HF Patient Services Rep - Health First : Job Details

The Patient Service Specialist Patient Relations (PR) ensures the Mission/ Vision and financial integrity of Health First, Inc. by achieving sustainable levels of internal and external customer service, regulatory compliance, and financial performance within the revenue cycle. PRIMARY ACCOUNTABILITES Prepare charts for scheduled patients, obtain and verify authorizations, perform medical necessity, and ensure accurate orders are in place for all service lines. Register patients by using two patient identifiers (name, date of birth, etc.), confirm armband accuracy, input demographics information, and secure the required forms to meet compliance with regulatory policies. Perform Medicare compliance review on all applicable Medicare accounts in order to determine coverage. Identify patients who may need Medicare Advance Beneficiary Notices of Noncoverage (AB - Ns). Issues ABN forms as needed. Complete Medicare Secondary Payer Questionnaire (MSPQ) for Medicare beneficiaries. Verify insuran...Patient Services, Patient, Customer Service, Healthcare