Patient Service Specialist PR - Patient Registration

Health First; Melbourne (FL); On-site; USD 34,000 - 42,000; Full time

Job summary

Health First is seeking a Patient Service Specialist in a full-time capacity. The role focuses on patient intake, payment collection, and regulatory compliance within the revenue cycle, including Medicare-related tasks.

The candidate must demonstrate strong communication and the ability to work autonomously in a dynamic environment. Responsibilities include verifying eligibility, handling authorizations, and providing accurate financial estimates to patients.

Qualifications

• High school diploma or equivalent.
• One year of customer service experience.
• AHA HeartSaver CPR AED certification required before start date.
• Excellent communication and interpersonal skills.
• Ability to work autonomously and handle stressful situations.

Responsibilities

• Prepare charts for scheduled patients, obtain and verify authorizations, ensure accurate orders for all service lines.
• Register patients with two identifiers, confirm armband accuracy, input demographics, and collect forms for compliance.
• Perform Medicare compliance review to determine coverage; identify ABN needs and issue ABN forms as needed.
• Complete Medicare Secondary Payer Questionnaire (MSPQ) for beneficiaries.
• Verify insurance eligibility and benefits through systems or contacts to determine coverage before/after care.
• Calculate patient cost-sharing (co-pays, deductibles, co-insurance) and provide estimates before service.
• Attempt to collect pending balances prior to service and post-payments.
• Ensure compliance with state and federal laws; function in all registration environments.
• Mentor staff and train new staff on department procedures and applications.
• Daily reconciliation of payments, prepare bank deposits, and petty cash distribution.

Skills

Communication skills

Interpersonal skills

Microsoft Office

Autonomous work

Regulatory awareness

Education

High School Diploma

AHA CPR AED certification

Tools

Microsoft Office

Job description

This is a full-time position, the schedule will be Fri-Sun, 6:30pm-7:00pm**

Job Requirements

This is a full-time position, the schedule will be Fri-Sun, 6:30pm-7:00pm**

Position Summary

The Patient Service Specialist Patient Relations (PR) ensures the Mission/Vision and financial integrity of Health First, Inc. by achieving sustainable levels of internal and external customer service, regulatory compliance, and financial performance within the revenue cycle.

Primary Accountabilities

• Prepare charts for scheduled patients, obtain and verify authorizations, perform medical necessity, and ensure accurate orders are in place for all service lines.
• Register patients by using two patient identifiers (name, date of birth, etc.), confirm armband accuracy, input demographics information, and secure the required forms to meet compliance with regulatory policies.
• Perform Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identify patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs). Issues ABN forms as needed.
• Complete Medicare Secondary Payer Questionnaire (MSPQ) for Medicare beneficiaries.
• Verify insurance eligibility and benefits through eligibility systems or contacts insurance companies by phone, fax, online portal, and other resources to determine extent of coverage within established timeframe before scheduled appointments and during or after care for unscheduled or emergent patients.
• Calculate patients’ co-pays, deductibles, and co-insurance. Provide patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service for both emergency and outpatient services.
• Attempt to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances prior to service and post payments.
• Ensure compliance with state and federal laws regarding all aspects of role.
• Proficient and able to function in all Registration environments.
• Mentor staff and assist with training new staff on department specific procedures and applications.
• Daily reconciliation of payment collections, preparation of bank deposits, and petty cash distribution.

MINIMUM QUALIFICATIONS

• Education: High School Diploma or equivalent.
• Work Experience: One (1) year of Customer Service experience.
• Licensure: None
• Certification: American Heart Association (AHA) HeartSaver CPR AED course prior to start date and maintained.
• Skills/Knowledge/Abilities:
• Excellent communication/interpersonal skills and professional presence.
• Working knowledge of Microsoft Office-Outlook, Word, Excel.
• Ability to work autonomously with minimal supervision.
• Ability to apply logic and common sense to identify issues related to work performed
• Foundational critical thinking skills.
• Ability to maintain composure in stressful work environment.
• Ability to prioritize and organize to maximize quality, value, and service.
• Ability to adapt to a potentially rapid changing environment or work process.
• Excellent teamwork and collaboration skills.

Preferred Qualifications

• Work Experience: Two (2) years office or Customer Service experience.
• Skills/Knowledge/Abilities:
• General knowledge of healthcare terminology.
• Experience working in multiple computer systems simultaneously.
• Strong organizational skills

Physical Requirements

• Physically agile; may require walking, standing, running, bending, stooping, kneeling, climbing, or crouching frequently.
• May occasionally include lifting or moving objects up to 50 pounds, with or without assistance.
• May require moving in different positions to accomplish tasks in various environments including tight and confined spaces, including reaching out and above shoulders, or overhead.
• May lift, turn, pull, push, or ambulate people and/or equipment with or without assistance up to 90% of the assigned shift.
• May be exposed to inside and outside environments with varied temperatures, air quality, lighting, and/or low to loud noise.
• May require working with biohazards such as blood/body fluids and airborne particles following OSHA and CDC guidelines.
• Communicating with others to exchange information.
• Visual acuity and hand-eye coordination to perform tasks.
• Workspace may vary from open to confined.
• May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.

Benefits

ABOUT HEALTH FIRST

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.

Schedule : Full-Time

Shift Times : nights

Paygrade : PG-24