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Patient Service Representative
Location
Ohio
Posted
5 days ago
Salary
0
Seniority
Mid Level
Job Description
Patient Service Representative
OhioHealth
• 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 • 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
Job Requirements
- 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
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Professional development opportunities
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