Patient Service Specialist PR - Patient Registration

Health First Careers•Melbourne, FL

About The Position

The Patient Service Specialist in Patient Relations (PR) supports Health First, Inc.’s mission, vision, and financial integrity by promoting sustainable internal and external customer service, regulatory compliance, and revenue-cycle financial performance. This full-time position is scheduled Monday through Friday, 2:00 p.m. to 8:30 p.m., with occasional weekends. The role works across registration environments and includes patient registration, insurance and Medicare review, financial counseling and collections, payment reconciliation, and support for staff training.

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 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 process.
Excellent teamwork and collaboration skills.

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 Medicare Secondary Payer Questionnaires (MSPQs) 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 co-pays, deductibles, and coinsurance, and provide personalized estimates of patients’ financial responsibility before service for 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 proficiently 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.