Ambulatory Patient Access Representative - Lewis Center CTH
Patient access representative job at Nationwide Children's Hospital
Fulltime role, benefits eligible
Mon-Fri, hours range 8am-6pm
Greets and registers patients. Answers telephone calls, schedules appointments, and pulls and files medical charts when indicated.
Job Description:
Essential Functions:
Provides excellent customer service to patients and families by applying best practices and standard operating procedures.
Interviews and registers patients in registration areas that report up through Patient Access.
Obtains accurate demographic, insurance, and physician information on registrations.
Screens customer data to ensure patient is eligible for insurance indicated. Communicates differences to the customer.
Screens registrations to ensure insurance pre-certification and physician referral requirements are met. Instructs customer on requirements.
Assists in identifying self-pay patients and referring them to financial assistance when applicable. Instructs customer on requirements.
Establishes and maintains open communication with the all departments that Patient Access interacts with and clinical staff in those areas.
Assists in the shadowing/precepting of new employees.
Education Requirement:
High School Diploma or equivalent, required.
Associate's Degree, preferred.
Licensure Requirement:
(not specified)
Certifications:
CPR certification (based on position and as determined by manager).
Skills:
Demonstrated computer skills with the ability to navigate most current technology systems.
Strong administrative skills.
Experience:
One year of health care experience, preferred.
Physical Requirements:
OCCASIONALLY: Blood and/or Bodily Fluids, Driving motor vehicles (work required) *additional testing may be required, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Loud Noises, Pushing / Pulling: 26-40 lbs, Pushing / Pulling: 41-60 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Bend/twist, Biohazard waste, Patient Equipment
CONTINUOUSLY: Audible speech, Chemicals/Medications, Color vision, Communicable Diseases and/or Pathogens, Computer skills, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Pushing / Pulling: 0-25 lbs, Repetitive hand/arm use, Seeing - Far/near, Sitting, Standing, Walking
Additional Physical Requirements performed but not listed above:
Able to multi-task within in a stressful environment.
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Auto-ApplyCoord Patient Services - Sylvania Primary Care Center
Patient access representative job at Nationwide Children's Hospital
Fulltime, benefits eligible role
Mon to Fri
Alternating shifts: 7:15am - 3:45pm and 8:30am - 5:00pm
Provides clerical and environmental support to clinical staff and patients, enhancing ambulatory clinic flow.
Job Description:
Essential Functions:
Prepares and maintains patient electronic medical records, collecting patient information and documentation.
Answers phone calls, schedules appointments and maintains patient records.
Maintains cleanliness and orderliness of the clinic, including exam rooms and waiting areas.
Stocks and orders medical and office supplies as needed.
Follows all safety and infection control protocols to ensure a safe and healthy environment for patients and staff.
Education Requirement:
Successful completion of an approved unit coordinator or clerk course, or equivalent experience, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
Excellent communication and customer service skills.
Excellent computer skills.
Demonstrated traits of teamwork, cooperation, and a positive attitude.
Ability to multitask and prioritize.
Experience:
Previous health care experience, preferred.
Physical Requirements:
OCCASIONALLY: Blood and/or Bodily Fluids, Chemicals/Medications, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Lifting / Carrying: 21-40 lbs, Lifting / Carrying: 41-60 lbs, Machinery, Patient Equipment, Pushing / Pulling: 0-25 lbs
FREQUENTLY: Bend/twist, Flexing/extending of neck, Interpreting Data, Reaching above shoulder, Repetitive hand/arm use, Seeing - Far/near, Squat/kneel, Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Peripheral vision, Problem solving, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Auto-ApplyPatient Service Representative (Remote)
Boston, MA jobs
is permanently remote. Qualified candidates must provide a stable internet connection and have a quiet and secure space that is free from interruptions to work from home The Patient Services Rep is responsible for handling inbound and outbound communications for up to 6 BMC ambulatory practices. The Patient Services Rep will handle patient inquiries, scheduling/rescheduling appointments, following-up with patients resolving patient questions/concerns regarding medication reconciliation and refills, and insurance verification and authorization management. They will document and relay patient information to the Practices as required by the Practice's Guidelines.
Position: Patient Service Representative (Remote)
Department: Ambulatory Call Center
Schedule: Full Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
Essential Responsibilities:
* The Patient Services Rep communicates with patients and staff using multiple advanced communication tools, including phone calls, online chats, emails, faxes or mail.
* Answers and resolves patient inquires, in a professional, empathetic and patient-centered way, through the use of effective listening, written and verbal communication skills.
* Utilizes established Practice guidelines to ensure patients issues are addressed in a timely manner and when necessary, transfers the call to the appropriate person at the Practice for additional consultation.
* Uses a computerized scheduling system to schedule/reschedules appointments determining the right amount of time required for each patient appointment.
* Provides accurate and detailed information and updates patients' records, using Epic
* Provides detailed confirmation to the patient detailing where and when the appointment is, providing directions as needed, providing applicable and language specific home instructions as well as instructions for any required labs or imaging.
* Identifies opportunities to improve the work processes and environment, and changes in Practice protocols; remains current on new developments in health care.
* Escalates appropriately any issues that fall outside of an existing protocol or process to meet the needs of the patient
* Attends scheduled training sessions for phone support, customer service, systems upgrades, newly acquired clinical systems, additional practices or other relevant training sessions, as directed by manager.
* Assists in the training/orientation of new personnel under the direction of a manager and/or supervisor.
* Participates in staff meetings/is expected to identify process issues that are obstacles to providing a positive patient experience.
General Duties and Standards
* Adapts to changes in the departmental needs including but not limited to: offering assistance to other team members, floating, adjusting assignments, etc.
* Conforms to hospital standards of performance and conduct, including those pertaining to patient rights and HIPAA and privacy rules, so that the best possible customer service and patient care may be provided.
* Utilizes hospital's behavioral standards as the basis for decision making and to support the department and the hospital's mission and goals.
* Follows established hospital infection control and safety procedures.
* Other duties as needed.
JOB REQUIREMENTS
EDUCATION:
* A minimum of a High School diploma/GED is required.
KNOWLEDGE AND SKILLS:
* Ability to explain complicated healthcare issues to patients with empathy and concern
* Ability to empathize with and coach the patient in navigating the healthcare system
* Effective interpersonal skills to with a diverse group of professional and personalities in a team environment
* Excellent English communication skills (oral and written) with the ability to communicate effectively with patients over the phone and in email and other communications
* Must be comfortable using multiple advanced communication tools, including phone calls, online chats, emails, faxes or mail.
* Strong computer skills and knowledge of Microsoft Office applications (Internet Explorer, MS Word, Excel & Outlook)
* Ability to document work in a professional and efficient manner
Compensation Range:
$20.08- $22.61
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or "apps" job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
Auto-Apply
*To be considered for this position, candidates must live within driving distance to our main hospital campus in Cincinnati*
Hours: M-F 7am-5:30pm. Remote work will only be allowed after at least 12 weeks of on-site training is completed and pending supervisor(s) approval.
JOB RESPONSIBILITIES
Customer Service - Provides assistance and services to patients, families, staff and external agencies in the accurate completion of patient registration, admission and scheduling. Investigates and resolves customer requests, questions or problems according to CCHMC policies and procedures. Contacts outside representatives to request information or assistance in resolving problems.
Revenue Cycle Support - Supports the Revenue Cycle, Health Information Management, and Regulatory by ensuring that the necessary data, information and forms are obtained and accurately entered into the appropriate system. Talks to management to explain system errors or to recommend changes to the system.
Compliance - Completes and authenticates all documents and questionnaires that ensure compliance with regulatory agencies (JCAHO, CMS, ODH).
Safety - Ensures patient safety by identifying the correct patient. identifying special needs, and preparing isolation precautions for patients who have Infectious Disease indicators.
HIPAA/Confidentiality - Maintains confidentiality, protects and safeguards patient/family personal medical and financial information at all times during collection, use and storage. Access only information and records necessary to perform the responsibilities of the position.
MINIMUM JOB QUALIFICATIONS
High school diploma or equivalent.
2+ years of work experience in a related job discipline.
PREFERRED QUALIFICATIONS
Experience with Epic (scheduling)
High attention to detail and strong organizational skills
Ability to handle multiple tasks/requests simultaneously and prioritize based on urgency.
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
CBDI Support
Employee Status
Regular
FTE
1
Weekly Hours
40
*Expected Starting Pay Range
*Annualized pay may vary based on FTE status
$18.16 - $22.25
Market Leading Benefits Including*:
Medical coverage starting day one of employment. View employee benefits here.
Competitive retirement plans
Tuition reimbursement for continuing education
Expansive employee discount programs through our many community partners
Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
Physical and mental health wellness programs
Relocation assistance available for qualified positions
*
Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
One of the nation's America's Most Innovative Companies as noted by Fortune
Consistently certified as great place to work
A Leading Disability Employer as noted by the National Organization on Disability
Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Auto-ApplyOutpatient Financial Counselor Quincy - 24 Hours M-W 8:30AM-5P U
Remote
Under the general direction of PFC Manager, the Quincy Outpatient Financial Counselor (OPFC) has a dual role to help vulnerable BMC patients to access healthcare coverage and to preserve and protect BMC revenue by securing payors to reduce uncompensated care. The Quincy OPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for financial assistance programs and secure healthcare coverage. As a Certified Application Counselor, the Quincy OPFC will respond to call center inquires and manage self-pay patient work ques to identify and contact patients in need of financial counseling services. The Quincy OPFC will engage patients, by phone and/or in writing, to screen for eligibility and provide enrollment assistance to secure insurance coverage through MassHealth, Out of State Medicaid, HSN, or BMC's Charity Care Program. The Quincy OPFC is responsible for initiating new applications and assisting with program renewals; for educating patients about health insurance options and eligibility requirements; and for updating patient demographic information, opening financial trackers, and documenting all efforts made to assist patients in applying for insurance coverage. The Quincy OPFC will embody BMC's mission, vision, and values and follow policy and procedure regarding BMC's billing and collection practices and the Certified Application Counselor Designation Agreement between BMC and MassHealth.
