Representative - Patient Financial Services 1 - FT - Days - Pines Blvd

Responsibilities

• May confirm physician and prescription orders ensuring accuracy.
• Collects patient out-of-pocket responsibility per collection guidelines.
• Provides patient estimates as requested.
• Prepares and balances a daily deposit of all payment collections.
• 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.
• 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 schedule walk-in appointments for services offered.
• Obtains pre-certification and authorization.
• 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.
• Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.

Additional Responsibilities by Setting

• Memorial Physician Group (specialty practices): obtain specialty authorizations; authorization denial and peer to peer process; scheduling of patient appointments and procedures; handle all incoming calls and physician and hospital back line; obtain and confirm referrals.
• Hospital: upon validation of patient identity, place identification band on patient; obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting; obtain authorizations for walk-in appointments; determine when financial assistance is needed.
• Memorial Primary Care: MIH-MPC program patient referral, payment collection and eligibility scheduling; process referral work-ques and same day access requests; work with Patient Access Center on real time patient requests; 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.

Complexity of Work

Requires excellent communication skills, critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Ability to work and build relationships collaboratively.