Patient Service Specialist PR - Patient Registration

Health First Careers•Melbourne, FL

13d•Onsite

About The Position

The Patient Service Specialist in Patient Relations ensures Health First, Inc.’s mission, vision, and financial integrity by supporting sustainable customer service, regulatory compliance, and financial performance within the revenue cycle. The role is based at Holmes Regional Medical Center and may require travel to all four hospitals and the Rockledge Emergency Department as needed. The schedule is per diem, with variable shift times. The specialist prepares patient charts, obtains and verifies authorizations, performs medical-necessity reviews, registers patients, verifies insurance coverage, estimates and collects patient financial responsibility, and supports compliance with applicable requirements. The role also includes mentoring and training staff, reconciling daily collections, preparing bank deposits, and distributing 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 use 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 to maximize quality, value, and service.
Ability to adapt to a potentially rapidly changing environment or work process.
Excellent teamwork and collaboration skills.
Physical agility; frequent walking, standing, running, bending, stooping, kneeling, climbing, or crouching may be required.
May occasionally lift or move objects up to 50 pounds, with or without assistance.
May need to work in varied positions and environments, including tight or confined spaces, and reach out, above the shoulders, or overhead.
May lift, turn, pull, push, or ambulate people or equipment, with or without assistance, for up to 90% of the assigned shift.
May work in indoor and outdoor environments with varied temperatures, air quality, lighting, and noise levels.
May be exposed to biohazards, including blood/body fluids and airborne particles, while following OSHA and CDC guidelines.
Ability to communicate with others to exchange information; visual acuity and hand-eye coordination to perform tasks.
Workspace may range from open to confined.
May travel to facilities within and beyond the county perimeter and may need to use a personal vehicle.

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 in compliance 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 using eligibility systems or by contacting insurers through phone, fax, online portals, or other resources within established timeframes.
Calculate patient co-pays, deductibles, and co-insurance, and provide personalized estimates of 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 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 facilities as needed, including the four hospitals and Rockledge Emergency Department.