Patient Financial Services Representative

Role Overview

• Responsible for determining the patient financial component for patient services.
• Estimates, communicates and collects the patient financial responsibility and provides patient financial counseling.
• Assists patients in understanding their insurance benefits including their co-payment, deductible and co-insurance responsibility.
• Educates patient regarding financial assistance programs when appropriate.
• Obtains patient demographic information and requests financial responsibility from the patient.
• Determines patient qualification for coverage by third-party payer and informs financial counselor, patient or family member of status.
• Verifies all commercial insurance coverage, workers compensation insurance, TPL insurance and state and government programs.
• Documents and resolves patient concerns or inquiries that are received via telephone, mail or walk-in within an established time frame.
• Validates Master Patient Index according to departmental policy.
• Interprets physician orders.
• Performs other duties as assigned.

Requirements

• Experience with insurance portals, Epic, proficient computer skills, and excellent customer service skills.
• Strong understanding of insurance processes, including Medicare and Medicaid replacement plans.
• High School diploma/GED or 10 years of work experience.

Benefits

• Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.