Patient Representative | Part-Time | City Gate Urgent Care | Every 3rd Weekend Rotation

Memorial Health Ohio•Paris Township, OH

34d•Onsite

About The Position

We are looking for a Patient Representative to join our collaborative team at Memorial Health! This role involves performing patient registration, gathering demographic and financial information, verifying insurance, and ensuring all necessary forms and documentation are completed accurately. The Patient Representative will also identify accident-related encounters, verify insurance eligibility and benefits, and complete medical necessity verification when required. Additionally, they will ensure correct patient identification, avoid duplicate medical records, and notify clinical departments of patient arrivals and delays.

Requirements

Completion of High school diploma or equivalent.
Attains American Heart Association’s BLS certification within first sixty (60) days of employment, maintains continuous certification.
Attends Behavioral Health De-escalation Training Class (within six months of hire).

Nice To Haves

Personal computer/data entry experience preferred.
Six months working in the healthcare environment preferred.
Experience with Microsoft Word, Excel and Outlook preferred.
Strong telephone and interpersonal communication skills.
Teambuilding skills.
Knowledge of medical terminology and medical insurance preferred.
Excellent customer service skills.

Responsibilities

Performs registration for City Gate MOB (Urgent Care), Jerome MOB (Central Registration 1st and 2nd floors, Urgent Care), and Urbana MOB (Central Registration 1st floor, Urgent Care).
Conducts interviews with patients (telephone/in-person) to gather demographic, financial, and guarantor information, travel screenings, and MyChart activation, inputting data into the Hospital Information System (HIS).
Obtains and/or reviews scanned Medicare, Medicaid, and third-party insurance cards along with patient or patient representative photo identification.
Identifies patient’s veteran status and documents in demographics, inquiring about intent to bill the Department of Veteran Affairs and notifying the pre-cert specialist or ensuring VA authorization is on file.
Identifies accident-related encounters and corrects claim, guarantor, and coverage details.
Secures patient or patient representative signatures on required forms (consent to treat, financial policy, patient rights and responsibilities, HIPAA notice of privacy practices, Provider Based Billing Acknowledgement, Notice of Non-Coverage, notice of non-discrimination).
Provides appropriate forms to patients (e.g., Animal Bite Forms, First Report of Injury).
Completes verification of patient insurance plan eligibility and benefits using the Hospital-based eligibility system and/or web-based technologies.
Verifies prior authorization/precertification for required outpatient testing and procedures, documenting in the EMR.
Completes medical necessity verification for Medicare outpatient tests and services with LMRP/LCD, requesting additional information from physician offices if needed, and presenting an Advanced Beneficiary Notice (ABN) if necessary.
Correctly identifies patients using three primary identifiers, avoids duplicate medical records (DMR) creation, and reports duplicate MRNs.
Notifies clinical departments of patient arrivals and delays.