Representative - Patient Financial Services 1 - FT - Days - Pines Blvd

Memorial Healthcare•Pembroke Pines, FL

About The Position

The Patient Financial Services Representative (PFSR) is the first point of contact for patients and guarantors in a hospital, ambulatory, or medical office setting. The representative gathers and verifies demographic, financial, and insurance eligibility information, answers questions, and ensures required notices and consent forms are completed and signed. The role requires excellent communication and critical-thinking skills, decisive judgment, the ability to work with minimal supervision in a stressful environment, and collaborative relationship-building. Duties may vary by setting. In Memorial Physician Group specialty practices, responsibilities may include specialty authorizations, denial and peer-to-peer processes, appointment and procedure scheduling, incoming calls, and referrals. Hospital-specific duties may include placing patient identification bands after validating identity, obtaining hospital-specific regulatory signatures and walk-in authorizations, and determining when financial assistance is needed. Memorial Primary Care duties may include patient referrals, payment collection, eligibility scheduling, processing referral work queues and same-day access requests, responding to real-time patient requests, addressing prescription refill and patient advice requests through MyChart, and managing provider scheduling templates. For Physician Practices (MPG, MPC and UCC), the employee must be willing to travel to other locations based on business needs; mileage reimbursement is provided.

Requirements

High school diploma or equivalent.
No prior work experience is required.
Excellent communication and critical-thinking skills, decisive judgment, and ability to work with minimal supervision in a stressful environment.
Ability to work collaboratively and build relationships.
For Physician Practices (MPG, MPC and UCC), willingness to travel to other locations based on business needs.

Nice To Haves

One year of related hospital, medical office, or customer service experience is preferred.

Responsibilities

May confirm physician and prescription orders for accuracy.
Collect patient out-of-pocket responsibility according to collection guidelines, provide estimates upon request, and prepare and balance a daily deposit of payment collections.
Verify insurance benefits, obtain insurance cards, confirm active coverage, and determine the correct filing order for multiple coverages.
Provide customer service, address questions and concerns in a timely and courteous manner, and guide patients to the appropriate service destination when needed.
May schedule walk-in appointments for offered services.
Obtain pre-certification and authorization.
May perform patient discharge functions, including reviewing the after-visit summary, scheduling future appointments, and arranging referrals.
Explain policies and regulatory and financial consent forms and obtain required signatures.
Interview patients and guarantors at a workstation or bedside to collect necessary information, including a copy of identification.
In specialty practices, obtain specialty authorizations, address authorization denials and peer-to-peer processes, schedule appointments and procedures, handle incoming calls and physician and hospital back-line calls, and obtain and confirm referrals.
In hospital settings, place an identification band after validating patient identity, obtain signatures for hospital-specific regulatory forms, obtain authorizations for walk-in appointments, and determine when financial assistance is needed.
In Memorial Primary Care, support the MIH-MPC program through patient referrals, payment collection, and eligibility scheduling; process referral work queues and same-day access requests; work with the Patient Access Center on real-time requests; address prescription refill and patient advice requests through MyChart; and manage provider scheduling templates.
For Physician Practices (MPG, MPC and UCC), travel to other locations as needed for business purposes.

Benefits

Mileage reimbursement is provided for travel between locations for Physician Practices (MPG, MPC and UCC).
Veteran’s Preference is offered to former military members, reservists, and military spouses, including widows and widowers.

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