Patient Access & Billing Specialist

CO080 Memorial Physician Group; Florida; On-site; USD 22,000 - 33,000; Full time

Job summary

CO080 Memorial Physician Group is seeking a Patient Financial Services Representative to greet patients in hospital, ambulatory or medical office settings and verify demographic, financial, and insurance eligibility information.

The role includes obtaining pre-certifications, confirming coverage, explaining policies, collecting out-of-pocket amounts, providing estimates, and balancing daily deposits while delivering courteous customer service.

Qualifications

• High School Diploma or Equivalent required.
• No experience required; 1 year of related hospital, medical office, or customer service experience preferred.

Responsibilities

• Obtain pre-certification and authorization.
• Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active.
• Determines correct insurance filing order, if multiple insurance coverages are effective for that service.
• Explains polices including all regulatory and financial consent forms; secures all required signatures.
• May perform patient discharge functions including, but not limited to, review of AVS, future appointment scheduling, and referrals.
• Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.
• May confirm physician and prescription orders ensuring accuracy.
• May schedule walk-in appointments for services offered.
• Collects patient out-of-pocket responsibility per collection guidelines.
• Provides patient estimates as requested.
• Prepares and balances a daily deposit of all payment collections.
• Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner.
• May guide the patient to appropriate destination for services.

Skills

Communication skills

Customer service

Organization skills

Problem solving

Education

High School Diploma or Equivalent

Job description

CO080 Memorial Physician Group is seeking a Patient Financial Services Representative to greet patients in hospital, ambulatory or medical office settings and verify demographic, financial, and insurance eligibility information.

The role includes obtaining pre-certifications, confirming coverage, explaining policies, collecting out-of-pocket amounts, providing estimates, and balancing daily deposits while delivering courteous customer service.