Patient Financial Services Representative I-Pulmonology-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 :

• Meets with surgical / procedural patient or patient's caregiver to exchange necessary information and documentation.
• Provides explanation of process, pre-procedure instructions, and addresses concerns and questions.
• Schedules patient / family surgical conferences.
• Rounds with patients in practice to ensure Excellent Patient Experience is met.
• Follows up on reported issues and assists with service recovery.
• Communicates with referring physician's office, clinical department(s), and / or other appropriate personnel to exchange necessary information and coordinate surgical / procedural / diagnostic testing and DME as appropriate.
• Assists in completing surgical orders as directed by department. Routes as appropriate.
• Performs general clerical duties including assisting with the front / back desk as well as scheduling appointments.
• Assists with signing up patients / Proxy with MyChart activations and Telehealth visits.
• Works Department incoming referral work queue daily.
• Assists patients with appointments in other specialist offices as requested / referred by our physicians.
• Verifies insurance benefits and obtains pre-certification / authorization as necessary.
• Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.
• Reviews patient charts to ensure imaging is available and all pertinent information to maximize appointment.
• Builds critically important relationships with physicians, OR staff, as well as insurance representatives in order to help facilitate all scheduling duties.
• Responsible for managing physician calendars.

Competencies :

Education and Certification Requirements :

Additional Job Information :

Working Conditions and Physical Requirements :

75 lbs Non-Patient = 0%

75 lbs Non-Patient = 0%

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