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

Memorial Healthcare•Hollywood, FL

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 completed and signed. The role includes insurance verification and authorization work, patient registration and financial counseling, collecting payments, providing estimates, and supporting scheduling and discharge activities where applicable. Responsibilities vary by setting. In Memorial Physician Group specialty practices, duties also include specialty authorizations, authorization denials and peer-to-peer processes, appointment and procedure scheduling, handling incoming calls, and obtaining and confirming referrals. Physician Practices employees must be willing to travel to other locations as business needs require; mileage reimbursement is provided. The position requires excellent communication and critical-thinking skills, decisive judgment, the ability to work with minimal supervision in a stressful environment, and the ability to collaborate and build relationships. The job description lists physical activities and workplace exposures, including frequent keyboard and computer-monitor use, sitting, standing, walking, reaching, and repetitive hand/arm movement, along with potential exposure to biological hazards and other workplace conditions. The schedule is primarily for office workers and is not eligible for shift differential.

Requirements

High school diploma or equivalent.
No prior 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.

Nice To Haves

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

Responsibilities

Obtain pre-certification and authorization.
Verify insurance benefits, obtain insurance cards, and confirm that coverage is active.
Determine the correct order for filing insurance 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 obtain necessary information, including identification.
Collect the patient's out-of-pocket responsibility according to collection guidelines and provide estimates upon request.
Prepare and balance a daily deposit of payment collections.
Provide exceptional customer service and address questions and concerns in a timely, courteous manner.
Guide patients to the appropriate destination for services when needed.
May perform discharge functions, including reviewing the after-visit summary, scheduling future appointments, and making referrals.
May confirm physician and prescription orders for accuracy.
May schedule walk-in appointments for offered 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 lines, and obtain and confirm referrals.
For Physician Practices, travel to other locations based on business needs.