About The Position

This position begins the Revenue Cycle process by collecting accurate demographic and financial information to produce clean claims and support timely reimbursement. It provides customer service and administrative support during interactions with patients, families, visitors, OhioHealth Physicians, and associates. The role performs registration functions across Patient Access areas and may work by phone, virtually, face to face, or at bedside, depending on the task and care site. The representative identifies patients in the EMR; gathers and enters demographic and financial information; verifies insurance eligibility; secures and tracks authorizations; schedules outpatients; generates estimates; collects out-of-pocket expenses and balances; and explains insurance, billing, financial aid, and hospital processes. Other duties include preparing regulatory documents and consent forms, scanning records, transcribing ancillary orders, supporting clinical staff, maintaining patient logs, and assisting with patient transport. Depending on the care site, the position may also handle visitor credentialing and wayfinding. The role requires attention to safety, quality, efficiency, confidentiality, and the policies specific to each access area.

Requirements

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

Responsibilities

  • Accurately identify patients in the EMR system.
  • Obtain 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 any Patient Access area.
  • Use critical thinking to make decisions, resolve issues, and escalate concerns when necessary.
  • Use computer programs to enter and retrieve information.
  • Verify insurance eligibility using online eligibility 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 patients’ out-of-pocket expenses, past balances, and residual balances from previous visits to meet individual and departmental goals.
  • Answer questions or concerns about insurance residuals and self-pay accounts.
  • Use knowledge of CPT codes to select codes from 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 with patients.
  • Explain billing procedures and hospital policies, and provide appropriate literature and documentation.
  • Scan documents required for claim submission into the patient’s medical record.
  • Escort or transport patients safely and efficiently between destinations.
  • Assist clinical staff with administrative duties as needed.
  • Comply with policies and procedures specific to each access area.
  • Assist with training new associates.
  • Oversee reception desks and lobbies, including cleanliness and order of the lobbies and surrounding work areas.
  • Go to nursing units to register patients or obtain consents.
  • 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 preregistered paper accounts.
  • Maintain patient logs for statistical purposes.
  • Review insurance information and determine the need for referrals or financial counseling.
  • Educate patients on MyChart, including activation.
  • Depending on the care site, credential visitors and provide wayfinding assistance.
  • Perform duties with a focus on safety, quality, and efficiency.
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