Healthcare Outcomes Performance Co. (HOPCo) · 1 month ago
Patient Financial Services Representative
Phoenix, Arizona, United States
Full-time
Onsite
Entry Level
1+ years expHealthcare Outcomes Performance Co. (HOPCo) is committed to providing excellent patient care and support. The Patient Financial Services Representative plays a crucial role in managing patient interactions, ensuring accurate insurance processing, and maintaining compliance with hospital policies.
Health CareHospital
Responsibilities
Greet patients, families, and visitors in a courteous and professional manner
Answer and route incoming patient calls promptly and professionally
Maintain a clean and organized front desk area
Maintain confidentiality and compliance with HIPAA and hospital policies
Assist with other clerical or administrative tasks as assigned
Maintain a clean and organized work environment and ensure supplies are stocked
Collaborate with other departments to ensure smooth patient flow and timely service
Initiate and announce overhead emergency codes, including "Code Red" in the event of fire or smoke detection, following facility procedures
Respond calmly and appropriately to emergency situations, including notifying security and/or emergency response teams
Collect and verify patient demographics, insurance information, and required documentation
Input accurate patient data into the hospital EMR system
Prepare patient charts in advance of scheduled appointments to ensure all required documentation is complete and accurate. Include all necessary forms, such as consent forms. Patient Estimate Letters and procedure-specific paperwork
Obtain patient signatures for consent forms, insurance authorizations, and privacy acknowledgments
Provide patients with information on hospital policies, procedures, and financial responsibilities
Coordinate with clinical and billing departments to ensure proper patient flow and documentation
Respond to patient and visitor inquiries and resolve registration issues efficiently
Confirm and document insurance information to reduce the risk of claim denials
Explain financial responsibility to patients when appropriate
Accept and process payments for co-pays or deposits, when necessary
Be familiar with individual payor guidelines and the process of collecting over the counter payments/deductibles/co-pay/coinsurance. Knowledge of payor contracts including Medicare, Medicaid and other government contracts and guidelines
Investigate questionable information promptly, i.e. MVA and work comp information that conflicts with insurer information
Notify Business Office Manager and Physician Office of any benefit, financial or authorization concerns or issues immediately
Work two weeks ahead of surgeries to avoid late notice cancellations
Contact patients in advance of their scheduled imaging appointments to provide information about their financial responsibility (e.g., co-pays, deductibles, self-pay estimates)
Review and explain out-of-pocket costs clearly and answer any patient questions regarding their financial obligation
Work with patients to establish payment arrangements prior to their arrival, including setting up payment plans when appropriate and in accordance with organization policy
Document all financial discussions and agreements and save this information in the appropriate system or shared folder for team access
Ensure all payment plans are properly recorded and accessible to staff and billing teams to avoid confusion
Review entered information with patient to ensure accuracy
Scan photo identification and insurance card(s) into EMR. Make any corrections to insurance information upon review of insurance card(s) when necessary
Request Living Will/Advance Directives. Provide information if requested on where to obtain information on said forms to patient. Document when patient requests information and that it was provided in order to meet state and Joint Commission requirements
Complete Medicare MSP questionnaire when necessary
Collect patient responsibility upon admission
Obtain patient signature on required forms
Print labels and wristband and Facesheets. Review patient information with the patient and confirm accuracy before applying the wristband. Take chart with labels to Pre-op to notify nurses that patient is registered
Meet or exceed monthly, quarterly and yearly cash collection goals
Discusses patient information with other health team members in an appropriate environment
Interacts with all patients, families, visitors and fellow teammates in a mature, responsible manner to ensure a positive and professional facility environment
Must have a clear understanding of KPI and Metric’s measures and ability to complete daily tasks to meet Departmental and Hospital measures
Schedule, reschedule, and cancel imaging appointments as needed
Communicate prep instructions for various imaging procedures (e.g., MRI, CT, X-ray)
Coordinate with imaging technologists and other departments to ensure proper patient flow
Verify imaging orders to ensure all information is accurate, complete, and matches the scheduled exam (e.g., exam type, body part, laterality, clinical indications)
If discrepancies or missing information are identified, follow established procedures to contact the ordering provider or their office to obtain a corrected or updated order
Ensure all orders are finalized and properly documented in the patient chart prior to the appointment to avoid delays in care and ensure compliance with regulatory requirements
Contact patients in advance to confirm their upcoming imaging appointments
Verify appointment details including date, time, location, and type of exam
Provide patients with any necessary preparation instructions (e.g., fasting, medication restrictions) specific to their imaging procedure
Address any patient questions or concerns and ensure they understand check-in procedures and arrival time expectations
Document confirmation in the appropriate system or communication log
Other duties as assigned
Qualification
Required
High school diploma/GED or equivalent is required
Familiar with and understand Medicare, Medicaid and other government payors and HMO/PPO payors guidelines and principals
Understands benefits (i.e.: deductibles, copays, and coinsurance) and how to calculate estimates per the payor contract as applicable
Previous patient registration in a medical office, hospital or outpatient surgery center
Medicare, Medicaid and other government payor guidelines
Clear understanding of insurance benefits and how to calculate patient responsibility
Knowledge of Patient Registration
Strong customer service and communication skills
Ability to communicate patient responsibility clearly with patients, communicate with physician's office staff, payors and hospital teammates
Ability to resolve issues in a professional manner
Ability to work independently with minimal supervision
Preferred
1–2 years of experience in a hospital, medical office, or customer service setting
Benefits
Competitive Health & Welfare Benefits
Monthly $43 stipend to use toward ancillary benefits
HSA with qualifying HDHP plans with company match
401k plan after 6 months of service with company match (Part-time employees included)
Employee Assistance Program that is available 24/7 to provide support
Employee Appreciation Days
Employee Wellness Events
Company
Healthcare Outcomes Performance Co. (HOPCo)
Healthcare Outcomes Performance Company (HOPCo) is the leading provider of musculoskeletal value-based health outcomes management, service line management and practice management.
1001-5000 employees
H1B Sponsorship
Healthcare Outcomes Performance Co. (HOPCo) 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
2023 (1)
2022 (1)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Audax Private Equity
2019-08-01Acquired
2019-01-01Private Equity
Leadership Team
Wael Barsoum
President and Chief Transformation Officer
Recent News
2025-08-28
Company data provided by crunchbase