patient charts to ensure imaging is available and all pertinent information to maximize appointment.
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.