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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.
Job Responsibility:
Schedule walk-in appointments for services offered
Confirm physician and prescription orders ensuring accuracy
Interview patients and guarantors at the workstation or bedside to obtain all necessary information
Perform patient discharge functions including review of after visit summary (AVS), future appointment scheduling, and referrals
Explain polices including all regulatory and financial consent forms
secures all required signatures
Verify insurance benefits including obtaining insurance card(s) and confirms coverage is active
Determine correct insurance filing order, if multiple insurance coverages are effective for that service
Obtain pre-certification and authorization
Provide exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner
May guide the patient to appropriate destination for services
Collect patient out-of-pocket responsibility per collection guidelines
Provide patient estimates as requested
Prepare and balance a daily deposit of all payment collections
Requirements:
High School Diploma or Equivalent
Nice to have:
One (1) year of related hospital, medical office, or customer service experience