Patient Financial Representative - Peds General Surgery - FT - Days - MPG

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:

Performs access functions for all patients presenting for services.

Responsibilities:

Ensures that all necessary demographic, billing and clinical information is obtained and entered with timeliness and accuracy.

Communicates with physicians' and their staff, nursing unit staff, and/or other appropriate personnel to exchange necessary information.

Determines and accepts required payments, including but not limited to co-pays and deductibles.

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:

High School Diploma or Equivalent (Required)

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 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%
•  Running = 0%
•  Sitting = 80%
•  Squatting = 80%
•  Standing = 80%
•  Walking = 80%
•  Audible Speech = 80%
•  Hearing Acuity = 80%
•  Smelling Acuity = 0%
•  Taste Discrimination = 0%
•  Depth Perception = 80%
•  Distinguish 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 Ass