Patient Financial Navigator

CO080 Memorial Physician Group; United States; On-site; USD 42,000 - 52,000; Full time

Job summary

Memorial Healthcare System in Florida is seeking a Patient Financial Services Representative to greet patients and guarantors, verify demographic and insurance eligibility information, and collect required financial data. You will answer questions and ensure all notices are signed.

Responsibilities include obtaining pre-certifications and authorizations, confirming coverage, explaining policies, assisting with referrals and scheduling, and balancing daily deposits.

Qualifications

• High School Diploma or Equivalent required.
• 1 year of related hospital, medical office, or customer service experience preferred.
• Excellent communication and critical thinking skills 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 AVS, future appointment scheduling, and referrals.
• Interviews patients and guarantors at workstation or bedside to obtain all necessary information.
• 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; balances daily deposits.
• Provides exceptional customer service and addresses questions promptly.
• May guide the patient to appropriate destination for services.

Education

High School Diploma or Equivalent

Job description

Memorial Healthcare System in Florida is seeking a Patient Financial Services Representative to greet patients and guarantors, verify demographic and insurance eligibility information, and collect required financial data. You will answer questions and ensure all notices are signed.

Responsibilities include obtaining pre-certifications and authorizations, confirming coverage, explaining policies, assisting with referrals and scheduling, and balancing daily deposits.