About The Position

The Patient Reg Rep begins the revenue cycle process by collecting accurate demographic and financial information to support clean claims and timely reimbursement. The role provides customer service and administrative support to patients, families, visitors, OhioHealth Physicians, and associates, while maintaining confidentiality and following the policies and procedures of the assigned Patient Access area. The position may involve registration by phone, virtually, face to face, at the bedside, on nursing units, or at offsite locations. Depending on the care site, the role may also include visitor credentialing and wayfinding assistance.

Requirements

  • High school diploma or GED.
  • Excellent communication, organization, and customer service skills.
  • Basic computer skills.
  • One to two years of prior experience in a medical office setting.

Responsibilities

  • Accurately identify patients in the EMR system.
  • Collect and enter accurate patient demographic and financial information using standard work processes while maintaining confidentiality and providing customer service.
  • Provide customer service to patients, families, visitors, OhioHealth Physicians, and associates.
  • Perform registration functions in Patient Access areas and comply with procedures unique to each area.
  • Use critical thinking to make decisions, resolve issues, and escalate concerns when needed.
  • Use computer programs to enter and retrieve information.
  • Verify insurance eligibility through online systems, payer websites, or phone calls.
  • Secure and track insurance authorizations and processed BXC patients.
  • Transcribe ancillary orders and schedule outpatients.
  • Generate, print, and provide patient estimates using price estimator products.
  • Collect out-of-pocket expenses, past balances, and residual balances in support of individual and departmental goals.
  • Respond to questions about insurance residuals and self-pay accounts.
  • Use knowledge of CPT codes to select codes based on clinical descriptions.
  • Generate regulatory documents and obtain consent signatures.
  • Identify or determine patient out-of-network acceptance into the organization.
  • Review insurance information and discuss available financial aid, referrals, and financial counseling needs with patients.
  • Explain billing procedures and hospital policies, and provide relevant literature and documentation.
  • Scan required claim-submission documents into the patient medical record.
  • Escort or transport patients safely and efficiently.
  • Assist clinical staff with administrative duties as needed.
  • Assist with training new associates.
  • Oversee reception desks and lobbies, including cleanliness and order of work areas.
  • Register patients or obtain consents on nursing units.
  • Use a multi-line phone system and transfer callers to patient rooms or other locations.
  • Make reminder calls to patients.
  • Process offsite registrations, offsite paper registrations, and pre-registered paper accounts.
  • Maintain patient logs for statistical purposes.
  • Educate patients about MyChart, including activation.
  • When applicable to the care site, credential visitors and provide wayfinding assistance.
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