Patient Service Representative

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

Responsibilities And Duties:

The Patient Service Representative I may be expected to perform any of the following and other duties

as assigned:

Provides exceptional customer service during every encounter with patients, families, visitors and OhioHealth physicians and associates

Accept inbound calls within a specific response-to-call timeframe following customer service standards at all time

Makes outbound calls with according to the standard work and following customer service standards.

Accurately identifies patient in the EMR system.

Adhere to the department Standard Work

Obtains and enters accurate patient demographic and financial information while maintaining patient confidentiality

Uses critical thinking skills to make decisions, resolve issues, or escalate concerns

Verifies insurance eligibility using online eligibility system, payer websites or by phone call

Processes faxes and transcribes information into the system’s EMR.

Follow protocols for directly contacting the care centers regarding urgent patient requests and ensure timely follow up

Schedules outpatients appointments

Generates, prints, and provides patient estimates utilizing price estimator products

Inform patient of any outstanding balance, collect balance and co-payment or provide financial assistance information

Answers questions or concerns regarding insurance residuals and self-pay accounts

Uses knowledge of CPT codes to accurately select codes from clinical descriptions

Identifies and/or determines patient Out of Network acceptance into the organization

Explains billing procedures, hospital policies and provides appropriate literature and documentation

Update/notate all accounts using appropriate standard work

Reviews insurance information and determines need for referrals and/or financial counseling.

Educates patients on MyChart, including activation

Adhere to policy and procedures

Participate in and contribute to development of Lean processes.

Complies with all organizational, state and federal laws and regulations related to patient privacy and confidentiality (ie. PHI, HIPAA, etc.)

Work collectively in a professional manner

Confirms physician's orders/visit purpose

Verifies multidisciplinary patient schedules for Outpatient visits to expedite patient processing

Obtains Release of Information authorization from patients to release medical records

Uses conflict resolution skills and service recovery to handle customer service concerns

Resolve patient complaints and concerns and, if unable to resolve, escalate appropriately

Provides information to physician offices and other hospital departments when needed

Minimum Qualifications:

High School or GED (Required)

Additional Job Description:

Typing of 40 wpm, excellent communication, organization, and basic computer skills.

KIND and LENGTH of EXPERIENCE

1-2 years of previous experience in the service industry with a focus on delivering exceptional customer service or

1-2 years previous experience in a Medical Office setting or

1-2 years previous experience in a Call Center or

1-2 years previous experience in Collections

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Patient Contact Center

Join us!

... if your passion is to work in a caring environment

... if you believe that learning is a life-long process

... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Remote Work Disclaimer:

Positions marked as remote are only eligible for work from Ohio .