Note: The job is a remote job and is open to candidates in USA. Memorial Healthcare System is dedicated to improving the health, well-being and quality of life of the people entrusted to its care. The Patient Financial Services Representative serves as the first point of contact for patients and guarantors, gathering and verifying demographic, financial, and insurance information while providing customer service and handling registration, authorization, payment, and scheduling functions.
Responsibilities
• Obtains pre-certification and authorization
• Provides 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
• Collects patient out-of-pocket responsibility per collection guidelines
• Provides patient estimates as requested
• Prepares and balances a daily deposit of all payment collections
• May schedule walk-in appointments for services offered
• May confirm physician and prescription orders ensuring accuracy
• Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card
• May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals
• Explains polices including all regulatory and financial consent forms; secures all required signatures
• Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active
• Determines correct insurance filing order, if multiple insurance coverages are effective for that service
• Obtain specialty authorizations
• Authorization denial and peer to peer process
• Patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations
• Handle all incoming calls and physician and hospital back line
• Obtain and confirm referrals
Skills
• High School Diploma or Equivalent (Required)
• No experience required
• 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
• One (1) year of related hospital, medical office, or customer service experience preferred
Company Overview
• Be at the heart of exceptional care. It was founded in 1953, and is headquartered in Easton, Maryland, USA, with a workforce of 10001+ employees. Its website is http://www.memorialregional.com.
Company H1B Sponsorship
• Memorial Healthcare System has a track record of offering H1B sponsorships, with 3 in 2026, 7 in 2025, 15 in 2024, 4 in 2023, 3 in 2022, 4 in 2021, 4 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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