Precertification Coord Lead

The Ohio State University Wexner Medical Center; Columbus (OH); Sur place; USD 42 000 - 64 000; Plein temps

Résumé du poste

The Ohio State University Wexner Medical Center in Columbus, OH seeks a Patient Access Coordinator Lead to guide scheduling, pre-registration, and insurance verification processes. You will ensure accurate demographic and insurance data, support physicians and patients, and resolve a range of inquiries in a single coordinated interaction.

You will use EMR and scheduling systems, along with eligibility and document management tools, to educate staff and uphold department standards.

Qualifications

• High School Diploma or GED is required.
• Minimum 6 months experience in customer service or a healthcare environment.
• Certification or vocational training may be required.
• 4 years of relevant experience required; 6+ years preferred.
• Associate degree in a relevant field may be preferred.

Responsabilités

• Provide accurate information about products, services, and procedures to staff and patients.
• Schedule return visits and other appointments as assigned.
• Ensure accurate collection of appointment, demographic, and insurance data.
• Support physicians and patients by coordinating their requests in one transaction.
• Solve routine and complex customer problems and direct questions as needed.
• Communicate with clinical staff and department personnel to meet needs.
• Create a positive first impression and maintain professionalism.
• Utilize EMR, scheduling/registration systems, ABN, eligibility, and document management tools.
• Provide orientation for new staff and interns and educate on standards and policies.

Connaissances

Customer service

Healthcare environment

Communication

PC skills

Scheduling systems

Formation

High School Diploma or GED

Associate degree (preferred)

Outils

EMR systems

Scheduling software

Eligibility systems

Document management

Description du poste

Scope of Position

The Revenue Cycle for The Ohio State University Wexner Medical Center is responsible for providing excellent customer service while processing patient demographic and insurance information efficiently and accurately. Areas within the Revenue Cycle include pre-registration, registration, pre-certification, financial clearance and counseling, financial assistance, scheduling, billing, claims follow-up, customer service and cash collection. The primary responsibility of staff with the Revenue Cycle is to ensure the collection of net revenue for services rendered.

Position Summary

The Patient Access Coordinator Lead is an expert in product, process or service line area (physician appointment scheduling, OR/admission, full service scheduling; pre-registration and registration; insurance verification, and patient liability determination and communication). This position is responsible for providing consumers (clinical staff and patients) with accurate, up-to-date information regarding products, services and general procedures. Schedule return appointments and/or other appointments as assigned. Assures accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information. Provides support to physicians and consumer by coordinating their requests and satisfying their needs in one transaction. Solves routine and complex customer problems and knows where to direct customers to address specific questions. Communicates regularly with clinical staff, medical secretaries and staff within the product/service line to ensure customer and department staff needs are met. Always creates a positive first impression. Must be able to use a variety of software packages which include the Electronic Medical record, scheduling and registration systems, ABN, eligibility, document management software, and etc. Provide orientation for all new staff and student interns. Educate department standards, policies, and procedures and provide feedback as necessary.

Minimum Qualifications

For Hire

Required

• Per CCS Class Specs: High School Diploma or GED.
• PC Knowledge and interpersonal, verbal, and written communication.
• Minimum 6 months experience in customer service or a healthcare environment.
• Certification or vocational training may be required.
• 4 years of relevant experience required.
• 6 or more years of relevant experience preferred.

Preferred

• Associate degree in relevant field may be preferred.
• 6 or more years of relevant experience preferred.

At least 2 years experience in a healthcare setting, existing revenue cycle department or customer service role. Experience with Windows, Excel, and Intranet/internet navigation tools as well as system content. Medical terminology, coding and third party reimbursement experience. Ability to work in multiple systems for assigned tasks, management and reporting. Strong problem-solving and presentation skills. High level of customer service skills. Able to prioritize and coordinate multiple tasks in a busy environment.

Ongoing requirements

Demonstrates competency in daily functions, interpersonal and cognitive skills required to meet essential job functions. Maintains knowledge related to product/service line, quality improvement, cost reduction, current registration and billing policy and procedures as well as scheduling policies and procedures. Must maintain proficiency in utilizing all applicable systems. Must meet mandatory educational and health requirements, as well as ongoing scheduling and registration competencies. Attend Health System and Departmental In-services, education forums, and meetings as required.

The university is an equal opportunity employer, including veterans and disability.

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

Thank you for your interest in working at Ohio State.