Patient Financial Services Representative I - PT - Mornings - MHM

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

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 confirm physician and prescription orders ensuring accuracy; Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card; Explains policies including all regulatory and financial consent forms; secures all required signatures; 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; May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals; May schedule walk-in appointments for services offered; Obtains pre-certification and authorization

Requirements

High School Diploma or Equivalent (Required); No experience required; 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; Accountability; Accuracy & Quality; Customer Service; Organization Skills; Problem Solving; Productivity; Responding to Change; Standards of Behavior

Nice to have

One (1) year of related hospital, medical office, or customer service experience preferred

Benefits

Veteran's Preference