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Parkland Health · 1 hour ago

Patient Financial Services Representative

Dallas, TX

Full-time

Onsite

Entry Level

2+ years exp

Parkland Community Health Plan (PCHP) is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. The Patient Financial Services Representative is responsible for performing registration duties, obtaining precertification and authorizations, insurance verification, and providing preliminary financial counseling services to support the financial viability of Parkland.

CommunitiesHealth CareHospitalMedicalNon ProfitWellness

H1B Sponsor Likely

Responsibilities

Greets patients, family members, peers, and leadership in a professional, friendly, and respectful manner to promote a positive public image of Parkland. Willingness to move about the system to ensure all facets of the job responsibilities are completed accurately and timely to support the needs of the organization. Required to assist the hospital in the event of an internal or external disaster

Obtain, verify, and update accurate demographic, financial, and insurance information in the process of registration. Including the entry of patient/guarantor information in the patient registration/accounting systems. Ensure accounts are billed accurately and timely. Guarantee that medical record numbers are not duplicated or overlays created

Reviews patient accounts for financial status to identify non-funded and/or under-funded patients. Refers appropriate cases to financial counseling for follow-up and consultation and Case Management for clinical justification for pre-authorization as necessary

Educate patients about financial liabilities, employs proper, compliant patient liability collection techniques before, during and after date of service. Performs cash reconciliation and secured payment entry in adherence to financial and cash control policies and procedures

Clearly document actions taken in account notes to ensure information is available and understandable for other departments to review. Tracks productivity/quality and provides cumulative reports daily, weekly and monthly as required. Ensures Patient Rights & Responsibilities as well as other required documents are properly explained and presented to patients

Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland

Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices

Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding

Qualification

Patient registrationInsurance verificationFinancial counselingMedical terminologyCustomer serviceEPICBilingual skillsAnalytical skillsProblem solving

Required

High School diploma/GED

Minimum of 2 years' experience within a hospital or clinical environment, an insurance company, managed care organization, other financial service setting, registration, financial counseling, financial clearance and/or customer service in a health care environment

Working knowledge of medical terminology and insurance terminology

Ability to work multiple computer systems such as patient, registration/accounting system, document imaging, scanning, proprietary payer websites and data quality monitoring, both accurately and efficiently

Must be proficient in the use of personal computers, printers, scanners, etc

Must be able to demonstrate working knowledge of computer software, i.e., Word and Excel Knowledge, Hospital Information/Enterprise Systems, i.e., EPIC

Customer service skills and experience

Ability to work in a fast paced environment

Must be able to function in a high-level stressful environment while simultaneously multi-tasking

Ability to receive and express detailed information through oral and written communications

Professional approach and appearance

Detailed oriented with basic mathematical and analytical skills

Must be able to resolve registration issues as they relate to multiple groups including third party payors, system, patients and physicians

Ability to problem solve within the guidelines of established policies and procedures

Medical and insurance terminology

Preferred

Associate's degree preferred

General knowledge of patient access financial counseling functions in both acute and non-acute settings is a plus

Prior experience in patient access, billing, cash collections, insurance, appointment scheduling preferred

Knowledge and function and relationships within a hospital environment

Certified Healthcare Access Associate (CHAA) preferred

Certified Patient Account Technician (CPAT) preferred

Certified Revenue Cycle Representative (CRCR) preferred

Knowledge of contract reimbursement, third party payors and insurance verification preferred

Bilingual skills preferred

Company

Parkland Health

Parkland Health first opened its doors in 1894 and is now one of the largest public hospital systems in the country.

Founded in 1894

Dallas, Texas, USA

10001+ employees

https://www.parklandhealth.org

H1B Sponsorship

Parkland Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (2)

2024 (2)

2022 (2)