Patient Financial Services Representative I- Peds Otolaryngology-FT-Days-MPG

Memorial Healthcare System•Hollywood, 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 representative gathers and verifies demographic, financial, and insurance eligibility information; answers questions; and ensures required notices and consent forms are completed and signed. The role also includes customer service, patient payment collection, insurance authorization and verification, and—in physician practices—appointment and procedure scheduling and referral coordination. For Physician Practices (MPG, MPC, and UCC), the employee must be willing to travel to other locations based on business needs; mileage reimbursement is provided.

Requirements

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

Nice To Haves

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

Responsibilities

Obtain pre-certification and authorization.
Verify insurance benefits, obtain insurance card(s), and confirm active coverage.
Determine the correct insurance filing order when multiple coverages apply.
Explain policies and regulatory and financial consent forms, and obtain required signatures.
Interview patients and guarantors at a workstation or bedside to collect necessary information, including a copy of identification.
Collect patient out-of-pocket responsibility according to collection guidelines and provide estimates as requested.
Prepare and balance a daily deposit of payment collections.
Provide exceptional customer service and address questions and concerns promptly and courteously.
Guide patients to the appropriate service destination when needed.
May perform patient discharge functions, including reviewing the after-visit summary, scheduling future appointments, and arranging referrals.
May confirm physician and prescription orders for accuracy.
May schedule walk-in appointments for available services.
In Memorial Physician Group specialty practices, obtain specialty authorizations, handle authorization denials and peer-to-peer processes, schedule appointments and procedures, handle incoming calls and physician and hospital back-line calls, and obtain and confirm referrals.
In hospital settings, place patient identification bands after validating identity, obtain signatures for hospital-specific regulatory forms, obtain authorizations for walk-in appointments, and determine when financial assistance is needed.
In Memorial Primary Care, support the MIH-MPC program through patient referrals, payment collection, and eligibility scheduling; process referral work queues and same-day access requests; work with the Patient Access Center on real-time patient requests; and address prescription refill requests, MyChart patient advice requests, and provider scheduling templates.
For Physician Practices (MPG, MPC, and UCC), travel to other locations based on business needs.