Position: Outpatient Financial Counselor Quincy
Department: Financial Counseling
Schedule: Part Time, 24 Hours M-W 8:30AM-5P U
ESSENTIAL RESPONSIBILITIES / DUTIES:
Demonstrates respectful personal conduct and utilizes AIDET when engaging patients and visitors.
Completes MassHealth's curriculum for Certified Application Counselor and renews certification annually.
Provides information about the full range of medical and dental insurance programs available through the Health Insurance Exchange (HIX).
Interviews patients, in a language and manner best understood, to determine eligibility and communicate enrollment options and plan benefits for which patients qualify. Answers questions about Qualified Health Plans (QHP) and Qualified Dental Plans (QDP). Explains subsidized Qualified Health Plans available through premium tax credits or informs patients of expected out-of-pocket expenses, co-pays, and deductibles when applicable.
Utilizes protected software programs to determine patient eligibility for MassHealth, Health Safety Net, ConnectorCare, and other insurance carriers and assists with enrollment process.
Initiates communication with patients, by phone, mail, or email, , to initiate new applications or plan renewals for health insurance coverage. Informs patients of important deadlines, effective dates for coverage, and required documentation to determine eligibility.
Scans MassHealth applications and supporting verification documents into HIX and patients' Epic record.
Documents in Epic the status of all applications initiated by adding a financial tracker and recording actions taken and follow-up efforts required to complete and submit for processing.
As requested, assists patients with enrolling in an ACO or changing selection of ACO, to ensure continued access to covered services.
Provides voter registration information and registration assistance as needed; completes appropriate patient declination form for applicants as requested.
Validates and updates active insurance coverage in the hospital registration and billing system on accounts with covered dates of service.
Assists patients with billing questions or concerns. For patients deemed ineligible for financial assistance programs, provides information regarding self-pay discount and payment plan options.
Collects and posts payments for balances related to self-pay, Ad-Hoc, and Flat Fee contracts in accordance with BMC policy and procedure for collection practices.
Interacts with numerous departments to resolve insurance and billing questions e.g., Customer Service, Pharmacy, Social Service, Case Management, Patient Accounts ,Clinic Staff, Unit Nursing staff, professional billing etc.
Provides pricing estimates for elective services, as requested, if patient is uninsured or if services are uncovered by payor.
Understands and adheres to rules established by the BMC Credit and Collection Policy.
Assists patients with confidential applications for protected services, adding account notes to notify others of the patient's protected status.
Assists patients with medical hardship and confidential applications, obtaining and submitting verification documents and applicable medical bills required to apply and make a determination of eligibility.
Responds to telephone calls in a courteous manner. Responds promptly to all inquiries from staff, patients, and general public. As needed, refers callers to other departments or resources deemed appropriate for resolution.
Presents and interacts respectfully and professionally with BMC patients, visitors, and other team members; works cooperatively and respectfully with other departments and disciplines across the organization.
Maintains daily written reports of work activity to document patient enrollments and outcomes; patient complaints and resolutions; patient declinations, etc.
Demonstrates superior customer service standards.
Participates in regular staff meetings and scheduled trainings to maintain required core competencies.
Serves as a resource and subject matter expert regarding financial assistance programs. Provides education and advisement on health insurance options and enrollment requirements for other hospital departments, community health centers, community leaders and other personnel as needed.
Under the direction of PFC Manager, assists with the orientation, including shadowing of new staff as assigned.
Validates and/or updates demographic and income information in HIX portal for “known” patients with prior history of program eligibility.
Validates patients' active insurance coverage and updates current plans in Epic.
Collects and posts payments on accounts with outstanding balances. Maintains and closes Epic Cash Drawer and documents transactions in patients' financial trackers.
Schedules tasks for Financial Counseling Enrollment Coordinators, (FCECs) to conduct patient follow-up on pending applications to ensure that required documents are obtained and applications are completed and submitted timely to secure retroactive coverage.
Protects patient and family confidentiality.
Performs other duties and tasks as assigned.
JOB REQUIREMENTS
EDUCATION:
High School diploma with 3-5 years of strong customer service experience in healthcare or human services setting required; Bachelor's degree strongly preferred. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Must complete MassHealth's curriculum for Certified Application Counselor, (CAC) and maintain certification renewal annually. Individual must complete training and obtain CAC certification within 45 days of hire date.
EXPERIENCE:
Work experience to include 2-3 years of strong customer service experience, preferably in a healthcare or human services setting; Bachelor's degree strongly preferred. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.
KNOWLEDGE AND SKILLS:
Demonstrates professionalism, maturity, and confidence needed to work effectively in a diverse, multi-cultural, and decentralized environment.
Displays strong, consistent communication skills, (oral and written), interpersonal skill, and record keeping skills.
Demonstrates knowledge and understanding of eligibility criteria and application process for programs offered through MassHealth, Health Safety Net, ConnectorCare, and BMC's Charity Care Program.
Displays strong organizational skills with ability to manage multiple tasks simultaneously; prioritize work assignments appropriately; and complete follow up task timely.
Demonstrates strong work ethic and ability to meet performance goals for productivity and outcomes with minimal direct supervision.
Demonstrates critical thinking and sound judgment in addressing and resolving barriers, issues, or concerns identified.
Requires strong technical computer skills and proficiency in utilizing Epic and external database systems to research cases and successfully assist patients in securing active coverage.
Displays exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
Auto-ApplyPatient Services Rep/Phlebotomist PT (MAKO IN)
Columbus, OH jobs
Job Accountabilities (Responsibilities)
Collect specimens according to established procedures. This includes, but not limited to: drug screens, blood samples, processing pathology and cytology samples.
Research test/client information and confirm and verify all written and electronic orders by utilizing lab technology systems or directory of services.
Responsible for completing all data entry requirements accurately including data entry of patient registration; entry of test order from requisition
Enter billing information and collect payments when required, including the safeguarding of assets and credit card information.
Data entry and processing specimens including: labeling, centrifuging, splitting, and freezing specimens as required by test order.
Work iLabs for assigned accounts daily to ensure accurate data is provided for billing purposes.
Provide necessary CIR and PPE Resolution reporting to Director as required and scheduled
Perform departmental-related clerical duties when assigned such as data entry, inventory, stock supplies, and answer phones when needed.
Read, understand and comply with departmental policies, protocols and procedures: (i.e. Procedure Manuals, Safety Manual, Compliance Manual, Automobile Policies and Procedures, Employee Handbook, Quality Assurance Manual); and ensure that all staff members follow instructions.
Perform verification of patient demographic info / initials including patient signature post-venipuncture to verify tubes were labeled in their presence and that the name on the label is correct.
Assist with compilation and submission of monthly statistics and data.
Maintain all appropriate phlebotomy logs in a timely manner and based on frequency, such as maintenance logs and temperature logs.
Complete training courses and keep up-to-date with the latest phlebotomy techniques.
Travel to Territory Manager meeting if held off-site or off normal shift.
Participate on special projects and teams.
Stay up-to-date on company communications.
Job Requirements
Ability to provide quality, error free work in a fast-paced environment.
Ability to work independently with minimal on-site supervision.
Excellent phlebotomy skills to include pediatric and geriatric.
Flexible and available based on staffing needs, which includes weekends, holidays, on-call and overtime.
Committed to all MAKO policies and procedures including company dress code, Employee Health & Safety, and MAKO Everyday Excellence Guiding Principles.
Must have reliable transportation, valid driver license, and clean driving record, if applicable.
Must demonstrate superior customer focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change throughout MAKO; and knowledge of our business.
Physical Requirements
Lift light to moderately heavy objects. The normal performance of duties may require lifting and carrying objects. Objects in the weight range of 1 to 15 pounds are lifted and carried frequently; objects in the weight range of 16 to 25 pounds are lifted and carried occasionally and objects in the weight range of 26 to 40 pounds are seldom lifted and carried. Objects exceeding 41 pounds are not to be lifted or carried without assistance.
Must be able to sit or stand for long periods of time; requires long hours of eye and hand coordination.
Must be able to perform repetitive tasks with dominant hand frequently to constantly throughout the day.
Position requires travel.
Extensive use of phone and PC.
Fine dexterity with hands/steadiness.
Bending/kneeling.
Pushing/pulling.
Reaching/twisting.
[All requirements are subject to possible modifications to reasonably accommodate individuals with disabilities. All duties and requirements are essential job functions.]
Required Education
High school diploma or equivalent.
Medical training: medical assistant or paramedic training preferred.
Phlebotomy certification preferred. Required in California, Nevada, and Washington.
Work Experience
One year phlebotomy experience preferred.
Customer service in a retail or service environment preferred.
Keyboard/data entry experience.
All requirements are subject to possible modifications to reasonably accommodate individuals with disabilities. MAKO is an Equal Opportunity Employer: Women / Minorities / Veterans / Disabled / Sexual Orientation / Gender Identity or Citizenship.
Patient Access Coordinator - Main Admitting and Reg - Part Time - Days
Cincinnati, OH jobs
Obtain and verify appropriate personal, demographic and financial information for the purposes of ensuring (1) Quality patient care through proper patient identification and (2) maximal reimbursement for all billable clinical services rendered. (3) Scanning the appropriate identification documents into OnBase. Obtain EMTALA notification signature. (4) Notify clinical staff when patients present with critical condition. (5) Once verified places appropriate insurance information on account.
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION: High School Diploma, Associates Degree preferred or equivalent combination education and experience.
YEARS OF EXPERIENCE: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. Must have/gain knowledge of the Hospital Medical Staff rules and infection control policies to be effective in this position.
REQUIRED SKILLS AND KNOWLEDGE: Analytical skills required to make decisions based on the facility and clinical situation at hand.
Computer Literacy - use of multiple systems
Epic, Passport, OnBase, Microsoft Office products and Midas.
Ability to use Internet Access and utilize third party payor systems for eligibility and verification.
Knowledge of health insurance coverage, requirements.
Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial. Ability to be flexible, organized and function well in stressful situations. Ability to interact Independently to resolve Customer Service issues.
Must understand medical terminology and acuity levels.
LICENSES & CERTIFICATIONS:
Annual Registration Competency Review with 95% or greater score obtained.
Yearly STAT testing completed.
Analytical Skills
Analyze patient accounts; evaluate financial data for establishment of current accounts and documents comments to reflect actions taken regarding accounts to maximize reimbursement. Maintain knowledge of current HMO/PPO/Medicaid/Medicare/commercial insurance regulations and requirements. Requires working knowledge of Insurance Plans the Christ Hospital participates in. Determines all insurance coverage's as primary, secondary, tertiary, etc. Completes required MSPQ questionnaires for all appropriate patients. Obtains and documents clinical referrals from other providers. Coordinates patients in need of financial assistance to pay for present and/or future services to appropriate Financial Counselor. Collects and deposits according to specified protocols, all required and mandatory insurance co-payments.
Initiates on-line verification of third party Insurance Carriers and Plan Administrators to verify patient benefits. Evaluates and prepares chart documentation to establish that Medical Necessity guidelines have been met. Prepares and completes documentation that establishes Medicare Compliance such as Medicare Secondary Payor Questionnaire and Advance Beneficiary Notice. Documents appropriate data in account doc and guarantor notes.
Clinical Skills
Processes Emergency and Obstetrics by notifying appropriate staff.
Answers and directs incoming calls from Physician's office staff, ancillary departments and other facilities. Answers inquiries concerning hospital policies.
Compliance Skills
Obtains signatures for the visit for all revenue cycle documentation.
Prepares charts, collected forms and photocopies (insurance cards) and documentation. Distribute, witness by signature and collect patient advanced directive forms/information; referring patients to appropriate personnel to address specific questions as indicated. Provides patients with information about their rights and responsibilities and all other duties as assigned.
Communication/Interpretation Skills
Interviews patients and obtains, verifies and enters into database complete and accurate demographic and financial information. Assesses and updates information as it relates to each encounter. Determines financial plan and coverage priority. (Data collected directly impacts financial and clinical systems,)
Must maintain facility established productivity standards and Patient Accounts Quality Guidelines (i.e. 100% accuracy of 95% of all registrations).
Must communicate effectively and meet or exceed established customer service goals.
Education and Leadership Skills
Provides education and training/mentoring for other staff members. Attends department meetings and reviews procedural & process changes per facility specific guidelines.
Auto-ApplyPATIENT ACCESS COORDINATOR IV
Cincinnati, OH jobs
Acts as resource person for staff on their shift and insures smooth operation of the area. Obtain and verify appropriate personal, demographic and financial information for the purposes of ensuring (1) Quality patient care through proper patient identification and (2) maximal reimbursement for all billable clinical services rendered. Performs all Department functions as needed. Delegate workflow duties per assignment indicated on Daily Placement.
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION: High School Diploma, Associates Degree preferred or equivalent combination education and experience.
YEARS OF EXPERIENCE: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. Must have/gain knowledge of the Hospital Medical Staff rules and infection control policies to be effective in this position.
REQUIRED SKILLS AND KNOWLEDGE: Analytical skills required to make decisions based on the facility and clinical situation at hand.
Computer Literacy - use of multiple systems
Epic, Passport, OnBase, Cisco, Microsoft Office products.
Ability to use Internet Access and utilize third party payor systems for eligibility and verification.
Knowledge of health insurance coverage, requirements.
Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial. Ability to be flexible, organized and function well in stressful situations. Ability to interact Independently to resolve Customer Service issues.
Typing (minimum of 35 words per minute or equivalent key strokes).
Must understand medical terminology and be able to determine bed placement based on condition and the contra indication of roommates/isolation needs. Coordinates placements of patients with RN Supervisor based on medical condition.
LICENSES & CERTIFICATIONS:
Annual Registration Competency Review with 95% or greater score obtained.
Yearly STAT testing completed.
Education and Leadership Skills
Provides education and training/mentoring for other staff members. Conducts and attends department meetings and reviews procedural & process changes per facility specific guidelines.
Assist and clear accounts for billing from WQ's established.
Ensures new associate orientation is completed.
Must present positive role model. Facilitates Performance Improvement processes. Responsible for staffing issues during on call coverage.
Interviews patients and obtains and verifies appropriate personal demographic and financial information for the purposes of ensuring: (1) quality patient care through proper patient identification and (2) maximal reimbursement for all billable clinical services rendered. Assesses and updates information as it relates to each encounter. Determines financial plan and coverage priority.
Analytical Skills
Analyze patient accounts; evaluate financial data for Establishment of current accounts and documents comments to reflect actions taken regarding accounts to maximize reimbursement Prioritize organizations participation in insurance contracts. Maintain knowledge of current HMO/PPO/Medicaid/Medicare/commercial insurance regulations and requirements. Requires working knowledge of Insurance Plans the Christ Hospital participates in. Determines all insurance coverage's as primary, secondary, tertiary, etc. Completes required MSPQ questionnaires for all appropriate patients. Obtains and documents clinical referrals from other providers. Coordinates Patients in need of financial assistance to pay for present and/or future services to appropriate Financial Counselor. Collects and deposits according to specified protocols, all required and mandatory insurance co-payments.
Initiates on-line verification of third party Insurance Carriers and Plan Administrators to verify patient benefits. Evaluates and prepares chart documentation to establish that Medical Necessity guidelines have been met. Prepares and completes documentation that establishes Medicare Compliance such as Medicare Secondary Payor Questionnaire and Advance Beneficiary Notice. Documents appropriate data in Account Doc and guarantor notes. Prepares daily census statistics, reconciles patient days and patient type changes.
Clinical Skills
Effectively facilitates room assignment for patients admitted for an inpatient, observation, or ambulatory stay who require recovery time utilizing established medical criteria for patient placement. Coordinates all internal and external transfers. Processes Emergency, Obstetrics, newborns and elective admissions as needed.
Answers and directs incoming calls, schedules from physicians, Physician's office staff, ancillary departments and other facilities. Answers inquiries concerning hospital policies, processes orders for patients placed in bed.
Compliance Skills
Determines organizations participation in insurance contracts. knowledge of current HMO/PPO/Medicaid/Medicare/Commercial Insurance regulations and requirements. Screens and completes all required documentation and prioritizes all insurance coverage's as primary, secondary, tertiary. Completes required MSPQ questionnaires for all appropriate patients. Obtains and Documents clinical referrals from other providers. Coordinates Patients in need of financial assistance to pay for present and/or future services to appropriate financial counselor. Collects and deposits according to specified protocols, all required and mandatory insurance co-payments. Documents appropriate data in Account Doc and guarantor notes.
Auditing work completed by registration to ensure compliance with Medicare and all third party payor guidelines, inclusive of JCAHO standards.
Obtains signatures for the visit including consent to receive all treatments, medications, test, transfusions, therapy and other procedures. Charts procedures in the respective patient medical record, all collected forms and photocopies (insurance cards) documentation. Distribute, witness by signature and collect patient advanced directive forms/information; referring patients to appropriate personnel to address specific questions as indicated. Provides patients with information about their rights and responsibilities and all other duties as assigned.
Must maintain facility established productivity and quantity standards per Department Quality Guidelines (i.e. 100% accuracy of 95% of all registrations).
Communication/Interpretation Skills
Demonstrates effective verbal and written communication skills.
Must meet guidelines of Customer Service skills.
Must follow appropriate communication guidelines between management and associates. Documentation and follow-up must be timely.
Adheres to confidentiality and HIPAA policies of the organization.
Auto-ApplyPatient Access Coordinator - Liberty Admitting and Reg - Full Time - Days
Ohio jobs
Obtain and verify appropriate personal, demographic and financial information for the purposes of ensuring (1) Quality patient care through proper patient identification and (2) maximal reimbursement for all billable clinical services rendered. (3) Scanning the appropriate identification documents into OnBase. Obtain EMTALA notification signature. (4) Notify clinical staff when patients present with critical condition. (5) Once verified places appropriate insurance information on account.
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION: High School Diploma, Associates Degree preferred or equivalent combination education and experience.
