Patient Financial Services Representative

Astera Cancer Care•East Brunswick, NJ

6d•Remote

About The Position

As a key contributor to revenue cycle operations, a Patient Financial Services Representative plays a pivotal role in managing patient financial responsibility communication and collection. This role demands a dynamic individual capable of navigating complex insurance systems and contributing positively to the patient experience. We are caring professionals, people who live, work and dedicate themselves to the communities within New Jersey and Pennsylvania. As such, we strive to provide a sanctuary of excellence, precision, thoroughness and genuine compassion. We also take a whole-person approach to patient care and treatment, tailoring all that we do around their unique needs. And we do all we can for patients, going the extra mile to see that they’re supported, informed and getting the one-on-one care and service they deserve.

Requirements

High School Diploma or equivalent.
Familiarity with insurance web portals for eligibility inquiries.
Medical terminology and medical records experience.
Can work closely with clinicians and outside entities.
Well organized
General computer skills, such as EMR, Microsoft applications, Outlook

Nice To Haves

An understanding of oncology and hematology, preferred.

Responsibilities

Confirm patient insurance details, including detailed benefits, to ensure eligibility and secure financial reimbursement ahead of appointment dates.
Responsible for verifying health insurance benefits for patients in advance of treatment.
Consistently review eligibility responses in insurance verification system.
Accurately review all patient demographic, financial, and insurance information, ensuring comprehensive financial clearance.
This includes validating necessary referrals, authorizations, and pre-certifications to mitigate denials and secure reimbursement.
Inform patients/guarantors about their benefits, authorization needs, and out-of-pocket responsibilities, including co-pays, deductibles, and co- insurance through the full-cycle patient process.
Collect treatment cost share in advance of appointments.
Notify patient and help arrange alternative payment methods when insurance coverage does not cover services.
Efficiently work with precertification team who handles prior authorization demands, and communication with patients regarding their out of pocket patient responsibility after insurance.
Maintain patient confidentiality, contribute positively to team dynamics, and engage in continuous professional development through meetings.
Maintain service standards in accordance with the departmental/organizational policies.
Collaborate with the office managers/office front desk team members, and patient accounts receivable vendors to coordinate outstanding patient balance concerns.