Patient Access & Billing Specialist I

Memorial Hospital West; United States; On-site; USD 25,000 - 36,000; Full time

Job summary

Memorial Hospital West is seeking a Patient Financial Services Representative to welcome patients and guarantors, collect demographic and financial information, verify insurance eligibility, obtain signatures on notices, and explain billing procedures.

The role involves securing pre-certifications, determining filing order, providing patient estimates, balancing deposits, and delivering courteous service across hospital and office settings.

Qualifications

• High School Diploma or Equivalent is required.

Responsibilities

• Obtains 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 after visit summary (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

Customer service

Communication

Insurance verification

Data entry

Financial clearance

Education

High School Diploma or Equivalent

Job description

Memorial Hospital West is seeking a Patient Financial Services Representative to welcome patients and guarantors, collect demographic and financial information, verify insurance eligibility, obtain signatures on notices, and explain billing procedures.

The role involves securing pre-certifications, determining filing order, providing patient estimates, balancing deposits, and delivering courteous service across hospital and office settings.