Patient Service Specialist PR - Patient Registration

Job ID: Patient Service Specialist – Patient Relations (PR)

About the Role

The Patient Service Specialist – Patient Relations (PR) ensures the Mission/Vision and financial integrity of Health First, Inc. by achieving sustainable levels of internal and external customer service, regulatory compliance, and financial performance within the revenue cycle.

Responsibilities

• Prepare charts for scheduled patients, obtain and verify authorizations, perform medical necessity checks, and ensure accurate orders are in place for all service lines.
• Register patients using two patient identifiers (name, date of birth, etc.), confirm armband accuracy, input demographic information, and secure required forms to meet compliance with regulatory policies.
• Perform Medicare compliance review on all applicable Medicare accounts to determine coverage. Identify patients who may need Medicare Advance Beneficiary Notices of Noncoverage (ABNs) and issue ABN forms as needed.
• Complete Medicare Secondary Payer Questionnaire (MSPQ) for Medicare beneficiaries.
• Verify insurance eligibility and benefits through eligibility systems or by contacting insurance companies via phone, fax, online portal, or other resources to determine extent of coverage within established timeframes.
• Calculate patients’ co-pays, deductibles, and co-insurance. Provide patients with personalized estimates of their financial responsibility based on insurance coverage prior to service for both emergency and outpatient services.
• Attempt to collect patient cost-sharing amounts (e.g., co-pays, deductibles) and outstanding balances prior to service and post payments.
• Ensure compliance with state and federal laws regarding all aspects of the role.
• Function proficiently in all registration environments.
• Mentor staff and assist with training new staff on department-specific procedures and applications.
• Perform daily reconciliation of payment collections, preparation of bank deposits, and petty cash distribution.

Requirements

• High School Diploma or equivalent.
• One (1) year of Customer Service experience.
• American Heart Association (AHA) HeartSaver CPR AED certification prior to start date and maintained.

Preferred Qualifications

• Two (2) years of office or Customer Service experience.
• General knowledge of healthcare terminology.
• Experience working in multiple computer systems simultaneously.
• Strong organizational skills.

Skills & Abilities

• Excellent communication, interpersonal skills, and professional presence.
• Working knowledge of Microsoft Office (Outlook, Word, Excel).
• Ability to work autonomously with minimal supervision.
• Ability to apply logic and common sense to identify issues related to work performed.
• Foundational critical thinking skills.
• Ability to maintain composure in a stressful work environment.
• Ability to prioritize and organize to maximize quality, value, and service.
• Ability to adapt to a potentially rapid changing environment or work process.
• Excellent teamwork and collaboration skills.

Physical Requirements

• Physically agile; may require walking, standing, running, bending, stooping, kneeling, climbing, or crouching frequently.
• May occasionally include lifting or moving objects up to 50 pounds, with or without assistance.
• May require moving in different positions to accomplish tasks in various environments, including tight and confined spaces, reaching out and above shoulders, or overhead.
• May lift, turn, pull, push, or ambulate people and/or equipment with or without assistance up to 90% of the assigned shift.
• May be exposed to inside and outside environments with varied temperatures, air quality, lighting, and/or low to loud noise.
• May require working with biohazards such as blood/body fluids and airborne particles following OSHA and CDC guidelines.
• Communicating with others to exchange information.
• Visual acuity and hand-eye coordination to perform tasks.
• Workspace may vary from open to confined.
• May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.

Schedule

Full-time, Monday–Friday, 3:30 PM–12:00 AM, with rotating weekends.

Benefits

At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve.