Patient Financial Services Representative I - FT - Days - JDCH Specialty Center Coral Ridge

Memorial Hospital West

Florida

On-site

USD 32,000 - 52,000

Full time

5 days ago

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Benefits offered by this job

Mileage reimbursement

Job summary

Memorial Hospital West is seeking a dedicated patient access professional to support patient registration, scheduling, and insurance verification. You will obtain pre-certifications, communicate financial policies, collect co-pays, and assist patients with questions while delivering courteous service.

Role supports Memorial Physician Group and related practices, with travel to other locations as needed; mileage reimbursement is provided.

Qualifications

Must have a High School Diploma or Equivalent.
Verifies insurance benefits and secures required signatures.
Obtains pre-certification and authorization for services.
Collects patient out-of-pocket responsibility per guidelines.
Prepares and balances daily payment deposits.
Interviews patients and guarantors to obtain necessary information.

Responsibilities

May perform patient discharge functions including review of AVS, scheduling, and referrals.
Explains policies and obtains signatures for regulatory and financial forms.
Verifies insurance benefits and coverage status.
Determines correct insurance filing order when multiple coverages exist.
Provides exceptional customer service and addresses questions promptly.
May guide patients to appropriate destinations for services.
Schedules walk-in appointments for services offered.

Skills

Accountability

Accuracy & Quality

Customer Service

Organization Skills

Problem Solving

Productivity

Responding to Change

Standards of Behavior

Education

High School Diploma or Equivalent

Job description

Summary

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Responsibilities

May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.
Explains polices including all regulatory and financial consent forms; secures all required signatures.
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.
Obtains pre-certification and authorization.
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.
Collects patient out-of-pocket responsibility per collection guidelines.
Provides patient estimates as requested.
Prepares and balances a daily deposit of all payment collections.
May schedule walk-in appointments for services offered.
May confirm physician and prescription orders ensuring accuracy.
Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.

Competencies

ACCOUNTABILITY
ACCURACY & QUALITY
CUSTOMER SERVICE
ORGANIZATION SKILLS
PROBLEM SOLVING
PRODUCTIVITY
RESPONDING TO CHANGE
STANDARDS OF BEHAVIOR

Education and Certification Requirements

High School Diploma or Equivalent (Required)

Additional Responsibilities

Memorial Physician Group (specialty practices)

(1) obtain specialty authorizations
(2) authorization denial and peer to peer process
(3) scheduling of patient appointments and procedures
(4) handle all incoming calls and physician and hospital back line
(5) obtain and confirm referrals

Hospital

(1) Upon validation of patient identity, place identification band on patient
(2) obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting
(3) obtain authorizations for walk-in appointments
(4) determine when financial assistance is needed

Primary Care

(1) MIH-MPC program patient referral, payment collection and eligibility scheduling
(2) process referral work-ques and same day access requests
(3) work with Patient Access Center on real time patient requests
(4) address prescription refill requests, patient advice requests through MyChart, and provider scheduling template

For the Physician Practices (MPG, MPC and UCC): Must be willing to travel to other locations based on the needs of the business. Mileage reimbursement is provided.

Working Conditions and Physical Requirements