Patient Service Specialist PR - Outpatient Rehab

Health First Careers•Palm Bay, FL

About The Position

The Patient Service Specialist Patient Relations (PR) supports Health First, Inc.’s mission, vision, and financial integrity by helping maintain sustainable levels of internal and external customer service, regulatory compliance, and revenue-cycle financial performance. The role prepares patient charts, verifies orders and authorizations, registers patients, reviews Medicare coverage, verifies insurance benefits, estimates and collects patient financial responsibility, and completes payment reconciliation and related cash-handling tasks. The specialist is expected to work across all registration environments and to mentor and train staff on department procedures and applications. This is a full-time, Monday through Friday position, 8:00 a.m. to 4:30 p.m., with one Saturday per month required at the Viera location. The schedule is days. The position may involve travel to various facilities within and beyond the county perimeter and may require use of a personal vehicle. The work environment can vary from open to confined spaces and may include exposure to varied temperatures, air quality, lighting, noise, and biohazards; applicable OSHA and CDC guidelines must be followed.

Requirements

High school diploma or equivalent.
One year of customer service experience.
American Heart Association (AHA) HeartSaver CPR AED course completed before the start date and maintained.
Excellent communication and interpersonal skills and professional presence.
Working knowledge of Microsoft Office, including Outlook, Word, and Excel.
Ability to work autonomously with minimal supervision.
Ability to apply logic and common sense to identify issues related to work performed.
Foundational critical-thinking skills.
Ability to maintain composure in a stressful work environment.
Ability to prioritize and organize work to maximize quality, value, and service.
Ability to adapt to a potentially rapidly changing environment or work process.
Excellent teamwork and collaboration skills.
Able to meet the role’s physical demands, which may include frequent walking, standing, running, bending, stooping, kneeling, climbing, or crouching; occasional lifting or moving of objects up to 50 pounds; and lifting, turning, pulling, pushing, or ambulating people or equipment, with or without assistance, for up to 90% of the assigned shift.
Able to communicate with others to exchange information and use visual acuity and hand-eye coordination to perform tasks.

Nice To Haves

Two years of office or customer service experience.
General knowledge of healthcare terminology.
Experience working in multiple computer systems simultaneously.
Strong organizational skills.

Responsibilities

Prepare charts for scheduled patients, obtain and verify authorizations, perform medical necessity reviews, and ensure accurate orders are in place for all service lines.
Register patients using two identifiers, confirm armband accuracy, enter demographic information, and obtain required forms to comply with regulatory policies.
Review applicable Medicare accounts for coverage, identify patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs), and issue ABNs as needed.
Complete the Medicare Secondary Payer Questionnaire (MSPQ) for Medicare beneficiaries.
Verify insurance eligibility and benefits through eligibility systems or by contacting insurers by phone, fax, online portal, or other resources within established timeframes.
Calculate copays, deductibles, and coinsurance, and provide personalized estimates of patients’ financial responsibility before emergency and outpatient services.
Attempt to collect patient cost-sharing amounts and outstanding balances before service, and post payments.
Ensure compliance with state and federal laws applicable to the role.
Function in all registration environments.
Mentor staff and assist with training new staff on department-specific procedures and applications.
Reconcile payment collections daily, prepare bank deposits, and distribute petty cash.