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

Memorial Health•Marysville, OH

33d•Onsite

About The Position

Performs registration for various areas including Urgent Care at City Gate MOB, Central Registration at Jerome MOB (1st and 2nd floors), and Central Registration at Urbana MOB (1st floor). Conducts interviews with patients to gather demographic, financial, and guarantor information, performs travel screenings, MyChart activation, and inputs data into the Hospital Information System (HIS). Contributes to financial effectiveness by obtaining and/or reviewing insurance cards and photo identification. Identifies veteran status and inquires about billing the Department of Veteran Affairs, ensuring proper authorization for scheduled services. Identifies accident-related encounters and corrects claim details. Secures patient signatures on required forms such as consent to treat, financial policy, patient rights and responsibilities, HIPAA notice of privacy practices, Provider Based Billing Acknowledgement, Notice of Non-Coverage, and notice of non-discrimination. Provides necessary forms like Animal Bite Forms and First Report of Injury (FROI). Completes verification of patient insurance plan eligibility and benefits, and verifies prior authorization/precertification for outpatient testing and procedures. Completes medical necessity verification for Medicare outpatient tests and services with LMRP/LCD in place, and presents Advanced Beneficiary Notice (ABN) if needed. Correctly identifies patients using three primary identifiers, avoids duplicate medical records, and reports them when discovered. Notifies clinical departments of patient arrivals and delays.

Requirements

Completion of High school diploma or equivalent
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
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)

Responsibilities

Performs registration for Urgent Care at City Gate MOB, Central Registration at Jerome MOB (1st and 2nd floors), and Central Registration at Urbana MOB (1st floor).
Conducts interviews with patients to gather demographic, financial, and guarantor information, performs travel screenings, and MyChart activation.
Inputs patient information into the Hospital Information System (HIS) during interviews.
Obtains and/or reviews insurance cards and patient photo identification.
Identifies patient's veteran status and documents it in demographics.
Inquires with patients about their intention to bill the Department of Veteran Affairs and ensures proper VA authorization for scheduled services.
Identifies accident-related encounters and corrects claim details.
Secures patient signatures on required forms including consent to treat, financial policy, patient rights and responsibilities, HIPAA notice of privacy practices, Provider Based Billing Acknowledgement, Notice of Non-Coverage, and notice of non-discrimination.
Provides appropriate forms to patients such as Animal Bite Forms and First Report of Injury (FROI).
Completes verification of patient insurance plan eligibility and benefits.
Verifies that prior authorization/precertification is secured for required outpatient testing and procedures.
Completes medical necessity verification for Medicare outpatient tests and services with LMRP/LCD in place and presents an Advanced Beneficiary Notice (ABN) if needed.
Correctly identifies patients using verification of three primary identifiers.
Avoids duplicate medical records (DMR) creation and reports duplicate MRNs when discovered.
Notifies clinical departments of patient arrivals and delays.