Patient Financial Services Representative - I - FT - Days - MRHS

Memorial Healthcare

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 representative obtains and verifies demographic, financial, and insurance eligibility information, answers questions, and ensures required notices and consent forms are completed and signed. The role requires excellent communication, critical thinking, sound judgment, collaboration, and the ability to work with minimal supervision in a stressful environment. Depending on the setting, duties may include patient discharge support, appointment and procedure scheduling, reviewing physician and prescription orders, collecting payments, preparing daily deposits, providing estimates, obtaining authorizations and referrals, and assisting patients with service navigation. Physician-practice roles may involve travel to other locations based on business needs; mileage reimbursement is provided. The listed shift is days. No experience is required; one year of related hospital, medical office, or customer service experience is preferred.

Requirements

High school diploma or equivalent.
No prior work experience is required.
Excellent communication and critical-thinking skills, decisive judgment, and the ability to work with minimal supervision.
Ability to work in a stressful environment and take appropriate action.
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

Interview patients and guarantors to collect required information, including identification, and ensure demographic and financial details are accurate.
Verify insurance coverage and benefits, obtain insurance cards, and determine the correct filing order when multiple coverages apply.
Obtain pre-certifications, authorizations, specialty authorizations, and referrals as applicable to the setting.
Explain policies and regulatory and financial consent forms, and obtain required signatures.
Collect patient out-of-pocket payments according to collection guidelines, provide estimates when requested, and prepare and balance daily payment deposits.
Provide courteous customer service, address questions and concerns in a timely manner, and guide patients to appropriate service destinations.
May perform discharge functions, including reviewing the after-visit summary, scheduling follow-up appointments, and arranging referrals.
May confirm physician and prescription orders and schedule walk-in appointments for available services.
In Physician Practices, obtain specialty authorizations, support authorization denials and peer-to-peer processes, schedule appointments and procedures, handle incoming calls and back-line calls, and obtain and confirm referrals.
In hospital settings, place identification bands after validating patient identity, obtain hospital-specific regulatory signatures, authorize walk-in appointments, and identify 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 and patient advice requests through MyChart and provider scheduling templates.
For Physician Practices (MPG, MPC, and UCC), travel to other locations as business needs require.