Patient Financial Services Representative-Urology-FT-Days-MPG

Memorial Healthcare•Aventura, FL

About The Position

The Patient Financial Services Representative (PFSR) is the first point of contact for patients and guarantors in hospital, ambulatory, or medical office settings. The role gathers and verifies demographic, financial, and insurance eligibility information, responds to questions, and ensures required notices and consent forms are completed and signed. The position requires excellent communication, critical thinking, and customer service skills; decisive judgment; collaborative relationship-building; and the ability to work with minimal supervision in a stressful environment. For Memorial Physician Group specialty practices, additional duties include obtaining specialty authorizations, handling authorization denials and peer-to-peer processes, scheduling appointments and procedures, responding to incoming calls and physician and hospital back-line calls, and obtaining and confirming referrals. Physician Practices employees (MPG, MPC, and UCC) must be willing to travel to other locations according to business needs; mileage reimbursement is provided.

Requirements

High school diploma or equivalent.
Excellent communication skills.
Critical thinking skills and decisive judgment.
Ability to work with minimal supervision and take appropriate action in a stressful environment.
Ability to work collaboratively and build relationships.

Nice To Haves

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

Responsibilities

May schedule walk-in appointments for services offered.
Provide exceptional customer service and address questions and concerns in a timely and courteous manner.
May guide patients to the appropriate destination for services.
May confirm physician and prescription orders for accuracy.
Collect patient out-of-pocket responsibility according to collection guidelines and provide estimates when requested.
Prepare and balance a daily deposit of payment collections.
Interview patients and guarantors at a workstation or bedside to gather necessary information, including a copy of identification.
Verify insurance benefits, obtain insurance cards, and confirm active coverage.
Determine the correct insurance filing order when multiple coverages apply.
May perform patient discharge functions, including reviewing the after-visit summary, scheduling future appointments, and arranging referrals.
Obtain pre-certification and authorization.
Explain policies and regulatory and financial consent forms, and secure required signatures.
For Memorial Physician Group specialty practices, obtain specialty authorizations and handle authorization denials and peer-to-peer processes.
For 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.
For Physician Practices (MPG, MPC, and UCC), travel to other locations when required by business needs.