Role Description As a Registered Nurse with Best Home Health Providers, you will play a key part in ensuring the accuracy and quality of clinical documentation, helping our patients receive the right care at the right time. You’ll collaborate closely with clinical staff, contribute to quality improvement initiatives, and help uphold our commitment to regulatory compliance. - Review OASIS assessments for completeness, appropriateness, and compliance with federal and state regulations. - Ensure accurate ICD-10 coding and sequencing based on each patient’s medical condition and co-morbidities. - Partner with clinical staff to resolve documentation and data integrity issues. - Monitor visit utilization and flag potential financial risks or underutilization to clinical management. - Identify and communicate trends that impact agency outcomes and process measures. - Conduct OASIS inter-rater reliability visits with clinical team members. - Participate in Quality Improvement and Corporate Compliance activities. - Stay current with best practices through ongoing education and professional development. - Perform other duties as required for patient services. Qualifications - Active Californian RN license in good standing. - 1–2 years of clinical home health experience. - Working knowledge of OASIS assessments and ICD-10 coding. - Knowledge of federal regulations and state licensure requirements. - Strong communication skills and a keen eye for detail. - Ability to work independently and manage priorities with minimal supervision. - Proficiency with computer systems and electronic health records. - Current CPR certification with AHA. - Valid driver’s license, reliable insured vehicle. Requirements - OASIS certification (COS-C) - Nice to Have - OASIS Home Health ICD-10 coding certification - Nice to Have Benefits - Flexible Schedule - Ability to Convert to Full-Time Based On Performance If Interested - Paid Sick Days - Paid Bereavement Leave - Skills Training & Development - Company Social Events - Mileage Reimbursement for Patient to Patient Visits - Referral Bonus

Role Description The Scheduling Specialist provides outreach and support to ensure all our eligible members have access to the care they deserve around our available Clinical/Patient Programs. Assists in navigating our members through the different programs they may be eligible and assists in scheduling them for what best suits their needs. Navigates with our members every step of the way to ensure they are never alone in their healthcare journey. Utilizes excellent customer service measures and understands the meaningful contribution the team makes to our members’ healthcare outcomes. - Serves as a “subject matter expert” in the clinical programs that our members may be eligible for, including procedures, scheduling for Health Assessments, protocols, benefits, services, and other necessary information to resolve member issues and inquiries. - Conducts member outreach phone calls and/or receives inbound phone calls within the department’s goal timeframe; manages member’s communication preferences, which may include time of day, channel, and language; utilizes interpreter service as needed. - Collaborates with partners, including but not limited to other departments, Member Services, and Clinical Departments, to facilitate the member experience. - Identifies members targeted for care gaps and other campaigns, connects members to programs or services when appropriate; analyzes available programs, determines program eligibility, and connects members to appropriate providers or vendors. - Responsible for real-time documentation and timely wrap-up to support outcomes reporting in all systems/applications; must enter member demographics and information with accuracy and attention to detail. - Responsible for meeting or exceeding individual and team goals, and for submitting activity reports in the required format and frequency. - Excels in customer service and contributes to a culture of going “above and beyond” to ensure the highest level of member satisfaction. - Other duties as assigned. Qualifications - Required: Minimum 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations. - Preferred: Experience in a clinical setting managing provider schedules; helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits; call center experience in welcome/onboarding, appointment scheduling, retention, sales, or other health care/health plan related programs; inbound call center experience indicating a higher level of problem-solving such as escalation or resolution. Requirements - Education: Required: High School Diploma or GED; Preferred: College courses. - Specialized Skills: - Ability to communicate positively, professionally, and effectively with others; provide leadership, teach, and collaborate with others. - Effective written and oral communication skills; ability to establish and maintain constructive relationships with diverse members, management, employees, and vendors. - Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals; ability to write routine reports and correspondence; ability to speak effectively before groups of customers or employees of the organization. - Mathematical Skills: Ability to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s; ability to perform these operations using units of American money and weight measurement, volume, and distance. - Reasoning Skills: Ability to apply common sense understanding to carry out detailed, but uninvolved written or oral instructions; ability to deal with problems involving a few concrete variables in standardized situations. - Computer Skills: Strong computer skills; typing 40+ words per minute. - Problem-Solving Skills: Effective problem solving, organizational and time management skills; ability to work in a fast-paced environment. - Preferred: Bilingual English/Spanish, or Vietnamese, Chinese (Mandarin), Korean. - Licensure: Required: None. - Other: Must be available to work full-time and overtime through the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar). Benefits - Pay Range: $41,600.00 - $57,600.00; pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Role Description The Patient Service Representative I role may be the initial point of contact for patients, physicians, and the public at large. This position provides exceptional public relations/customer service during encounters with patients, families, visitors, and OhioHealth physicians and associates. The primary responsibilities are: - Scheduling/registration - Patient billing follow-up - Identify and execute a plan meeting the needs of the caller Planned hours of operation are between 7:00A - 5:30P, 8 hour shifts, Monday thru Friday. Primary Location - Work from Home. Responsibilities And Duties - 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 times. - Makes outbound calls according to the standard work and following customer service standards. - Accurately identifies patients 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 outpatient appointments. - Generates, prints, and provides patient estimates utilizing price estimator products. - Informs patients of any outstanding balance, collects balance and co-payment, or provides 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. - Updates/notates all accounts using appropriate standard work. - Reviews insurance information and determines need for referrals and/or financial counseling. - Educates patients on MyChart, including activation. - Adheres to policy and procedures. - Participates in and contributes to the development of Lean processes. - Complies with all organizational, state, and federal laws and regulations related to patient privacy and confidentiality (i.e., PHI, HIPAA, etc.). - Works 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. - Resolves patient complaints and concerns and, if unable to resolve, escalates appropriately. - Provides information to physician offices and other hospital departments when needed. Qualifications - High School or GED (Required) - Typing of 40 wpm, excellent communication, organization, and basic computer skills. - 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 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 persons 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.

• Project management including team leadership • Compile specifications, requirements and other program specific documentation from the client • Write creative copy for interactive voice response scripts • Track and manage scope, schedule and costs for project implementation • Manage tasks and deliverables from client to technical resources • Review both new and existing IVR programs for script to system accuracy and effective sales approach • Analyze client reports and make suggestions to optimize scripts and/or offers • Identify potential application and process improvements • Provide excellent customer service to internal and external clients • Prepare monthly billing documentation • Prepare documentation for client business reviews • Develop monthly revenue projections for each client • Perform other related duties and assignments as required and as assigned by supervisor or other management • Ensure all policies and procedures are adhered to including, but not limited to Security, HR, Operations, etc., and that any known infractions are communicated to the proper management immediately