YEARS OF EXPERIENCE: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. Must have/gain knowledge of the Hospital Medical Staff rules and infection control policies to be effective in this position.
REQUIRED SKILLS AND KNOWLEDGE: Analytical skills required to make decisions based on the facility and clinical situation at hand.
Computer Literacy - use of multiple systems
Epic, Passport, OnBase, Microsoft Office products and Midas.
Ability to use Internet Access and utilize third party payor systems for eligibility and verification.
Knowledge of health insurance coverage, requirements.
Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial. Ability to be flexible, organized and function well in stressful situations. Ability to interact Independently to resolve Customer Service issues.
Must understand medical terminology and acuity levels.
LICENSES & CERTIFICATIONS:
Annual Registration Competency Review with 95% or greater score obtained.
Yearly STAT testing completed.
Analytical Skills
Analyze patient accounts; evaluate financial data for establishment of current accounts and documents comments to reflect actions taken regarding accounts to maximize reimbursement. Maintain knowledge of current HMO/PPO/Medicaid/Medicare/commercial insurance regulations and requirements. Requires working knowledge of Insurance Plans the Christ Hospital participates in. Determines all insurance coverage's as primary, secondary, tertiary, etc. Completes required MSPQ questionnaires for all appropriate patients. Obtains and documents clinical referrals from other providers. Coordinates patients in need of financial assistance to pay for present and/or future services to appropriate Financial Counselor. Collects and deposits according to specified protocols, all required and mandatory insurance co-payments.
Initiates on-line verification of third party Insurance Carriers and Plan Administrators to verify patient benefits. Evaluates and prepares chart documentation to establish that Medical Necessity guidelines have been met. Prepares and completes documentation that establishes Medicare Compliance such as Medicare Secondary Payor Questionnaire and Advance Beneficiary Notice. Documents appropriate data in account doc and guarantor notes.
Clinical Skills
Processes Emergency and Obstetrics by notifying appropriate staff.
Answers and directs incoming calls from Physician's office staff, ancillary departments and other facilities. Answers inquiries concerning hospital policies.
Compliance Skills
Obtains signatures for the visit for all revenue cycle documentation.
Prepares charts, collected forms and photocopies (insurance cards) and documentation. Distribute, witness by signature and collect patient advanced directive forms/information; referring patients to appropriate personnel to address specific questions as indicated. Provides patients with information about their rights and responsibilities and all other duties as assigned.
Communication/Interpretation Skills
Interviews patients and obtains, verifies and enters into database complete and accurate demographic and financial information. Assesses and updates information as it relates to each encounter. Determines financial plan and coverage priority. (Data collected directly impacts financial and clinical systems,)
Must maintain facility established productivity standards and Patient Accounts Quality Guidelines (i.e. 100% accuracy of 95% of all registrations).
Must communicate effectively and meet or exceed established customer service goals.
Education and Leadership Skills
Provides education and training/mentoring for other staff members. Attends department meetings and reviews procedural & process changes per facility specific guidelines.
Auto-ApplyPATIENT ACCESS COORDINATOR IV
Ohio jobs
Acts as resource person for staff on their shift and insures smooth operation of the area. Obtain and verify appropriate personal, demographic and financial information for the purposes of ensuring (1) Quality patient care through proper patient identification and (2) maximal reimbursement for all billable clinical services rendered. Performs all Department functions as needed. Delegate workflow duties per assignment indicated on Daily Placement.
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION: High School Diploma, Associates Degree preferred or equivalent combination education and experience.
YEARS OF EXPERIENCE: One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. Must have/gain knowledge of the Hospital Medical Staff rules and infection control policies to be effective in this position.
REQUIRED SKILLS AND KNOWLEDGE: Analytical skills required to make decisions based on the facility and clinical situation at hand.
Computer Literacy - use of multiple systems
Epic, Passport, OnBase, Cisco, Microsoft Office products.
Ability to use Internet Access and utilize third party payor systems for eligibility and verification.
Knowledge of health insurance coverage, requirements.
Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial. Ability to be flexible, organized and function well in stressful situations. Ability to interact Independently to resolve Customer Service issues.
Typing (minimum of 35 words per minute or equivalent key strokes).
Must understand medical terminology and be able to determine bed placement based on condition and the contra indication of roommates/isolation needs. Coordinates placements of patients with RN Supervisor based on medical condition.
LICENSES & CERTIFICATIONS:
Annual Registration Competency Review with 95% or greater score obtained.
Yearly STAT testing completed.
Education and Leadership Skills
Provides education and training/mentoring for other staff members. Conducts and attends department meetings and reviews procedural & process changes per facility specific guidelines.
Assist and clear accounts for billing from WQ's established.
Ensures new associate orientation is completed.
Must present positive role model. Facilitates Performance Improvement processes. Responsible for staffing issues during on call coverage.
Interviews patients and obtains and verifies appropriate personal demographic and financial information for the purposes of ensuring: (1) quality patient care through proper patient identification and (2) maximal reimbursement for all billable clinical services rendered. Assesses and updates information as it relates to each encounter. Determines financial plan and coverage priority.
Analytical Skills
Analyze patient accounts; evaluate financial data for Establishment of current accounts and documents comments to reflect actions taken regarding accounts to maximize reimbursement Prioritize organizations participation in insurance contracts. Maintain knowledge of current HMO/PPO/Medicaid/Medicare/commercial insurance regulations and requirements. Requires working knowledge of Insurance Plans the Christ Hospital participates in. Determines all insurance coverage's as primary, secondary, tertiary, etc. Completes required MSPQ questionnaires for all appropriate patients. Obtains and documents clinical referrals from other providers. Coordinates Patients in need of financial assistance to pay for present and/or future services to appropriate Financial Counselor. Collects and deposits according to specified protocols, all required and mandatory insurance co-payments.
Initiates on-line verification of third party Insurance Carriers and Plan Administrators to verify patient benefits. Evaluates and prepares chart documentation to establish that Medical Necessity guidelines have been met. Prepares and completes documentation that establishes Medicare Compliance such as Medicare Secondary Payor Questionnaire and Advance Beneficiary Notice. Documents appropriate data in Account Doc and guarantor notes. Prepares daily census statistics, reconciles patient days and patient type changes.
Clinical Skills
Effectively facilitates room assignment for patients admitted for an inpatient, observation, or ambulatory stay who require recovery time utilizing established medical criteria for patient placement. Coordinates all internal and external transfers. Processes Emergency, Obstetrics, newborns and elective admissions as needed.
Answers and directs incoming calls, schedules from physicians, Physician's office staff, ancillary departments and other facilities. Answers inquiries concerning hospital policies, processes orders for patients placed in bed.
Compliance Skills
Determines organizations participation in insurance contracts. knowledge of current HMO/PPO/Medicaid/Medicare/Commercial Insurance regulations and requirements. Screens and completes all required documentation and prioritizes all insurance coverage's as primary, secondary, tertiary. Completes required MSPQ questionnaires for all appropriate patients. Obtains and Documents clinical referrals from other providers. Coordinates Patients in need of financial assistance to pay for present and/or future services to appropriate financial counselor. Collects and deposits according to specified protocols, all required and mandatory insurance co-payments. Documents appropriate data in Account Doc and guarantor notes.
Auditing work completed by registration to ensure compliance with Medicare and all third party payor guidelines, inclusive of JCAHO standards.
Obtains signatures for the visit including consent to receive all treatments, medications, test, transfusions, therapy and other procedures. Charts procedures in the respective patient medical record, all collected forms and photocopies (insurance cards) documentation. Distribute, witness by signature and collect patient advanced directive forms/information; referring patients to appropriate personnel to address specific questions as indicated. Provides patients with information about their rights and responsibilities and all other duties as assigned.
Must maintain facility established productivity and quantity standards per Department Quality Guidelines (i.e. 100% accuracy of 95% of all registrations).
Communication/Interpretation Skills
Demonstrates effective verbal and written communication skills.
Must meet guidelines of Customer Service skills.
Must follow appropriate communication guidelines between management and associates. Documentation and follow-up must be timely.
Adheres to confidentiality and HIPAA policies of the organization.
Auto-ApplyAccess Specialist II
Springfield, OH jobs
Facility: Ohio Pediatric Care Alliance - Springfield Department: Community Based Pediatrics - North Schedule: Full time Hours: 40 Job Details: Patient Access Representatives provide customer-service coverage and assume the responsibility for successful financial outcomes of all patient services. Under the general supervision of the practice Manager, this position performs imperative duties, which may include, but not limited to appointment scheduling, registration, transcribing orders, insurance verification, telephone coverage, data entry, filing protected health information (PHI), patient referrals, and payment collection, while maintaining patient relations, customer satisfaction, and Dayton Children's Hospital financial solvency.
Department Specific Job Details:
This position is for Pediatric Associates of Springfield
Hours: M-F 8-5PM
Education Requirements:
GED, High School (Required)
Certification/License Requirements:
Auto-ApplyAccess Specialist II
Springfield, OH jobs
Facility:Community Based General Pediatrics - UrbanaDepartment:Community Based Pediatrics - NorthSchedule:Full time Hours:40Job Details:Patient Access Representatives provide customer-service coverage and assume the responsibility for successful financial outcomes of all patient services. Under the general supervision of the Patient Access Manager, this position performs imperative duties, which may include, but not limited to appointment scheduling, registration, transcribing orders, insurance verification, telephone coverage, data entry, filing protected health information (PHI), patient referrals, and payment collection, while maintaining patient relations, customer satisfaction, and Dayton Children's Hospital financial solvency.
