Financial Clearance Representative L1 (PreReg)

Ohio State University Physicians; Columbus (OH); On-site; USD 22,000 - 34,000; Full time

Job summary

Ohio State University Physicians seeks a Patient Access/Billing Specialist to join our team in Columbus. This role focuses on collecting coverage information, verifying eligibility, and guiding patients through the financial aspects of care.

As part of a large, collaborative health system, you will use EPIC and MS Office to support accurate patient records, minimize duplicates, and ensure a seamless patient experience while upholding HIPAA compliance.

Qualifications

• High school diploma or GED with 1+ year experience in insurance/healthcare.
• Excellent customer service and strong communication skills.
• Ability to work in a fast-paced environment.
• Strong interpersonal skills and confidentiality.
• Experience with PC applications including MS Office and Internet.
• Willingness to meet employer training requirements.

Responsibilities

• Collect coverage information from patients or designees.
• Use health IT systems and phone tech to ensure accessible service.
• Search EPIC to locate patient records and reduce duplicates.
• Assess financial ability and refer to counseling when appropriate.
• Send eligibility requests to payors to verify coverage.
• Maintain relationships with medical staff and physicians.
• Provide financial liability education and collect copayments/deposits.
• Escalate system/workflow issues.

Skills

Customer service

Communication

Interpersonal skills

Attention to detail

Professionalism

Problem escalation

Education

High school diploma or GED

Tools

MS Office

Internet

EPIC

Job description

Overview

Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion?

Who we are

With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part.As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth.

Our culture

At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community.

Our benefits

We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that’s why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee, you will be eligible for these various benefits depending on your employment status.

Responsibilities

• Contacts patients or their designees to collect accurate coverage information.
• Uses integrated health information systems and telephone technology with customer service skills to facilitate customer interactions such that the customer experiences the Medical Center and its entities as an accessible, coordinated, and seamless entity.
• Performs an accurate search for patient in EPIC data base, thus, reducing the number of duplicate patient records. Assesses the patient’s financial ability to pay for services, referring patients to financial counseling staff when appropriate.
• Sends eligibility requests to all payors to verify accurate and current coverage.
• Interacts and maintains excellent working relationships with medical staff, referring physicians, and their designees.
• Displays the highest level of customer service, attentiveness, and consideration possible in all cases, keeping within the standard set by the Office of Compliance and HIPAA in reference to confidentiality.
• Alerts management of problems with systems and workflow.
• Creates estimates, provides patients with financial liability education, and collects copayments and deposits as necessary.
• Other duties as assigned.

Qualifications

• High school diploma/GED with 1+ years of experience in insurance, healthcare, or related field.
• Excellent customer service skills coupled with enthusiasm and compassion along with the ability to work in a fast paced environment.
• Exceptional verbal and written communication skills.
• High level of interpersonal skills to handle sensitive, confidential situations and establish effective working relationships with patients, physicians, team members, and others throughout the organization.
• Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with physicians, co-workers and supervisors, and politeness to customers, vendors, and patients.
• Ability to escalate issues if necessary.
• Experience with PC applications including MS Office and Internet.
• Ability to maintain employer training requirements.

Pay Range

USD $16.59 - USD $24.89 /Hr.