Patient Service Representative - Insurance Verification & Authorizations

Mary Free Bed Rehabilitation Hospital; Grand Rapids (MI); On-site; USD 22,000 - 32,000; Full time

Job summary

Mary Free Bed Rehabilitation Hospital in Grand Rapids, MI, seeks a friendly front-desk specialist to greet patients, pre-register and register, verify insurance, and collect co-pays at the check-in/out desk.

You will coordinate initial evaluations and multi-discipline appointments, handle scheduling, answer inquiries, and provide clerical support to Scheduling and Patient Financial Services, ensuring accurate data and compassionate service.

Qualifications

• GED/Diploma required or equivalent.
• Computer experience with high accuracy data entry.
• Excellent telephone and customer service skills.
• Outstanding organizational, interpersonal, communication, and customer service skills.
• High paced environment ability to adapt.
• Bachelor’s Degree in a health-related field preferred.
• 12-18 months’ work experience in healthcare with scheduling and/or PFS duties.

Responsibilities

• Greet, provide information, and respond to the needs of patients at the check-in/out desk.
• Accurately collect and analyze demographic, insurance/financial, and clinical data for pre-registration and registration.
• Coordinate/schedule initial evaluations and multi-discipline appointments based on patient needs.
• Manage calls from insurance/care managers to coordinate care.
• Collect charges and post cash receipts; provide financial guidance for self-pay balance including charity care options.
• Respond to inquiries from patients or legal representatives.
• Provide clerical/therapist support as directed by Manager.

Skills

Customer service

Data entry

Phone etiquette

Interpersonal skills

Communication skills

Education

GED/ Diploma

Associates degree preferred

Bachelor’s Degree in health-related field

Tools

ICD-10-CM knowledge

CPT coding knowledge

Medical terminology

Job description

Hours: Monday - Friday 8:00am - 4:30pmMary Free Bed SummaryWe have the great privilege of helping patients and families re-build their lives. It’s extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients “Ask for Mary,” they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers.Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of careMission StatementRestoring hope and freedom through rehabilitation.Employment Value PropositionAt Mary Free Bed, we take pride in our values-based culture:Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.A Proud Tradition . Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.Summary Greet, provide information, and respond to the needs of patients, families, staff, and other visitors at the check-in/out desk including appointment check-in and out, registration, authorization/verification of insurance(s), explanation of benefits; collection of co-pays, assistance with way finding, or other services or resources for a program specific multi-discipline department. Interact in a customer focused manner during referral processing. Provide office support for all Scheduling and Patient Financial Services staff. Work cooperatively with other departments and outpatient staff/leadership to assure financial reimbursement for outpatient services.Essential Job ResponsibilitiesGreet, provide information, and respond to the needs of patients, families, staff, and other visitors at the check-in/out deskAccurately collect and analyze all required demographic, insurance/financial, and clinical data elements necessary to pre-register and register all types of patientsCoordinate/schedule initial evaluation and subsequent patient appointments for multi-disciplines based on patient needsManage calls from insurance/care managers to coordinate multi discipline care for patientsCollect any expected charge for service provided and complete timely posting of cash collections, accepting and generating appropriate receipts for monies and credit card payments received; provide financial guidance to achieve a mutually acceptable resolution of the expected self-pay balance including options of payment and charity careReceive and properly respond to telephone, electronic, or face-to-face inquiries from patients or their legal representativesPerform all other appropriate activities as directed and as necessary to meet the patient’s needs and to achieve expected departmental and organizational outcomesProvide various other responsibilities and clerical/therapist support as delegated by ManagerCustomer Service ResponsibilitiesDemonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.Responsibilities in Quality ImprovementContribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.Essential Job QualificationsMinimum of the GED/Diploma, Associates degree preferredComputer experience with high accuracy level of data entry.Excellent telephone and customer service skills.Outstanding organizational, interpersonal, communication, and overall customer service skills.Ability to perform in a high paced environment with a positive attitude and interact with professional staff in an appropriate manner.Preferred Job QualificationsBachelor’s Degree in a health-related fieldMinimum 12-18 months’ work experience in healthcare with scheduling and/or PFS related job duties.Working knowledge of ICD-10-CM and CPT coding classification systems.Knowledge of medical terminology and clinical rehabilitation.Physical Requirements for Essential Job QualificationLevels :None (No specific requirements)Occasionally (Less than 1/3)Frequently (1/3 to 2/3)Majority (More than 2/3)Remain in a stationary position: MajorityTraverse or move around work location: NoneUse keyboard: FrequentlyOperate or use department specific equipment: NoneAscend/Descend equipment or ladder: NonePosition self to accomplish the Essential Functions of the role: FrequentlyReceive and communicate information and ideas for understanding: FrequentlyTransport, position, and/or exert force:Up to 10 pounds: OccasionallyUp to 25 pounds:Up to 50 pounds:Up to 75 pounds:More than 100 pounds:Other weight: Up to___ pounds: Other: NoneCompensation based on experience, starting from $19.50The above statements are intended to describe the general nature and level of work being performed by employees in this classification. If you require a reasonable accommodation to perform the essential functions of this position, you must request accommodation in writing, within 182 days after you know or should know of the need for accommodation.Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.