Department Specific Job Details:
Education Requirements:
GED, High School (Required)
Certification/License Requirements:
Auto-ApplyPatient Access Representative - School Based
New Richmond, OH jobs
This role will rotate between CPS schools and New Richmond JOB RESPONSIBILITIES * Safety - Ensures patient safety by identifying the correct patient. identifying special needs and preparing isolation precautions for patients who have Infectious Disease indicators.
* Customer Service - Provides assistance and services to patients, families, staff and external agencies in the accurate completion of patient registration, admission and scheduling. Investigates and resolves customer requests, questions or problems according to CCHMC policies and procedures. Contacts outside representatives to request information or assistance in resolving problems.
* HIPAA/Confidentiality - Maintains confidentiality, protects and safeguards patient/family personal medical and financial information at all times during collection, use and storage. Access only information and records necessary to perform the responsibilities of the position.
* Compliance - Completes and authenticates all documents and questionnaires that ensure compliance with regulatory agencies (JCAHO, CMS, ODH)
* Revenue Cycle Support - Supports the Revenue Cycle, Health Information Management, and Regulatory by ensuring that the necessary data, information and forms are obtained and accurately entered into the appropriate system. Talks to management to explain system errors or to recommend changes to the system.
JOB QUALIFICATIONS
* High school diploma or equivalent
* No directly related experience
Primary Location
New Richmond SBHC
Schedule
Full time
Shift
Day (United States of America)
Department
CCHMC New Richmond SBHC
Employee Status
Regular
FTE
1
Weekly Hours
40
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$17.49 - $20.99
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Patient Access Representative - Anderson
Cincinnati, OH jobs
JOB RESPONSIBILITIES * Safety - Ensures patient safety by identifying the correct patient. identifying special needs and preparing isolation precautions for patients who have Infectious Disease indicators. * Customer Service - Provides assistance and services to patients, families, staff and external agencies in the accurate completion of patient registration, admission and scheduling. Investigates and resolves customer requests, questions or problems according to CCHMC policies and procedures. Contacts outside representatives to request information or assistance in resolving problems.
* HIPAA/Confidentiality - Maintains confidentiality, protects and safeguards patient/family personal medical and financial information at all times during collection, use and storage. Access only information and records necessary to perform the responsibilities of the position.
* Compliance - Completes and authenticates all documents and questionnaires that ensure compliance with regulatory agencies (JCAHO, CMS, ODH)
* Revenue Cycle Support - Supports the Revenue Cycle, Health Information Management, and Regulatory by ensuring that the necessary data, information and forms are obtained and accurately entered into the appropriate system. Talks to management to explain system errors or to recommend changes to the system.
JOB QUALIFICATIONS
* High school diploma or equivalent
* No directly related experience
Primary Location
Anderson Primary Care
Schedule
Full time
Shift
Day (United States of America)
Department
CCHMC Anderson Primary Care
Employee Status
Regular
FTE
1
Weekly Hours
40
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$17.49 - $20.99
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
PTOT REGISTRATION REPRESENTATIVE
Cincinnati, OH jobs
The Registration Specialist is responsible for collection of accurate demographic and insurance information from patients to facilitate a successful patient revenue cycle. Based on the operations of the practice, this position may be responsible for a variety of duties, including collecting and handling payments, providing customer service, answering phones, completing/filing medical records, insurance verification, diagnosis coding, etc. The Registration Specialist is a highly visible position that is always responsible for creating a positive impression with patients and visitors. A Registration Specialist will be on duty during all hours of operation.
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION: H.S. Diploma/GED
YEARS OF EXPERIENCE: No formal experience required. Six months to one year medical office experience preferred.
REQUIRED SKILLS AND KNOWLEDGE: Basic clerical skills and data entry knowledge required.
1. Preferred knowledge of Epic computer system
2. Preferred knowledge of Ohio/Kentucky insurance plans.
3. Preferred knowledge of Ohio/Kentucky insurance verification processes for various insurance plans.
4. Preferred post high school experience related to medical office environment.
LICENSES & CERTIFICATIONS:
N/A
1. Customer Service:
a. Make customer service a top priority and adhere to ExCELS values.
b. Maintain confidentiality at all times.
c. Provide phone coverage during all hours of operation.
d. Answer incoming calls within 3 rings. Identify yourself and department. Allow caller to speak before asking to place them on hold.
e. Eagerly provide assistance to others; voluntarily assist others when his/her own work is finished.
f. Promote a pleasant and positive atmosphere.
g. Listen to, identify and respond quickly and appropriately to customer needs.
h. Deal with conflict in an appropriate and timely manner.
i. Use proper lines of communication to keep others informed or to address problems.
j. Manage site emails.
k. Initiate Patient Liability requests for those patients requesting financial responsibility detail.
l. Coordinate special needs services for patients (translator, transportation, wheelchair).
m. Manage and respond to all department voicemail and Phytel updates.
2. Check In:
a. Verify the patient's identity upon their arrival by requesting, copying and scanning into Epic Documents a form of photo ID. i.e. driver's license.
b. Complete all required fields of registration in Epic.
c. Verify current insurance information by requesting, copying, and scanning into Epic Documents the insurance card(s).
d. Verbally review with the patient, the insurance verification findings during Check In on the initial visit. Note accordingly on the insurance verification form.
e. Obtain consent for treatment and financial agreement signatures on the TCH Consent for Treatment/Financial Agreement form, R14A, to include the ordering physician's name and TCH representative's signature, as witness. Scan both sides of the consent form into Epic Documents or obtain an electronic signature directly into Epic Documents. Review Patient Rights form, obtain signature, unless patient declines. Scan form in Epic Documents.
f. Collect co-pays, when applicable. Post payment in Epic Enterprise Payments.
g. Refer patients to PFS/Financial Assistance, when applicable.
h. Review all hardcopy scripts for required components such as, patient name , DOB, date, time, diagnosis and MD signature.
i. Contact the ordering physician office by phone and re-fax the order back to the MD when any of the above components are missing. Continue to monitor the account until all required information is obtained.
j. Scan all hardcopy referrals/orders.
k. Ensure all diagnosis code(s) are entered in Epic for each appointment scheduled and according to the physician order.
l. Complete a MSPQ for all Medicare patients at the appropriate interval.
m. Have patient complete a medical history form and scan in Epic Documents.
n. Determine which Outcome forms is appropriate for the patient to complete.
o. Review with the patient the necessary outcome form(s) that need to be completed and scan into Epic, Documents.
p. Obtain waivers for non-covered procedures, if applicable, for each visit.
q. Check in procedures apply to all new and returning patients for all sites, with the exception of JSC and Montgomery.
r. JSC check in - frequently new patients will bypass Central Registration and arrive directly in the department. JSC staff will complete the check in process for Central Reg.
s. Montgomery check in - all new and returning patients are “arrived”/checked in by Central Registration.
t. All returning patients are checked in by department level staff for all sites, with the exception of Montgomery.
u. For those patients that prefer not to use the kiosk, they will be checked in by department staff, i.e. JSC and Liberty.
3. Scheduling:
a. Search/find patient in Epic by utilizing the standard three point patient look up process.
b. Verify the patient's date of birth, address and phone number.
c. Update/enter as much demographic information, as feasible, at the time of the call.
d. Verify/obtain the insurance information, to include insurance company name, identification number, phone number, subscriber name, date of birth and employer name.
e. Enter the standard appointment information for new patients, to include the reason for visit, ordering physician's name and ICD10 code.
f. Enter the standard appointment information for return patients, to include the formal ICD10 code, the ordering physician's name and treating clinician(s).
g. Strive to meet goal of scheduling new patient appointments within 48 hrs. of the call, confer with a therapists or manager when necessary.
h. Inform new patients of the proper clothing attire to be worn for the appointment and to bring their insurance card, photo ID and written orders (script) or provide the office fax number for the referring physician to fax the script.
i. Inform the patient copays are expected at the time of service, if applicable.
j. Prior to ending the call reiterate the patient's appointment time and ask if they need directions to the office.
k. All sites, including Montgomery, JSC and Liberty schedule all follow up visits and confer with treating provider, as needed.
l. Access and respond to Account and Referral work queues daily.
m. Follow up on Missing Orders is handled at the department level by contacting the referring physician office.
n. Provide the Physician Referral phone line for individuals that want to schedule therapy and do not have an PCP.
o. Contact PCP office for individuals that want to schedule an appointment but do not have a referral.
p. Contact the patient once the script is received.
q. When no immediate appointment is available, Central Registration will contact the site directly for post op patients that need an appointment with 24 - 48 hours of the call. Department level staff review the schedule for an appropriate time and/or schedule the PO appointment.
r. Provide a printed Patient Itinerary to every patient upon departure from initial visit and/or when appointment schedules change.
s. Schedule all follow up/return visits for all patients, this include all sites.
