Patient Financial Representative

Lee Health; Fort Myers (FL); On-site; USD 29,000 - 34,000; Full time

Job summary

Lee Health's Gulf Coast Medical Center in Fort Myers, FL is seeking a full-time Registration Services specialist. You will handle patient registration, verify insurance, obtain authorizations, estimate prices, prevent denials, and process claims to maximize reimbursement while ensuring accurate billing.

The role requires excellent customer service, strong computer skills, and knowledge of Medicaid/Medicare guidelines. Epic experience preferred.

Qualifications

• High School diploma or equivalent required.
• Post-high school training or an associate degree preferred.
• Minimum of 1 year in a customer relations role.
• Minimum of 2 years of revenue cycle experience, Epic experience preferred.

Responsibilities

• Complete registration, insurance verification, authorization, and price estimation to secure maximum reimbursement.
• Confirm patient identity and verify Medicare medical necessity and billing requirements.
• Communicate with payers by phone, written, electronic, in person, and bedside in a clinical setting.
• Collaborate with Care Management and Utilization Management for concurrent authorization and discharge planning.

Skills

Customer service

Communication skills

Multitasking

Teamwork

Education

High School diploma or equivalent

Associate degree preferred

Tools

Epic

Job description

Location:Gulf Coast Medical Center -13681 Doctor's WayFort Myers FL 33912

Department: Registration Services

Work Type: Full Time

Shift: Shift 1/7:30:00AM to 4:00:00PM

Minimum to Midpoint Pay Rate:$21.01 - $24.69 / hour

Summary

As a first point of access for Lee Health customers this position completes and assists with registration, insurance verification, authorization, price estimation, denial prevention, claims processing, and financial screening 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 requires collaboration with the Care Management and Utilization Management team to ensure on-going con-current authorization and patient discharge planning needs are met.

Requirements

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

Experience:Minimum of 1 year of experience in customer relations role. Minimum of 2 years of revenue cycle experience, Epic experience preferred.

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:Fort Myers