Patient Financial Services Representative I - PT - Afternoon/Evening - JDCH Emergency Room

About the role

The Patient Financial Services Representative (PFSR) serves as the first point of contact in greeting patients and guarantors in various healthcare settings. The PFSR engages with patients to gather necessary information and answer any questions to ensure all required demographic, financial, and insurance eligibility information is gathered and verified.

Responsibilities

• Ensures all necessary demographic, billing, and clinical information is obtained and entered with timeliness and accuracy.
• Determines and accepts required payments, including co-pays and deductibles.
• Communicates with physicians' staff, nursing unit staff, and other appropriate personnel to exchange necessary information.
• Verifies insurance benefits and obtains pre-certification/authorization as necessary.

Competencies

• 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

Education and Certification Requirements

A high school diploma or equivalent is required. One (1) year of related hospital, medical office, or customer service experience is preferred.

Other Information

In Memorial Physician Group (specialty practices), additional responsibilities include obtaining specialty authorizations, handling authorization denial and peer-to-peer processes, patient care navigation, handling incoming calls and physician/hospital back lines, obtaining and confirming referrals, and managing patient care coordination for specific populations. In the Hospital, additional responsibilities include placing identification bands on patients, obtaining signatures for hospital-specific regulatory forms, obtaining authorizations for walk-in appointments, determining when financial assistance is needed, and managing patient care coordination. In Memorial Primary Care, additional responsibilities include processing referral work-questions and same-day access requests, addressing prescription refill requests, patient advice requests through MyChart, and provider scheduling templates.

Working Conditions and Physical Requirements

• 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%
• Repetitive Movement Foot/Leg: 0%
• Repetitive Movement Hand/Arm: 80%
• Squatting: 80%
• Sitting: 80%
• Standing: 80%
• Walking: 80%
• Audible Speech: 80%
• Hearing Acuity: 80%
• Smelling Acuity: 0%
• Taste Discrimination: 0%
• Depth Perception: 80%
• Distinguishing Color: 0%
• Seeing - Far: 80%
• Seeing - Near: 80%
• Bio hazardous waste: 60%
• Biological Hazards - Respiratory: 60%
• Biological Hazards - Skin or Ingestion: 60%
• Blood and/or Bodily Fluids: 60%
• Communicable Diseases and/or Pathogens: 60%
• Asbestos: 0%
• Cytotoxic Chemicals: 0%
• Dust: 0%
• Gas/Vapors/Fumes: 60%
• Hazardous Chemicals: 60%
• Hazardous Medication: 60%
• Latex: 60%
• Computer Monitor: 100%
• Domestic Animals: 0%
• Extreme Heat/Cold: 0%
• Fire Risk: 0%
• Hazardous Noise: 0%
• Heating Devices: 0%
• Hypoxia: 0%
• Laser/High Intensity Lights: 0%
• Magnetic Fields: 0%
• Moving Mechanical Parts: 0%
• Needles/Sharp Objects: 60%
• Potential Electric Shock: 0%
• Potential for Physical Assault: 40%
• Radiation: 0%
• Sudden Decompression During Flights: 0%
• Unprotected Heights: 0%
• Wet or Slippery Surfaces: 40%

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 boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires, and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran’s Preference to former military, reservists, and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post-offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net