4. Completion of insurance verification, pre-certification, recertification and referral process prior to patient visit according to the Insurance/Precertification policy guidelines, policy number MI 30.
a. All sites verify insurance benefit information for all new patients, document the findings in the Assigned Referral and transfer information to the Insurance Verification form, excluding Montgomery, JSC and Liberty.
b. Montgomery, JSC and Liberty new patient benefits are verified by the Central Insurance Verification team. Benefit information is transferred from the Assigned Referral to the Insurance Verification form.
c. Monitor insurance benefits for all patients, track visit limitations and obtain additional authorization, as needed.
d. Update the Assigned Referral with all insurance benefit information and benefits status change information, such as, authorization updates, signed plan of care information, number of visits.
e. All sites, verify and document Worker's Compensation benefits
f. Work with TCH PFS and billing as needed to respond to requests.
g. Accurate and timely distribution of patient requests.
h. Respond to correspondence requests.
i. Medical record requests will be processed via Record Reproduction Service (RRS).
5. Chart Prep:
a. Prepare next day's new patient charts, to include, a new patient folder, completed insurance verification form, and consent form. Refer to the Chart Prep policy, number MI 21.
b. Complete Claim Information screens for all new patients, including Central Reg sites; Montgomery, JSC and Liberty.
c. Pull charts.
d. All sites, for every patient visit, review insurance verification forms for any insurance guidelines or limitations, according to policy.
e. Print individual provider schedules.
f. Print and review the DAR (Dept. Appt. Report), according to policy.
g. Retrieve and transmit all documents, such as IPOC, UPOC, PN and DC summaries to the ordering physician office.
h. Record all physician transmittals and monitor the compliance for Medicare/Medicaid accounts requiring a physician signature on the IPOC, UPOC.
i. Monitor each Medicare account for signed POCs, follow up via fax and phone to ordering physician when signed POC is not returned within the appropriate amount of time.
j. Scan all hardcopy signed POCs in Epic, update the insurance verification and the assigned referral, accordingly.
k. Scan all documents in Epic, to include, medical history form, outcome forms, exercise sheets, any hardcopy documentation that is not electronically in Epic.
6. End of Day Close:
a. Print daily Revenue Usage Report.
b. Reconcile Rev Usage report to the DAR to ensure all patients/charges are accounted for each business day.
c. Correct any charge entry discrepancies through Account Maintenance and/or communicate with the treating clinician any discrepancies that need correction.
d. Print daily Payment Summary Report (PSR).
e. Reconcile PSR, deposit ticket and credit card receipts.
f. Complete a Daily Deposit Reconciliation form for each business day.
g. Retain copies of all supporting documentation in the daily packet folder, according to policy number MI 22.
h. Bank trips will be made within 24 hours of business day for all sites.
i. Montgomery and Liberty will make daily drop box deposit and JSC deliver the daily deposit to the Cashier's office on Level C of the main hospital by 8:00am the next business day.
j. Retain a copy of the bank date stamped deposit ticket in the daily packet folder.
k. Timely and accurate filing and distribution.
7. Other duties as assigned by supervisor or authoritative manager to include flexibility of routine hours to adequately maintain registration coverage for the department hours of operations, and communicating office supply needs to appropriate party.
Auto-ApplyPTOT REGISTRATION REPRESENTATIVE
Ohio jobs
The Registration Specialist is responsible for collection of accurate demographic and insurance information from patients to facilitate a successful patient revenue cycle. Based on the operations of the practice, this position may be responsible for a variety of duties, including collecting and handling payments, providing customer service, answering phones, completing/filing medical records, insurance verification, diagnosis coding, etc. The Registration Specialist is a highly visible position that is always responsible for creating a positive impression with patients and visitors. A Registration Specialist will be on duty during all hours of operation.
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION: H.S. Diploma/GED
YEARS OF EXPERIENCE: No formal experience required. Six months to one year medical office experience preferred.
REQUIRED SKILLS AND KNOWLEDGE: Basic clerical skills and data entry knowledge required.
1. Preferred knowledge of Epic computer system
2. Preferred knowledge of Ohio/Kentucky insurance plans.
3. Preferred knowledge of Ohio/Kentucky insurance verification processes for various insurance plans.
4. Preferred post high school experience related to medical office environment.
LICENSES & CERTIFICATIONS:
N/A
1. Customer Service:
a. Make customer service a top priority and adhere to ExCELS values.
b. Maintain confidentiality at all times.
c. Provide phone coverage during all hours of operation.
d. Answer incoming calls within 3 rings. Identify yourself and department. Allow caller to speak before asking to place them on hold.
e. Eagerly provide assistance to others; voluntarily assist others when his/her own work is finished.
f. Promote a pleasant and positive atmosphere.
g. Listen to, identify and respond quickly and appropriately to customer needs.
h. Deal with conflict in an appropriate and timely manner.
i. Use proper lines of communication to keep others informed or to address problems.
j. Manage site emails.
k. Initiate Patient Liability requests for those patients requesting financial responsibility detail.
l. Coordinate special needs services for patients (translator, transportation, wheelchair).
m. Manage and respond to all department voicemail and Phytel updates.
2. Check In:
a. Verify the patient's identity upon their arrival by requesting, copying and scanning into Epic Documents a form of photo ID. i.e. driver's license.
b. Complete all required fields of registration in Epic.
c. Verify current insurance information by requesting, copying, and scanning into Epic Documents the insurance card(s).
d. Verbally review with the patient, the insurance verification findings during Check In on the initial visit. Note accordingly on the insurance verification form.
e. Obtain consent for treatment and financial agreement signatures on the TCH Consent for Treatment/Financial Agreement form, R14A, to include the ordering physician's name and TCH representative's signature, as witness. Scan both sides of the consent form into Epic Documents or obtain an electronic signature directly into Epic Documents. Review Patient Rights form, obtain signature, unless patient declines. Scan form in Epic Documents.
f. Collect co-pays, when applicable. Post payment in Epic Enterprise Payments.
g. Refer patients to PFS/Financial Assistance, when applicable.
h. Review all hardcopy scripts for required components such as, patient name , DOB, date, time, diagnosis and MD signature.
i. Contact the ordering physician office by phone and re-fax the order back to the MD when any of the above components are missing. Continue to monitor the account until all required information is obtained.
j. Scan all hardcopy referrals/orders.
k. Ensure all diagnosis code(s) are entered in Epic for each appointment scheduled and according to the physician order.
l. Complete a MSPQ for all Medicare patients at the appropriate interval.
m. Have patient complete a medical history form and scan in Epic Documents.
n. Determine which Outcome forms is appropriate for the patient to complete.
o. Review with the patient the necessary outcome form(s) that need to be completed and scan into Epic, Documents.
p. Obtain waivers for non-covered procedures, if applicable, for each visit.
q. Check in procedures apply to all new and returning patients for all sites, with the exception of JSC and Montgomery.
r. JSC check in - frequently new patients will bypass Central Registration and arrive directly in the department. JSC staff will complete the check in process for Central Reg.
s. Montgomery check in - all new and returning patients are "arrived"/checked in by Central Registration.
t. All returning patients are checked in by department level staff for all sites, with the exception of Montgomery.
u. For those patients that prefer not to use the kiosk, they will be checked in by department staff, i.e. JSC and Liberty.
3. Scheduling:
a. Search/find patient in Epic by utilizing the standard three point patient look up process.
b. Verify the patient's date of birth, address and phone number.
c. Update/enter as much demographic information, as feasible, at the time of the call.
d. Verify/obtain the insurance information, to include insurance company name, identification number, phone number, subscriber name, date of birth and employer name.
e. Enter the standard appointment information for new patients, to include the reason for visit, ordering physician's name and ICD10 code.
f. Enter the standard appointment information for return patients, to include the formal ICD10 code, the ordering physician's name and treating clinician(s).
g. Strive to meet goal of scheduling new patient appointments within 48 hrs. of the call, confer with a therapists or manager when necessary.
h. Inform new patients of the proper clothing attire to be worn for the appointment and to bring their insurance card, photo ID and written orders (script) or provide the office fax number for the referring physician to fax the script.
i. Inform the patient copays are expected at the time of service, if applicable.
j. Prior to ending the call reiterate the patient's appointment time and ask if they need directions to the office.
k. All sites, including Montgomery, JSC and Liberty schedule all follow up visits and confer with treating provider, as needed.
l. Access and respond to Account and Referral work queues daily.
m. Follow up on Missing Orders is handled at the department level by contacting the referring physician office.
n. Provide the Physician Referral phone line for individuals that want to schedule therapy and do not have an PCP.
o. Contact PCP office for individuals that want to schedule an appointment but do not have a referral.
p. Contact the patient once the script is received.
q. When no immediate appointment is available, Central Registration will contact the site directly for post op patients that need an appointment with 24 - 48 hours of the call. Department level staff review the schedule for an appropriate time and/or schedule the PO appointment.
r. Provide a printed Patient Itinerary to every patient upon departure from initial visit and/or when appointment schedules change.
s. Schedule all follow up/return visits for all patients, this include all sites.
4. Completion of insurance verification, pre-certification, recertification and referral process prior to patient visit according to the Insurance/Precertification policy guidelines, policy number MI 30.
a. All sites verify insurance benefit information for all new patients, document the findings in the Assigned Referral and transfer information to the Insurance Verification form, excluding Montgomery, JSC and Liberty.
b. Montgomery, JSC and Liberty new patient benefits are verified by the Central Insurance Verification team. Benefit information is transferred from the Assigned Referral to the Insurance Verification form.
c. Monitor insurance benefits for all patients, track visit limitations and obtain additional authorization, as needed.
d. Update the Assigned Referral with all insurance benefit information and benefits status change information, such as, authorization updates, signed plan of care information, number of visits.
e. All sites, verify and document Worker's Compensation benefits
f. Work with TCH PFS and billing as needed to respond to requests.
g. Accurate and timely distribution of patient requests.
h. Respond to correspondence requests.
i. Medical record requests will be processed via Record Reproduction Service (RRS).
