Patient Financial Services Representative I - FT - Days - MRH

CO040 Memorial Regional Hospital; West Hollywood (FL); On-site; USD 25,000 - 30,000; Full time

Benefits offered by this job

Mileage reimbursement

Job summary

Memorial Regional Hospital is seeking a Patient Financial Services Representative to greet patients and guarantors, collect demographic and insurance information, and verify eligibility across hospital and ambulatory settings.

The role involves communicating policy details, securing necessary signatures, and assisting with pre-certification, appointment scheduling, and payment collection in a compassionate, customer-focused environment.

Qualifications

• High School diploma or equivalent required.
• No experience required; 1 year hospital/medical office/customer service preferred.

Responsibilities

• Greet patients and guarantors and obtain required demographic, financial, and insurance information.
• Explain policies, obtain signatures, and verify consent forms.
• Assist with pre-certification/authorization and confirm active coverage.
• Provide patient estimates and balance daily deposits.
• May schedule appointments and guide patients to services.

Skills

Customer service

Accountability

Accuracy & quality

Organization

Problem solving

Productivity

Adaptability

Professional conduct

Education

High School Diploma

Job description

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.

Be where care matters.

Talk to our patients and their families about "Deeper Caring", and they'll tell you stories about miracle babies, lives saved through sheer determination, and the comforting kindness of others.

Summary

The Patient Financial Services Representative (PFSR) serves as the first point of contact in greeting patients and guarantors in the hospital, ambulatory or medical office setting. The PFSR engages with the patient or guarantor to obtain pertinent information and answer any questions in an effort to ensure that all required demographic, financial, and insurance eligibility information is gathered and verified. Ensures all required notices and consent forms are signed accordingly.

Responsibilities

• May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.
• 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.
• 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.
• 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.

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)

Required Work Experience

No experience required. One (1) year of related hospital, medical office, or customer service experience preferred.

Other Information

In Memorial Physician Group (specialty practices), additional responsibilities include:

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

In the Hospital, additional responsibilities include:

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

In Memorial Primary Care, additional responsibilities include:

1. (1) MIH-MPC program patient referral, payment collection and eligibility scheduling
2. (2) process referral work-ques and same day access requests
3. (3) work with Patient Access Center on real time patient requests
4. (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

• Bending and Stooping = 60%
• Climbing = 0%
• Keyboard Entry = 100%
• Kneeling = 0%
• Lifting/Carrying Patients 35 Pounds or Greater = 60%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 80%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 80%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 80%
• Running = 0%
• Sitting = 80%
• Squatting = 80%
• Standing = 80%
• Walking = 80%
• Audible Speech = 80%
• Hearing Acuity = 80%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 80%
• Distinguish Color = 0%
• Seeing - Far = 80%
• Seeing - Near = 80%
• Bio hazardous Waste = 60%
• Biological Hazards - Respiratory = 60%
• Biological Hazards - Skin or Ingestion = 60%
• Blood and/or Bodily Fluids = 60%
• Communicable Diseases and/or Pathogens = 60%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 0%
• Gas/Vapors/Fumes = 60%
• Hazardous Chemicals = 60%
• Hazardous Medication = 60%
• Latex = 60%
• Computer Monitor = 100%
• Domestic Animals = 0%
• Extreme Heat/Cold = 0%
• Fire Risk = 0%
• Hazardous Noise = 0%