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

Overview

Patient Financial Services Representative-Pediatric Cardiac Services-Jupiter-FT-Days-MPG. 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 questions 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.

Note:

This job description may include responsibilities across Memorial Physician Group, Memorial Hospital, and related practices as applicable.

• Explain policies including all regulatory and financial consent forms; secure all required signatures.
• May perform patient discharge functions including review of after visit summary (AVS), future appointment scheduling, and referrals.
• Interview 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.
• May 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 patients to appropriate destinations for services as needed.
• Obtain pre-certification and authorization. Verify insurance benefits including obtaining insurance card(s) and confirming coverage is active. Determine correct insurance filing order if multiple coverages are active for the service.

• Accountability, Accuracy & Quality
• Customer Service
• Effective Communication
• Organization Skills
• Patient and Family Centered Care
• Problem Solving
• Productivity
• Responding to Change
• Standards of Behavior
• Team Work

• High School Diploma or Equivalent (Required)

• 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.
• Required
  
  Work Experience:
  
  No experience required. One (1) year of related hospital, medical office, or customer service experience preferred.
• Other Information:
  In Memorial Physician Group (specialty practices), additional responsibilities include: obtain specialty authorizations; authorization denial and peer-to-peer process; patient care navigation (e.g., surgical and procedural coordination and scheduling for patient-specific populations); handle all incoming calls and physician and hospital back line; obtain and confirm referrals.
• In the Hospital, additional responsibilities include: 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.
• In Memorial Primary Care, additional responsibilities include: 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.

• 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%
• Re…