Patient Financial Services Representative-Pembroke Road Practice-FT-Days-MPC

Memorial Healthcare•Clarksville, TN

4d•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)
Fingerprint Screen (FINGERPRNT) - Florida Department of Childrens & Family (DCF)
No experience required.
Employment in this position is contingent upon successful completion of a Level II Criminal History record check.
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.
Will attend a MHS designated driver training program within 6 months of hire (MPC- mobile van caregivers only).
Pass and comply to the company's Motor Vehicle Record (MVR) driver requirements (MPC-mobile van caregivers only).

Responsibilities

Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active.
Determines correct insurance filing order, if multiple insurance coverages are effective for that service.
May schedule walk-in appointments for services offered.
May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.
Obtains pre-certification and authorization.
Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.
May be assigned to drive a mobile medical van to various local healthcare events (MPC-mobile van caregivers only).
Collects patient out-of-pocket responsibility per collection guidelines.
Provides patient estimates as requested.
Prepares and balances a daily deposit of all payment collections.
Explains polices including all regulatory and financial consent forms; secures all required signatures.
Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner.
May guide the patient to appropriate destination for services.
May confirm physician and prescription orders ensuring accuracy.
Obtain specialty authorizations (Memorial Physician Group).
Authorization denial and peer to peer process (Memorial Physician Group).
Patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations (Memorial Physician Group).
Handle all incoming calls and physician and hospital back line (Memorial Physician Group).
Obtain and confirm referrals (Memorial Physician Group).
Upon validation of patient identity, place identification band on patient (Hospital).
Obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting (Hospital).
Obtain authorizations for walk-in appointments (Hospital).
Determine when financial assistance is needed (Hospital).
MIH-MPC program patient referral, payment collection and eligibility scheduling (Memorial Primary Care).
Process referral work-ques and same day access requests (Memorial Primary Care).
Work with Patient Access Center on real time patient requests (Memorial Primary Care).
Address prescription refill requests, patient advice requests through MyChart, and provider scheduling template (Memorial Primary Care).
Will attend a MHS designated driver training program within 6 months of hire (MPC- mobile van caregivers only).
Pass and comply to the company's Motor Vehicle Record (MVR) driver requirements (MPC-mobile van caregivers only).