Patient Financial Services Representative I - PT - Evenings - MHM

Memorial Healthcare•Miramar, FL

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.

Requirements

High School Diploma or Equivalent (Required)
No experience required.
Excellent communication skills
Critical thinking skills
Decisive judgment
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.

Nice To Haves

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

Responsibilities

Communicates with physician's and their staff, nursing unit staff, and/or other appropriate personnel to exchange necessary information.
Determines and accepts required payments, including but not limited to co-pays and deductibles.
Ensures that all necessary demographic, billing, and clinical information is obtained and entered with timeliness and accuracy.
Verifies insurance benefits and obtains pre-certification/authorization as necessary.
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.