Patient Financial Services - Team Lead

 

Medquest is one of the top providers of Outpatient Diagnostic Imaging Services in the U.S.  We currently operate 92 Outpatient Facilities across the Nation, providing world class customer service in the diagnostic imaging arena, specializing in MRI, CT, X-ray, Ultrasound, Nuclear medicine and Mammography scans. As our business continues to grow, we have an exceptional opportunity for a Team Lead in our Patient Financial Services Division in Phoenix, AZ.

The successful candidate will be have a minimum of 2 years experience in Healthcare Financial Services with management/supervisory experience.  The PFS Team Leader will have responsibilty for supervising 8-10 direct reports (PFS Coordinators).  A PFS Team Leader is a working manager with the responsibility of executing all duties for the assigned Out Patient Imaging Centers to the Team which are:  verification of patient eligibility, the pre-certification of services as required, the confirmation of patient appointments including scan screening, NPO instructions, pre-collection, and directions. 

 

 

Essential Functions:

Management Responsibilities:

Develop and Implement weekly schedule for Team Members.

With support of PFS Section Leader interview, hire, review staff on Team

Maintain correct PFS documentation for Team

Provide Level 2 Triage of all calls/issues for team

 Monitor Team Queue for Stat, Add-Ons, or patients getting close to DOS deadlines with missing action.

Staff Responsibilities:

Verify patient’s insurance status and benefit eligibility

Accurately determine the patient un-met deductible, co-insurance, and co-payment amounts

Accurately and timely provide for any pre-authorization or pre-certification of services.

  Coordinate all patient communication with Front Desk Staff

Provide high level of customer service with goal of maintaining a low cancellation rate while increasing Time of Service collection rates.

 

 

Qualifications:

 

Required knowledge, skills and ability:

Customer service skills: 

o  Ability to represent the Center in a professional manner when interacting with patients, guests, physicians and their staff

o  Ability to handle service issues professionally

o  Ability to follow through with customers

Communication Skills: 

o  Ability to communicate effectively to patients about their medical conditions and the financial aspects of their care.

o  Ability to coordination the pre-collection without losing scan and increasing cancellation rate.

Keyboard skills: 

o  Ability to type proficiently

Teamwork: 

o  Ability to function effectively as extension of the Center

o  Be flexible and open-minded in thought processes

o  Maintain focus under pressure

o  Share relevant information with other employees

o  Volunteer to assist others when time permits 

Medical Terminology & Insurance:

o  Ability to understand basic medical terminology

o  Knowledge of pre-certification process for insurance companies

o  Ability to calculate deductible and co-insurance correctly

 

  Education: 

· High School Diploma or GED

 

  Experience:

· 2 years of experience

 

 

Desired Qualifications:

 

· Associate’s degree in business administration or related field

· CPAR-Certified Patient Account Representative