Patient Financial Services Representative - Cardiac Services - FT - Days - MPG

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 gathers and verifies demographic, financial, and insurance eligibility information, answers questions, and ensures required notices and consent forms are signed. The role may also include discharge-related tasks, scheduling, referrals, payment collection, estimates, deposits, authorizations, and other duties depending on the work setting. For Physician Practices (MPG, MPC, and UCC), employees 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 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.
Willingness to travel to other locations based on business needs for Physician Practices (MPG, MPC, and UCC).

Nice To Haves

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

Responsibilities

Verify insurance benefits, obtain insurance cards, confirm active coverage, and determine the correct insurance filing order when multiple coverages apply.
Explain policies and regulatory and financial consent forms, and obtain all required signatures.
Interview patients and guarantors at a workstation or bedside to gather necessary information, including a copy of the patient’s or guarantor’s identification card.
Perform patient discharge functions as needed, including reviewing the after-visit summary, scheduling future appointments, and arranging referrals.
Confirm physician and prescription orders for accuracy as needed.
Schedule walk-in appointments for services offered as needed.
Collect patient out-of-pocket responsibility according to collection guidelines and provide estimates upon request.
Prepare and balance a daily deposit of payment collections.
Provide courteous, timely customer service, address questions and concerns, and guide patients to appropriate service destinations as needed.
Obtain pre-certifications and authorizations.
For specialty practices, obtain specialty authorizations, handle authorization denials and peer-to-peer processes, schedule patient appointments and procedures, handle incoming calls and physician and hospital back-line calls, and obtain and confirm referrals.
In hospital settings, place identification bands after validating patient 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, manage MIH-MPC patient 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 requests, MyChart patient advice requests, and provider scheduling templates.