Precertification Coord Lead

Ohio State University; Columbus (OH); Sur place; USD 45 000 - 65 000; Plein temps

Avantages offerts par ce poste

Medical, dental and vision coverage

Paid time off

State retirement plan

Résumé du poste

The Ohio State University Wexner Medical Center is seeking a PrecetLead in Patient Access to lead pre-certification and related scheduling within the Revenue Cycle. You will expertly coordinate patient access activities, ensure accurate insurance and demographic data, and support clinicians by processing complex requests efficiently.

The role involves educating staff on department standards, providing information on services, and coordinating multiple systems to resolve issues in real time.

Qualifications

• High School Diploma or GED required.
• PC knowledge and interpersonal, verbal and written communication.
• Minimum 6 months experience in customer service or a healthcare environment.
• 4 years of relevant experience required.
• 6+ years of relevant experience preferred.
• Associate degree in a relevant field may be preferred.
• At least 2 years experience in a healthcare setting or revenue cycle role.
• Experience with Windows, Excel, and intranet/internet navigation tools.
• Medical terminology, coding and third party reimbursement experience.
• Ability to work in multiple systems for tasks, management and reporting.
• Must meet mandatory educational and health requirements and scheduling competencies.

Responsabilités

• Provide accurate information regarding products, services and procedures.
• Schedule return or other appointments as assigned.
• Ensure accurate demographic and insurance information for clinical and financial needs.
• Coordinate requests for physicians and consumers in one transaction.
• Provide orientation for new staff and interns; educate on standards and policies.

Connaissances

Customer service

Communication

Problem solving

Multi-tasking

Verbal/written

Formation

High School Diploma or GED

Associate degree preferred

Outils

EMR systems

Scheduling software

Document management software

ABN

Eligibility tools

Description du poste

Job Title: Precertification Coord Lead Department: Health System Shared Services | Precert 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.

Additional Information

Location: Ackerman Rd, 660 (0242) Position Type: Regular Scheduled Hours: 40 Shift: First Shift

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 positions at The Ohio State University and Wexner Medical Center.

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

Ohio State benefits give you options to take care of what matters most to you — and opportunities to make adjustments as your life and needs change, including:

• Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
• Paid time off, including sick and vacation time and 11 holidays.
• State retirement plan or an alternative retirement plan, both with generous employer contributions.

As Buckeyes, we accomplish more together. No matter your role, you'll be part of creating what people need now: pathways to education, research and health care. Working at Ohio State means you're part of a team with a strong sense of community and an unwavering commitment to excellence — and, of course, incomparable Buckeye spirit. We bring out the best in people, help each other succeed and learn together. By joining Ohio State, you become part of a top-20 public university with one of America's leading academic health centers. We're a team of dedicated colleagues with access boundless resources that support you.