Patient Service Specialist PR - Patient Registration

Health First Careers•Palm Bay, FL
•Onsite

About The Position

The Patient Service Specialist in Patient Relations (Patient Registration) supports Health First, Inc.’s mission, vision, and financial integrity by helping maintain sustainable levels of customer service, regulatory compliance, and revenue-cycle performance. The position’s home base is Palm Bay Hospital, with travel to all four hospitals and the Rockledge Emergency Department as needed. This is a per diem role with variable shift times. The specialist prepares patient charts, verifies authorizations and insurance coverage, registers patients, and ensures required forms and orders are complete. The role includes Medicare coverage reviews and documentation, estimates and collection of patient financial responsibility, payment reconciliation, and compliance with applicable state and federal requirements. The specialist must be able to work in all registration environments and may mentor staff and help train new team members.

Requirements

  • High school diploma or equivalent.
  • At least 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 a 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.
  • Ability to meet the stated physical requirements, including frequent physical agility and occasional lifting or moving objects up to 50 pounds; the role may also involve lifting, turning, pulling, pushing, or ambulating people or equipment with or without assistance.
  • Ability to travel to facilities within and beyond the county perimeter; use of a 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 in compliance with regulatory policies.
  • Review applicable Medicare accounts to determine 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.
  • Comply with state and federal laws relevant 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.
  • Travel to other facilities as needed.
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