5. Chart Prep:
a. Prepare next day's new patient charts, to include, a new patient folder, completed insurance verification form, and consent form. Refer to the Chart Prep policy, number MI 21.
b. Complete Claim Information screens for all new patients, including Central Reg sites; Montgomery, JSC and Liberty.
c. Pull charts.
d. All sites, for every patient visit, review insurance verification forms for any insurance guidelines or limitations, according to policy.
e. Print individual provider schedules.
f. Print and review the DAR (Dept. Appt. Report), according to policy.
g. Retrieve and transmit all documents, such as IPOC, UPOC, PN and DC summaries to the ordering physician office.
h. Record all physician transmittals and monitor the compliance for Medicare/Medicaid accounts requiring a physician signature on the IPOC, UPOC.
i. Monitor each Medicare account for signed POCs, follow up via fax and phone to ordering physician when signed POC is not returned within the appropriate amount of time.
j. Scan all hardcopy signed POCs in Epic, update the insurance verification and the assigned referral, accordingly.
k. Scan all documents in Epic, to include, medical history form, outcome forms, exercise sheets, any hardcopy documentation that is not electronically in Epic.
6. End of Day Close:
a. Print daily Revenue Usage Report.
b. Reconcile Rev Usage report to the DAR to ensure all patients/charges are accounted for each business day.
c. Correct any charge entry discrepancies through Account Maintenance and/or communicate with the treating clinician any discrepancies that need correction.
d. Print daily Payment Summary Report (PSR).
e. Reconcile PSR, deposit ticket and credit card receipts.
f. Complete a Daily Deposit Reconciliation form for each business day.
g. Retain copies of all supporting documentation in the daily packet folder, according to policy number MI 22.
h. Bank trips will be made within 24 hours of business day for all sites.
i. Montgomery and Liberty will make daily drop box deposit and JSC deliver the daily deposit to the Cashier's office on Level C of the main hospital by 8:00am the next business day.
j. Retain a copy of the bank date stamped deposit ticket in the daily packet folder.
k. Timely and accurate filing and distribution.
7. Other duties as assigned by supervisor or authoritative manager to include flexibility of routine hours to adequately maintain registration coverage for the department hours of operations, and communicating office supply needs to appropriate party.
Auto-ApplyPTOT REGISTRATION REPRESENTATIVE
Ohio jobs
The Registration Specialist is responsible for collection of accurate demographic and insurance information from patients to facilitate a successful patient revenue cycle. Based on the operations of the practice, this position may be responsible for a variety of duties, including collecting and handling payments, providing customer service, answering phones, completing/filing medical records, insurance verification, diagnosis coding, etc. The Registration Specialist is a highly visible position that is always responsible for creating a positive impression with patients and visitors. A Registration Specialist will be on duty during all hours of operation.
KNOWLEDGE AND SKILLS:
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate. List any special education required for this position.
EDUCATION: H.S. Diploma/GED
YEARS OF EXPERIENCE: No formal experience required. Six months to one year medical office experience preferred.
REQUIRED SKILLS AND KNOWLEDGE: Basic clerical skills and data entry knowledge required.
1. Preferred knowledge of Epic computer system
2. Preferred knowledge of Ohio/Kentucky insurance plans.
3. Preferred knowledge of Ohio/Kentucky insurance verification processes for various insurance plans.
4. Preferred post high school experience related to medical office environment.
LICENSES & CERTIFICATIONS:
N/A
1. Customer Service:
a. Make customer service a top priority and adhere to ExCELS values.
b. Maintain confidentiality at all times.
c. Provide phone coverage during all hours of operation.
d. Answer incoming calls within 3 rings. Identify yourself and department. Allow caller to speak before asking to place them on hold.
e. Eagerly provide assistance to others; voluntarily assist others when his/her own work is finished.
f. Promote a pleasant and positive atmosphere.
g. Listen to, identify and respond quickly and appropriately to customer needs.
h. Deal with conflict in an appropriate and timely manner.
i. Use proper lines of communication to keep others informed or to address problems.
j. Manage site emails.
k. Initiate Patient Liability requests for those patients requesting financial responsibility detail.
l. Coordinate special needs services for patients (translator, transportation, wheelchair).
m. Manage and respond to all department voicemail and Phytel updates.
2. Check In:
a. Verify the patient's identity upon their arrival by requesting, copying and scanning into Epic Documents a form of photo ID. i.e. driver's license.
b. Complete all required fields of registration in Epic.
c. Verify current insurance information by requesting, copying, and scanning into Epic Documents the insurance card(s).
d. Verbally review with the patient, the insurance verification findings during Check In on the initial visit. Note accordingly on the insurance verification form.
e. Obtain consent for treatment and financial agreement signatures on the TCH Consent for Treatment/Financial Agreement form, R14A, to include the ordering physician's name and TCH representative's signature, as witness. Scan both sides of the consent form into Epic Documents or obtain an electronic signature directly into Epic Documents. Review Patient Rights form, obtain signature, unless patient declines. Scan form in Epic Documents.
f. Collect co-pays, when applicable. Post payment in Epic Enterprise Payments.
g. Refer patients to PFS/Financial Assistance, when applicable.
h. Review all hardcopy scripts for required components such as, patient name , DOB, date, time, diagnosis and MD signature.
i. Contact the ordering physician office by phone and re-fax the order back to the MD when any of the above components are missing. Continue to monitor the account until all required information is obtained.
j. Scan all hardcopy referrals/orders.
k. Ensure all diagnosis code(s) are entered in Epic for each appointment scheduled and according to the physician order.
l. Complete a MSPQ for all Medicare patients at the appropriate interval.
m. Have patient complete a medical history form and scan in Epic Documents.
n. Determine which Outcome forms is appropriate for the patient to complete.
o. Review with the patient the necessary outcome form(s) that need to be completed and scan into Epic, Documents.
p. Obtain waivers for non-covered procedures, if applicable, for each visit.
q. Check in procedures apply to all new and returning patients for all sites, with the exception of JSC and Montgomery.
r. JSC check in - frequently new patients will bypass Central Registration and arrive directly in the department. JSC staff will complete the check in process for Central Reg.
s. Montgomery check in - all new and returning patients are “arrived”/checked in by Central Registration.
t. All returning patients are checked in by department level staff for all sites, with the exception of Montgomery.
u. For those patients that prefer not to use the kiosk, they will be checked in by department staff, i.e. JSC and Liberty.
3. Scheduling:
a. Search/find patient in Epic by utilizing the standard three point patient look up process.
b. Verify the patient's date of birth, address and phone number.
c. Update/enter as much demographic information, as feasible, at the time of the call.
d. Verify/obtain the insurance information, to include insurance company name, identification number, phone number, subscriber name, date of birth and employer name.
e. Enter the standard appointment information for new patients, to include the reason for visit, ordering physician's name and ICD10 code.
f. Enter the standard appointment information for return patients, to include the formal ICD10 code, the ordering physician's name and treating clinician(s).
g. Strive to meet goal of scheduling new patient appointments within 48 hrs. of the call, confer with a therapists or manager when necessary.
h. Inform new patients of the proper clothing attire to be worn for the appointment and to bring their insurance card, photo ID and written orders (script) or provide the office fax number for the referring physician to fax the script.
i. Inform the patient copays are expected at the time of service, if applicable.
j. Prior to ending the call reiterate the patient's appointment time and ask if they need directions to the office.
k. All sites, including Montgomery, JSC and Liberty schedule all follow up visits and confer with treating provider, as needed.
l. Access and respond to Account and Referral work queues daily.
m. Follow up on Missing Orders is handled at the department level by contacting the referring physician office.
n. Provide the Physician Referral phone line for individuals that want to schedule therapy and do not have an PCP.
o. Contact PCP office for individuals that want to schedule an appointment but do not have a referral.
p. Contact the patient once the script is received.
q. When no immediate appointment is available, Central Registration will contact the site directly for post op patients that need an appointment with 24 - 48 hours of the call. Department level staff review the schedule for an appropriate time and/or schedule the PO appointment.
r. Provide a printed Patient Itinerary to every patient upon departure from initial visit and/or when appointment schedules change.
s. Schedule all follow up/return visits for all patients, this include all sites.
4. Completion of insurance verification, pre-certification, recertification and referral process prior to patient visit according to the Insurance/Precertification policy guidelines, policy number MI 30.
a. All sites verify insurance benefit information for all new patients, document the findings in the Assigned Referral and transfer information to the Insurance Verification form, excluding Montgomery, JSC and Liberty.
b. Montgomery, JSC and Liberty new patient benefits are verified by the Central Insurance Verification team. Benefit information is transferred from the Assigned Referral to the Insurance Verification form.
c. Monitor insurance benefits for all patients, track visit limitations and obtain additional authorization, as needed.
d. Update the Assigned Referral with all insurance benefit information and benefits status change information, such as, authorization updates, signed plan of care information, number of visits.
e. All sites, verify and document Worker's Compensation benefits
f. Work with TCH PFS and billing as needed to respond to requests.
g. Accurate and timely distribution of patient requests.
h. Respond to correspondence requests.
i. Medical record requests will be processed via Record Reproduction Service (RRS).
