Patient Financial Services Representative I - PT - Days - FSED Red Road

Memorial Healthcare

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 signed. The role requires excellent communication, critical thinking, sound judgment, collaboration, and the ability to work with minimal supervision in a stressful environment. Responsibilities may vary by setting. Physician practice roles may include specialty authorizations, appointment and procedure scheduling, referral confirmation, incoming calls, and authorization denials and peer-to-peer processes. Hospital roles may include placing patient identification bands after identity validation, obtaining hospital-specific regulatory signatures and walk-in authorizations, and identifying when financial assistance is needed. Memorial Primary Care roles may include referral and access requests, eligibility scheduling and payment collection, prescription refill and patient advice requests through MyChart, and provider scheduling templates. For Physician Practices (MPG, MPC, and UCC), travel to other locations may be required based on business needs; mileage reimbursement is provided. The posted shift is evenings.

Requirements

High school diploma or equivalent.
No prior experience is required.
Excellent communication and critical thinking skills, decisive judgment, and ability to work with minimal supervision in a stressful environment.
Ability to work collaboratively and build relationships.
For Physician Practices (MPG, MPC, and UCC), willingness to travel to other locations based on business needs.

Nice To Haves

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

Responsibilities

Greet patients and guarantors and interview them at a workstation or bedside to gather required information, including a copy of identification.
Verify insurance benefits, obtain insurance cards, confirm active coverage, and determine the correct filing order when multiple coverages apply.
Obtain pre-certification and authorization; in physician practices, obtain specialty authorizations and confirm referrals.
Explain regulatory, financial, and insurance policies and consent forms, and secure required signatures.
Collect patient out-of-pocket responsibility, provide estimates when requested, and prepare and balance a daily deposit of payment collections.
Provide exceptional, timely, and courteous customer service; answer questions and concerns and direct patients to appropriate services.
May confirm physician and prescription orders for accuracy and schedule walk-in appointments.
May perform discharge functions, including reviewing the after-visit summary, scheduling future appointments, and arranging referrals.
In physician practices, handle incoming calls, including physician and hospital back-line calls, and manage authorization denials and peer-to-peer processes.
In hospital settings, place identification bands after validating patient identity, obtain hospital-specific regulatory signatures and walk-in authorizations, 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; and address prescription refill, MyChart patient advice, and provider scheduling template requests.
For Physician Practices (MPG, MPC, and UCC), travel to other locations as business needs require.