Lead Patient Financial Representative

Lee Health; Cape Coral (FL); On-site; USD 28,000 - 35,000; Full time

Job summary

Lee Health in Cape Coral is seeking a Patient Access role to support day-to-day operations in Registration Services. The position involves registration, insurance verification, authorization, price estimation, and denial prevention, with emphasis on accurate billing and Medicare compliance.

Ideal candidates will have experience in healthcare scheduling, strong customer service skills, and proficiency with Epic.

Qualifications

• High school diploma or equivalent required; associate degree preferred.
• Proficiency with Epic and online resources for Medicare and billing.
• Knowledge of government regulations and price estimation.

Responsibilities

• Assist day-to-day operations of Patient Access and registrations.
• Verify insurance, obtain authorizations, and estimate prices.
• Process claims and conduct financial screening for reimbursement.
• Provide mentorship in the absence of management and ensure policy adherence.

Skills

Customer service

Verbal communication

Analytical skills

Telephone etiquette

Multilingual ability

Education

High School Diploma or equivalent

Associate degree preferred

Tools

Epic

Job description

Location: Cape Coral Hospital - 636 Del Prado Blvd Cape Coral FL 33990

Department: Registration Services

Work Type: Full Time

Shift: Shift 2/6:00:00PM to 6:00:00AM

Minimum to Midpoint Pay Rate: $20.52 - $25.65 / hour

Summary

This position is responsible for assisting with the day-to-day operations of Patient Access, ensuring that department functions are carried out with adherence to policy and procedures. This position actively engages in all work areas and provides training of the following job functions: registration, insurance verification, authorization, price estimation, denial prevention, claims processing, and financial screening. This role ensures feedback is provided to leadership regarding performance issues of team members and overall effectiveness of department policies to secure maximum reimbursement for the Health System. This position is also responsible for confirming patient identity and uses Epic and on-line resources to ensure Medicare medical necessity and billing requirements have been met. It also requires excellent verbal, analytical and customer service skills due to the varying methods of communication which occurs telephonically, in written form, electronically, in person, and bedside in a direct clinical care setting. Requires extensive governmental regulation adherence, computer knowledge and analytical experience to navigate and interpret information provided by a multitude of payers to ensure both claim and billing requirements have been completed, entered, and are accurate. This position also requires general payor contracting and chargemaster experience to ensure accurate price estimation to comply with governmental pricing transparency requirements. This job requires the ability to multi-task while using critical thinking skills to appropriately handle work complexity in a fast‑paced work environment, while always providing an exceptional patient experience. This role contributes to the performance of the team by providing mentorship and guidance in the absence of management.

Requirements

Education:High School Diploma or equivalent required. Post high school training or associate degree preferred.

Experience:Minimum of 2 years of healthcare/scheduling experience required. Epic experience preferred. Minimum of 1 year experience in customer relations role.

Certification:N/A

License:N/A

Other:Medical terminology knowledge required. Excellent computer skills. Ability to speak multiple languages is helpful. Knowledge and understanding of telephone etiquette including strong listening skills are essential. Excellent customer service skills are also required, including verbal and written communication.

US:FL:Cape Coral