Representative - Patient Financial Services (PFSR)

CO080 Memorial Physician Group; Florida; Sur place; USD 32 000 - 52 000; Plein temps

Résumé du poste

Memorial Physician Group seeks a Patient Financial Services Representative to greet patients, verify demographic and insurance information, and collect accurate financial data in a hospital, ambulatory or medical office setting.

You will obtain pre-certifications, provide cost estimates, and support efficient patient flow while ensuring compliance with consent forms and payment guidelines.

Qualifications

• Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active.
• Obtains pre-certification and authorization.
• Provides exceptional customer service and answers questions promptly.

Responsabilités

• 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.
• May perform patient discharge functions including review of AVS, future appointment scheduling and referrals.
• 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 to obtain necessary information and IDs.
• Explains policies including regulatory and financial consent forms; secures signatures.
• Verifies insurance benefits and confirms active coverage.
• Determines correct insurance filing order when multiple coverages exist.

Connaissances

Customer service

Pre-certification

Insurance verification

Patient interaction

Outils

MyChart

Description du poste

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.

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

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

In Memorial Physician Group

• (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.

In the 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.

In Memorial 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.

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%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 60%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 40%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 40%
• Shift: Primarily for office workers - not eligible for shift differential

Disclaimer

This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

Equal Opportunity

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Veteran’s Preference

Memorial Healthcare System provides preference as part of our commitment to honoring the service and sacrifice of veterans in alignment with state regulations. Veteran's Preference allows for the first choice in interviewing, hiring, retention, and promotion after deployment when all other applicant qualifications are equal.

However, Veteran's Preference does not guarantee a job.

Who is eligible for Veteran’s Preference? We are proud to offer preference to internal and external applicants who identify within these categories: veterans, disabled veterans, spouse of a disabled veteran, unremarried veteran widow/widower, certain family members, active reservists and members of the National Guard.

How does Memorial verify that someone is eligible for Veteran’s Preference? We require specific documentation as determined by the basis for which someone claims preference.

Florida Civil Rights Act Equal Employment Opportunity is the Law (EEO) Family and Medical Leave Act (FMLA) Employee Polygraph Protection Act (EPPA) E-Verify Participation Notice - English Right To Work Notice - English E-Verify Participation Notice - Spanish Right To Work Notice - Spanish Memorial Healthcare System is subject to the Florida Public Records Law. All information provided in connection with your application for employment will be a public record and subject to release upon request, unless considered exempt or confidential.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [e-mail].

Be where care matters. At Memorial Healthcare System, we are dedicated to improving the health, well-being, and quality of life of the people entrusted to our care. This unwavering commitment to our service vision makes the difference and is the foundation of The Memorial Experience. Deeper Caring. Smarter Healthcare. 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. About people who advocated for the family's best interests and cared for them in body, mind, and spirit. For our employees, "Smarter Healthcare" means constantly improving how we deliver care. It could be a new technology, a streamlined process, or a cutting-edge program leveraging our system strengths. But, no matter how you look at it, our service vision is integral to our culture today and what we strive to be tomorrow. We invite you to share in the Memorial Experience - where touching lives, lifting spirits, and healing the human body is our profession's greatest privilege and reward. Be where you are valued.