PFS Representative - InpatientDay Shift (United States of America)
Job Title: PFS Inpatient Representative
Job Code: 1228
Department: Inpatient Access
FLSA Class: Hourly/Non-Exempt
Reporting Relationship: Front End Revenue Cycle Supervisor
Mary Free Bed Summary
We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers.
Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes.The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care
Mission Statement
Restoring hope and freedom through rehabilitation.
Employment Value Proposition
At Mary Free Bed, we take pride in our values-based culture:
Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.
Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.
A Proud Tradition. Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.
Essential Job Responsibilities
Prioritize inpatient referrals based on tentative admission dates.
Perform eligibility and benefit verification of identified insurance coverage for each inpatient referral. Initiate electronic and/or telephone inquiries to the appropriate parties including third party payers, employers, and/or managed care organizations, sharing information as necessary to secure, record, and electronically enter data confirming patient has benefits for inpatient rehabilitation. Communicate need to pre-certify admission to Utilization Review/Reimbursement Coordinator.
Analyze the available documentation and use software and/or other listings or information, including the data gathered during the third-party eligibility and benefit verification, to calculate the amounts expected to be received from the payer and the amount owed by the patient or his/her responsible party.
Consistently execute time requirements for specific tasks including but not limited to verifications, new patient visit & folder assembly.
Update benefit information on Inpatient Referral Team Site.
Enter insurance information into Access Management Registration.
Meet with each new inpatient after admission to review and verify patient data and insurance information.
Provides information to patients on Patient Rights, Advance Directives, Notice of Privacy Practices, Medicare Patient Appeal Rights, and other required documents.
Accurately generates patient specific Benefit Summary Forms and distributes to patient/representative and appropriate internal parties on a timely basis. Help insured patient navigate their eligibility and benefits and help un-insured/under insured patient access programs that can assist them by referring them to MFB's IP Financial Counselor.
Update Access Management Registration with any changes. Scan signed registration packet documentation into EMR.
Begin CFA review process to preliminarily determine patient eligibility and give an estimate of possible award level.
Act as support staff for the IP Financial Counselor as needed
Customer Service Responsibilities
Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.
Responsibilities in Quality Improvement
Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.
Essential Job Qualifications
Associates Degree or equivalent business classes/medical office experience
Understanding of medical terminology and clinical rehabilitation
Time management skills to handle multiple, competing demands and priorities and work effectively under pressure.
Strong, effective organization and interpersonal skills, oral and written.
Collaborative team style and open communication, including with other departments.
Ability to work independently as well as in a group.
Excellent analysis and problem-solving skills.
Demonstrated commitment to organizational mission with a "whatever it takes" attitude to get the job done.
Credible and trustworthy.
Intermediate knowledge of Microsoft Office Suite (Word, Excel, PowerPoint).
Preferred Job Qualifications
Three to five years' hospital medical billing experience
12 to 18 months hospital... For full info follow application link.
Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.
