Patient Care Representative

HEART OF OHIO FAMILY HEALTH CENTERS•Columbus, OH

1d•Onsite

About The Position

This position supports the Organization by greeting patients, visitors, and others upon entry and processing accounts upon exit. It involves setting and confirming appointments, supporting clinical staff with patient charts, gathering and evaluating confidential patient information (including insurance and financial data for determining patient responsibility or financial assistance qualification), accurately maintaining the patient database software system, serving as a recipient for packages (with limitations), and acting as a payment collection resource, including daily reconciliation. The role also includes pulling or preparing patient records, notifying staff of patient arrivals, performing insurance data verification and benefit enrollment, answering and transferring phone calls, accepting deliveries (with exceptions), collecting payments and co-payments, performing daily closing procedures, and ensuring adherence to HIPAA regulations and all organizational policies and procedures, especially hazardous, health, and safety procedures.

Requirements

Understanding of laws and regulations impacting the registration procedure
Ability to accurately enter data, preferably typing at a minimum of 45 wpm
Ability to accurately input the ICD-10 CPT code and/or other information as dictated by the physician or nurse practitioner while understanding the relationship of diagnosis and procedural codes so errors can be corrected prior to a rejection of the billing
Has the ability to diffuse and handle difficult situations by using good judgment, control of emotion and diplomacy
Demonstrates grammatically-correct verbal and written communication skills
Demonstrates efficient and courteous telephone skills
Demonstrates resilience, a positive attitude and the ability to work well in a fast paced, rapidly changing environment
Ability to work in a team setting and/or with minimal supervision

Nice To Haves

Experience with Allscripts software system
Experience with ICD-10 CPT code or other medical codes
Experience in a physician’s office, clinic, hospital business office, billing office or related area dealing with the public in collection of data and funds
An understanding of third party payer benefits and the requirements and methods for reimbursement

Responsibilities

Greet patients, visitors, and others upon entry and assist them upon exit, processing accounts if required.
Set appointment times and call patients to confirm appointments in coordination with medical staff schedules.
Support clinical staff by pulling or preparing patient charts/records.
Gather and evaluate confidential patient information, including insurance or financial data, to determine patient responsibility and/or qualification for financial assistance.
Perform verification on insurance data and/or benefit enrollment.
Accurately maintain the patient database software system, ensuring data is true and correct.
Serve as a recipient for packages (with limitations) and accept deliveries (except those requiring personal signature).
Serve as a payment collection resource, including collecting co-payments and performing daily reconciliation/closing procedures.
Notify appropriate staff members of patient arrivals.
Answer the phone in a timely and efficient manner, identifying the Organization and greeting callers optimistically.
Transfer phone calls to the appropriate staff member.
Consistently ensure HIPAA regulations and other federal, state, and local laws and regulations are observed.
Adhere to all organizational policies and procedures, especially hazardous, health, and safety procedures.
Perform other duties as assigned.