5. Chart Prep:
a. Prepare next day's new patient charts, to include, a new patient folder, completed insurance verification form, and consent form. Refer to the Chart Prep policy, number MI 21.
b. Complete Claim Information screens for all new patients, including Central Reg sites; Montgomery, JSC and Liberty.
c. Pull charts.
d. All sites, for every patient visit, review insurance verification forms for any insurance guidelines or limitations, according to policy.
e. Print individual provider schedules.
f. Print and review the DAR (Dept. Appt. Report), according to policy.
g. Retrieve and transmit all documents, such as IPOC, UPOC, PN and DC summaries to the ordering physician office.
h. Record all physician transmittals and monitor the compliance for Medicare/Medicaid accounts requiring a physician signature on the IPOC, UPOC.
i. Monitor each Medicare account for signed POCs, follow up via fax and phone to ordering physician when signed POC is not returned within the appropriate amount of time.
j. Scan all hardcopy signed POCs in Epic, update the insurance verification and the assigned referral, accordingly.
k. Scan all documents in Epic, to include, medical history form, outcome forms, exercise sheets, any hardcopy documentation that is not electronically in Epic.
6. End of Day Close:
a. Print daily Revenue Usage Report.
b. Reconcile Rev Usage report to the DAR to ensure all patients/charges are accounted for each business day.
c. Correct any charge entry discrepancies through Account Maintenance and/or communicate with the treating clinician any discrepancies that need correction.
d. Print daily Payment Summary Report (PSR).
e. Reconcile PSR, deposit ticket and credit card receipts.
f. Complete a Daily Deposit Reconciliation form for each business day.
g. Retain copies of all supporting documentation in the daily packet folder, according to policy number MI 22.
h. Bank trips will be made within 24 hours of business day for all sites.
i. Montgomery and Liberty will make daily drop box deposit and JSC deliver the daily deposit to the Cashier's office on Level C of the main hospital by 8:00am the next business day.
j. Retain a copy of the bank date stamped deposit ticket in the daily packet folder.
k. Timely and accurate filing and distribution.
7. Other duties as assigned by supervisor or authoritative manager to include flexibility of routine hours to adequately maintain registration coverage for the department hours of operations, and communicating office supply needs to appropriate party.
Auto-ApplyPatient Services Rep/Phlebotomist (MAKO)
Olde West Chester, OH jobs
Job Accountabilities (Responsibilities)
Collect specimens according to established procedures. This includes, but not limited to: drug screens, blood samples, processing pathology and cytology samples.
Research test/client information and confirm and verify all written and electronic orders by utilizing lab technology systems or directory of services.
Responsible for completing all data entry requirements accurately including data entry of patient registration; entry of test order from requisition
Enter billing information and collect payments when required, including the safeguarding of assets and credit card information.
Data entry and processing specimens including: labeling, centrifuging, splitting, and freezing specimens as required by test order.
Work iLabs for assigned accounts daily to ensure accurate data is provided for billing purposes.
Provide necessary CIR and PPE Resolution reporting to Director as required and scheduled
Perform departmental-related clerical duties when assigned such as data entry, inventory, stock supplies, and answer phones when needed.
Read, understand and comply with departmental policies, protocols and procedures: (i.e. Procedure Manuals, Safety Manual, Compliance Manual, Automobile Policies and Procedures, Employee Handbook, Quality Assurance Manual); and ensure that all staff members follow instructions.
Perform verification of patient demographic info / initials including patient signature post-venipuncture to verify tubes were labeled in their presence and that the name on the label is correct.
Assist with compilation and submission of monthly statistics and data.
Maintain all appropriate phlebotomy logs in a timely manner and based on frequency, such as maintenance logs and temperature logs.
Complete training courses and keep up-to-date with the latest phlebotomy techniques.
Travel to Territory Manager meeting if held off-site or off normal shift.
Participate on special projects and teams.
Stay up-to-date on company communications.
Job Requirements
Ability to provide quality, error free work in a fast-paced environment.
Ability to work independently with minimal on-site supervision.
Excellent phlebotomy skills to include pediatric and geriatric.
Flexible and available based on staffing needs, which includes weekends, holidays, on-call and overtime.
Committed to all MAKO policies and procedures including company dress code, Employee Health & Safety, and MAKO Everyday Excellence Guiding Principles.
Must have reliable transportation, valid driver license, and clean driving record, if applicable.
Must demonstrate superior customer focus; ability to communicate openly and transparently with peers, supervisors and patients; ability to accelerate and embrace change throughout MAKO; and knowledge of our business.
Physical Requirements
Lift light to moderately heavy objects. The normal performance of duties may require lifting and carrying objects. Objects in the weight range of 1 to 15 pounds are lifted and carried frequently; objects in the weight range of 16 to 25 pounds are lifted and carried occasionally and objects in the weight range of 26 to 40 pounds are seldom lifted and carried. Objects exceeding 41 pounds are not to be lifted or carried without assistance.
Must be able to sit or stand for long periods of time; requires long hours of eye and hand coordination.
Must be able to perform repetitive tasks with dominant hand frequently to constantly throughout the day.
Position requires travel.
Extensive use of phone and PC.
Fine dexterity with hands/steadiness.
Bending/kneeling.
Pushing/pulling.
Reaching/twisting.
[All requirements are subject to possible modifications to reasonably accommodate individuals with disabilities. All duties and requirements are essential job functions.]
Required Education
High school diploma or equivalent.
Medical training: medical assistant or paramedic training preferred.
Phlebotomy certification preferred. Required in California, Nevada, and Washington.
Work Experience
One year phlebotomy experience preferred.
Customer service in a retail or service environment preferred.
Keyboard/data entry experience.
All requirements are subject to possible modifications to reasonably accommodate individuals with disabilities. MAKO is an Equal Opportunity Employer: Women / Minorities / Veterans / Disabled / Sexual Orientation / Gender Identity or Citizenship.
Patient Rep I - Liberty Primary Care
Ohio jobs
JOB RESPONSIBILITIES * Safety - Ensures patient safety by identifying the correct patient. identifying special needs and preparing isolation precautions for patients who have Infectious Disease indicators. * Customer Service - Provides assistance and services to patients, families, staff and external agencies in the accurate completion of patient registration, admission and scheduling. Investigates and resolves customer requests, questions or problems according to CCHMC policies and procedures. Contacts outside representatives to request information or assistance in resolving problems.
* HIPAA/Confidentiality - Maintains confidentiality, protects and safeguards patient/family personal medical and financial information at all times during collection, use and storage. Access only information and records necessary to perform the responsibilities of the position.
* Compliance - Completes and authenticates all documents and questionnaires that ensure compliance with regulatory agencies (JCAHO, CMS, ODH)
* Revenue Cycle Support - Supports the Revenue Cycle, Health Information Management, and Regulatory by ensuring that the necessary data, information and forms are obtained and accurately entered into the appropriate system. Talks to management to explain system errors or to recommend changes to the system.
JOB QUALIFICATIONS
* High school diploma or equivalent
* No directly related experience
Primary Location
Liberty Primary Care
Schedule
Part time
Shift
Rotating (United States of America)
Department
CCHMC Mason Primary Care
Employee Status
Regular
FTE
0.6
Weekly Hours
24
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$17.49 - $20.99
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Patient Access Lead Rep - Sunforest Toledo, OH
Patient access representative job at Nationwide Children's Hospital
Ensures the workload in Patient Access is flowing through the system in a timely manner. Coordinates the needs and requirements of the department with the staff and assigns workload to staff to assure patients are registered timely and information collected is complete and accurate.
Job Description:
Essential Functions:
Monitors hour by hour the workload of Patient Access Representatives to ensure timely and accurate completion of all tasks.
Acts as support to line staff in answering questions of immediacy and serves in a supervision capacity as appropriate.
Assists Supervisor in identifying areas for improvement opportunities and helps determine the best approach for workflow and special projects.
Ensures scheduled patients have been accurately pre-registered and managed care requirement met prior to the patient's arrival.
Assists in training new Patient Access staff and maintain staff work schedules.
Ensures appropriate tools are available and working properly for staff to complete their jobs.
Maintains WQ's and monitors quality and productivity and reports to supervisor.
Education Requirement:
Associate's Degree or equivalent combination of education and experience, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
Demonstrated ability to effectively interact with peers in problem solving.
Demonstrated traits of teamwork, cooperation, and displays a positive attitude.
Excellent communication and customer service skills.
Detailed understanding of the revenue cycle and its impact on the hospital's bottom line.
Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with staff and customers. Ability to escalate situations to leadership as appropriate.
Experience:
Two years of experience in scheduling, billing, registration, insurance authorization or customer service, required.
Experience in a healthcare environment, preferred.
Physical Requirements:
OCCASIONALLY: Blood and/or Bodily Fluids, Climb stairs/ladder, Driving motor vehicles (work required) *additional testing may be required, Lifting / Carrying: 41-60 lbs, Loud Noises, Pushing / Pulling: 26-40 lbs, Pushing / Pulling: 41-60 lbs, Squat/kneel
FREQUENTLY: Bend/twist
CONTINUOUSLY: Audible speech, Chemicals/Medications, Communicable Diseases and/or Pathogens, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Lifting / Carrying: 21-40 lbs, Peripheral vision, Problem solving, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Repetitive hand/arm use, Seeing - Far/near, Sitting, Standing, Walking
Additional Physical Requirements performed but not listed above:
Ability to multi-task within a stressful environment.
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
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