Patient Financial Services Representative-Pediatric Cardiac Services-FT-Days-MPG

Patient Financial Services Representative

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.

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 include confirming physician and prescription orders ensuring accuracy, explaining policies including all regulatory and financial consent forms; securing all required signatures, and performing patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals. May also schedule walk-in appointments for services offered, collect patient out-of-pocket responsibility per collection guidelines, provide patient estimates as requested, prepare and balance a daily deposit of all payment collections, provide exceptional customer service and ensure all questions and concerns are addressed in a timely and courteous manner, guide the patient to appropriate destination for services, obtain pre-certification and authorization, verify insurance benefits including obtaining insurance card(s) and confirms coverage is active, determine correct insurance filing order, if multiple insurance coverages are effective for that service, and interview patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.

Competencies include accountability, accuracy & quality, customer service, effective communication, organization skills, patient and family centered care, problem solving, productivity, responding to change, standards of behavior, and teamwork.

Education and certification requirements include a high school diploma or equivalent.

Additional job information includes complexity of work requiring 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. Required work experience : no experience required. One (1) year of related hospital, medical office, or customer service experience preferred.

Working conditions and physical requirements include bending and stooping, keyboard entry, lifting and carrying patients and non-patient items, reaching, repetitive movement, sitting, squatting, standing, walking, audible speech, hearing acuity, depth perception, seeing, bio hazardous waste, biological hazards, blood and / or bodily fluids, communicable diseases, latex, computer monitor, and needles / sharp objects. Potential for physical assault.