Patient Financial Service Representative-General Surgery-FT Days-MPG-Pembroke Pines

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

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 educational resources to patients on their medical condition, treatment plans and other health-related topics as directed by the clinical team and is a resource for the patient on the insurance and administrative aspects of their peri-operative/peri-procedural care.Works closely with physicians and the multidisciplinary care management teams. Facilitates care coordination, and documents efforts. Extract data from medical record sources to gather information and perform outreach. Communicates details to the appropriate team, providers, and/or supervisors.Collect and manage all relevant clinical data (intake forms, photographs, patient health history, labs, images, etc.) prior to consultations/surgeries or procedures. May assist with obtaining authorizations, scheduling appointments and coordinate care between providers, where appropriate, connecting patients to available services, such as primary care providers, specialists, and other community health resources.Assisted patients in coordinating care with other medical professionals. Coordinates patient care plans, including scheduling appointments, following up with providers, and providing/obtaining referrals; helps patients overcome obstacles that they may encounter while pursuing treatment. Coordinates a wide range of activities and services to support the patient by utilizing a variety of communication methods including but not limited to telehealth, face-to-face, text, telephone, or e-mail.

Competencies:

ACCOUNTABILITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTHCARE INDUSTRY, RELATIONSHIP DEVELOPMENT, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements:

High School Diploma or Equivalent (Required)BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS)

Additional Job Information:

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: (1) obtain specialty authorizations (2) authorization denial and peer to peer process (3) patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations (4) handle all incoming calls and physician and hospital back line (5) obtain and confirm referralsIn the Hospital, additional responsibilities include: (1) Upon validation of patient identity, place identification band on patient (2) obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting (3) obtain authorizations for walk-in appointments (4) determine when financial assistance is needed.In Memorial Primary Care, additional responsibilities include: (1) MIH-MPC program patient referral, payment collection and eligibility scheduling (2) process referral work-ques and same day access requests (3) work with Patient Access Center on real time patient requests (4) address prescription refill requests, patient advice requests through MyChart, and provider scheduling template.

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