Front Office PFS Representative

Core Functions

• Performs registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary.
• Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately.
• Affords assistance in obtaining or validating pre-certification, referrals, and authorizations.
• Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement.
• Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families.
• Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner.
• Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes.
• Schedules office visits and procedures within the medical practice(s) and external practices as necessary.
• Maximizes reimbursement by scheduling patients in accordance with payor plan provisions.
• Confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits.

Qualifications

• High school diploma/GED or equivalent working knowledge.
• Knowledge of patient financial services, financial, collecting services or insurance industry experience processes.
• The ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
• Strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.
• Strong knowledge in the use of common office software, word processing, spreadsheet, and database software.

Skills

• Customer service skills.
• Effective communication skills.
• Ability to retain large amounts of changing payor information/knowledge.

Benefits

Not specified.

Pay

Not specified.

Schedule

40 hours per week, primarily Monday - Friday with a Saturday rotation.