Patient Financial Representative

Patient Financial Representative

As a first point of access for Lee Health customers this position completes and assists with registration, insurance verification, authorization, price estimation, denial prevention, claims processing, and financial screening to secure maximum reimbursement for the Health System. This position is also responsible for confirming patient identity and uses Epic and on-line resources to ensure Medicare medical necessity and billing requirements have been met. It also requires excellent verbal, analytical and customer service skills due to the varying methods of communication which occurs telephonically, in written form, electronically, in person, and bedside in a direct clinical care setting. Requires extensive governmental regulation adherence, computer knowledge and analytical experience to navigate and interpret information provided by a multitude of payers to ensure both claim and billing requirements have been completed, entered, and are accurate. This position also requires general payor contracting and chargemaster experience to ensure accurate price estimation to comply with governmental pricing transparency requirements. This job requires the ability to multi-task while using critical thinking skills to appropriately handle work complexity in a fast-paced work environment, while always providing an exceptional patient experience. This role requires collaboration with the Care Management and Utilization Management team to ensure on-going con-current authorization and patient discharge planning needs are met.

Education: High School diploma or equivalent required. Post high school training or associate degree preferred.

Experience: Minimum of 1 year of experience in customer relations role. Minimum of 2 years of revenue cycle experience, Epic experience preferred.

Other: Medical terminology knowledge required. Excellent computer skills. Ability to speak multiple languages is helpful. Knowledge and understanding of telephone etiquette including strong listening skills are essential. Excellent customer service skills are also required, including verbal and written communication.