Patient Service Specialist PR -Rockledge Freestanding ED

Health First Careers•Rockledge, FL

1d•Onsite

About The Position

The Patient Service Specialist Patient Relations (PR) supports Health First, Inc.’s mission, vision, and financial integrity by contributing to sustainable internal and external customer service, regulatory compliance, and financial performance within the revenue cycle. This opening is for the Rockledge Freestanding Emergency Department and is scheduled Monday through Thursday, 12:30 p.m. to 10 p.m. The role prepares charts and verifies authorizations, medical necessity, and orders; registers patients and gathers required information and forms; and performs Medicare and insurance coverage reviews. The specialist explains estimated patient financial responsibility, attempts to collect cost-sharing amounts and outstanding balances, and posts payments. The role also supports compliance with applicable laws, functions across registration environments, mentors and trains staff, and reconciles collections, prepares bank deposits, and distributes petty cash.

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 work-related issues.
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 potentially rapid changes in the environment or work processes.
Excellent teamwork and collaboration skills.
Physical ability to walk, stand, run, bend, stoop, kneel, climb, or crouch frequently; occasionally lift or move objects up to 50 pounds; and lift, turn, pull, push, or ambulate people or equipment, with or without assistance, for up to 90% of the assigned shift.
Ability to work in varying environments, potentially including exposure to biohazards, varied temperatures, air quality, lighting, and noise, and to communicate and perform tasks requiring visual acuity and hand-eye coordination.
Ability to travel to facilities within and beyond the county perimeter; personal vehicle may be required.

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 review, 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 meet regulatory policies.
Review applicable Medicare accounts for coverage, identify patients who may need an Advance Beneficiary Notice of Noncoverage (ABN), 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 copayments, 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.
Comply 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.