Patient Financial Representative I Homestead, FL

About Albion Staffing Solutions:
Albion has been offering Temp, Contract and Direct Hire Staffing Services for 20-years from offices located throughout South Florida.  Offering General Admin/Clerical and Light Industrial staffing services, Albion also specializes in the Logistics, Allied Healthcare and Banking industries.

About this opportunity:

Albion Staffing Solutions has a client in need of a Patient Financial Representative to work at a company located in Homestead, FL area. This position demonstrates service excellence and positive interpersonal skills in dealing with others including patients of all ages, families, employees, medical staff, volunteers and community members to maximize communication and productivity. Coordinates patient flow through the patient access area to assure timely registration and arrival to service area. Interacts and works cooperatively with patients of all ages and ancillary departments to assure patient satisfaction.  This position may require deployment of legal, ethical and compliance related documents that must be presented and thoroughly explained to the patient at the time of registration. The incumbent will be responsible for maintaining knowledge and deployment of practices used within the department as well as throughout the hospital to address patient questions or concerns.

Responsibilities:

Accurately obtains and/or updates registration information avoiding the creation of duplicate/overlay medical records by interviewing patients/others via telephone and/or in person to include any applicable revisions on active accounts. Demonstrates and maintains knowledge of regulatory guidelines (i.e., AHCA, EMTALA, Joint Commission, Medical Necessity, etc.). (Rehab: Create OT shell and add patient to Chartlinks)

 Accurately verifies all insurance benefits online or via phone within the appropriate timeline and documents appropriately on the verification sheet. Determines patient responsibility amounts (via CPO or applicable tool) and notifies First Source/Boss and/or Admitting department for the collection. Making certain to remain up-to-date on all insurance/managed care contracts to maximize up-front collections and reimbursement. (Rehab: Only in case of Add-on)

Validate/obtain authorization/notification from insurance companies/physician office within the appropriate timeframe to facilitate and finalize. Reschedule/cancel any patients' appointment due to lack of authorization by following the appropriate protocol. (ED Staff: For transitions, accurately identifies the hospitalist program (where required), provides PCP, and insurance information to the UR team in a timely manner to ensure accurate processing of notification/authorization by Access Mgmt. (Rehab: Only in case of Add-on)

Demonstrates/presents and thoroughly explains the content of legal, financial, ethical, and compliance related documents to patients and obtains required signatures while at the same time explaining/presenting pamphlets/notices to patients.

Obtains physician orders/prescriptions assuring that it is for the appropriate test/exam, and that it contains the appropriate sign/symptom/diagnosis and physician signature. Enter the appropriate order accurately and in a timely manner. (ED staff: For transitions, obtains the physicians' order assuring that all pertinent information is present (hsp service, pt type, admitting physician, dx, name and DOB) in a timely manner. In addition, assists with training of all new hires).

Scans all required documents into the appropriate folder in the scanning system in a timely manner to assure maximum reimbursement and compliance.

Perform cash collections based on the BHSF policy, SOX requirements, and departmental goals. Making certain that all monies due are collected, issue a receipt, and place in the departmental safe. (Rehab: This includes preparing the deposit)

Demonstrates the ability to effectively performs receptionist functions which include opening/closing procedures (with assistance) assuring all appropriate paperwork is ready for the next day, and areas are organized. (ED staff: Performs the greeter function ensuring all patients are quick registered and an armband is placed (using the appropriate identifiers) in a timely manner. ED and Rehab: Assures all appropriate paperwork is ready for the incoming shift).

Review Quality Assurance work list for any real time errors at the completion of each registration and ensure to make necessary corrections to the account accordingly. As well as reviewing the Audit Search for all manually reviewed errors on a daily basis.

Consistently meets/exceeds department standards for accuracy pertaining to registration and/or insurance verifications as well as meeting and exceeding the productivity rates. Maintains statistically relevant information related to productivity and department units when applicable.

Coordinates the assembly/distribution of maternity pre-admission packets, initiates correspondence, and assures all requirements are met prior to due date.

Demonstrates proficiency in the use of department computer applications that support the BH revenue cycle (i.e., scheduling systems, scanning system, registration system, Web-based applications, Intranet, EDI, EQ Health, etc.).

Rehab : Places reminder call to patients on New Patient List two business days prior to appointment. Reminds patients of required documentation needed for first appointment, e.g., valid script (dated less than 8 weeks from treatment date) and copay/deductible information

Requirements:

• HS High School,Cert,GED,Trn,Exper

Workplace Location:

Applicants will work at our client's facility located at Homestead, FL area.

Candidate Advice:

• Albion uses E-Verify to verify employment eligibility.
• Pre-Employment and random Drug and Background testing applicable.
• Only Local Candidates will be considered; no relocation provided.
• Reliable Transportation to/from the workplace is necessary.