Patient Financial Services Representative-Peds General Surgery-FT-Days-MPG

Memorial Healthcare

8d•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.
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.

Responsibilities

Builds critically important relationships with physicians, OR staff, as well as insurance representatives in order to help facilitate all scheduling duties.
Round with patients in practice to ensure Excellent Patient Experience is met.
Follow-up on reported issues and assist with service recovery.
Verifies insurance benefits and obtains pre-certification/authorization as necessary.
Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.
Performs general clerical duties including assisting with the front/back desk as well as scheduling appointments.
Assist with signing up patients/Proxy with MyChart activations and Telehealth visits.
Responsible for managing physician calendars.
Reviews patient charts to ensure imaging is available and all pertinent information to maximize appointment.
Work Department incoming referral work queue daily.
Assist patients with appointments in other specialist offices as requested/referred by our physicians.
Communicates with referring physician's office, clinical department(s), and/or other appropriate personnel to exchange necessary information and coordinate surgical/procedural/diagnostic testing and DME as appropriate.
Assists in completing surgical orders as directed by department. Routes as appropriate.
Meets with surgical/procedural patient or patient's caregiver to exchange necessary information and documentation.
Provides explanation of process, pre-procedure instructions, and addresses concerns and questions.
Schedule patient/family surgical conferences.