Memorial Healthcare System
Healthcare
PatientFinancialServicesRepresentativeI-PedsOrthopedics-FT-Days-MPG
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Patient Financial Services Representative I-Peds Orthopedics-FT-Days-MPG at Memorial Healthcare System. Skills: Patient registration, Insurance verification, Customer service. Greet patients and guarantors. Obtain pertinent information”
Industry & Context.
Problem solving
Bending and stooping, Keyboard entry, Lifting/carrying patients, Lifting or carrying non-patient, Pushing or pulling non-patient, Reaching, Repetitive movement hand/arm, Sitting, Squatting, Standing, Walking, Seeing - far, Seeing - near, Bio hazardous waste, Biological hazards, Blood and/or bodily fluids, Communicable diseases, Gas/vapors/fumes, Hazardous chemicals, Hazardous medication, Latex, Computer monitor, Needles/sharp objects, Potential for physical assault, Wet or slippery surfaces
What They're Looking For.
Must Have
High School Diploma or Equivalent
Nice to Have
One (1) year of related hospital, medical office, or customer service experience
What You'll Do.
Greet patients and guarantors
Obtain pertinent information
Answer patient questions
Gather demographic information
Gather financial information
Gather insurance eligibility information
Verify demographic information
Verify financial information
Verify insurance eligibility information
Obtain required notices signatures
Obtain consent forms signatures
Schedule walk-in appointments
Collect patient out-of-pocket responsibility
Provide patient estimates
Prepare daily deposit
Balance daily deposit
Provide exceptional customer service
Address patient questions
Address patient concerns
Guide patient to appropriate destination
Obtain pre-certification
Verify insurance benefits
Obtain insurance card(s)
Confirm insurance coverage active
Determine correct insurance filing order
Secure all required signatures
Perform patient discharge functions
Review after visit summary
Schedule future appointments
Interview patients and guarantors
Obtain patient identification card copy
Obtain guarantor identification card copy
Confirm physician orders
Confirm prescription orders
Obtain specialty authorizations
Process authorization denials
Patient care navigation
Handle incoming calls
Handle physician back line
Handle hospital back line
Place identification band on patient
Obtain hospital specific regulatory forms signatures
Obtain authorizations for walk-in appointments
Determine financial assistance needs
Process MIH-MPC program referrals
Process MIH-MPC program payments
Schedule MIH-MPC program eligibility
Process referral work-ques
Process same day access requests
Address real time patient requests
Address prescription refill requests
Address patient advice requests
Manage provider scheduling template
How You'll Work.
Team & Collaboration
Work with Patient Access Center; Build relationships collaboratively
Communication Scope
Audible speech; Hearing acuity
Full 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. **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. * Fluency in English and Creole is a plus **Responsibilities:** 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.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.May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.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. **Competencies:*
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