Jobs · OTHR · Ohio

ONE CALL RESOLUTION SPECIALIST-REMOTE

Premier Health Partners · Dayton, OH · 1 mo ago
OTHRFull-time
We need to produce HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. The posting includes description of role, responsibilities, requirements, qualifications, skills, etc. It does not mention Benefits, Pay, Schedule specifics (except schedule mentions "FLEX, FLOAT, VARIES, WEEKENDS, HOLIDAYS (MUST HAVE OPEN AVAILABLITY TO WORK ANY SHIFT) 80 HOURS PER PAY PERIOD". That's schedule info. So we can include Schedule section with that content. Benefits not mentioned, so omit. Pay not mentioned, omit. We need to use

for section headings. Use
  • for any list of duties/requirements/benefits, and

    for prose. We must preserve all substantive info, not invent or summarize away detail. Remove boilerplate etc. There's no cookie/navigation etc. We need to parse the posting and extract sections. Let's identify content: - About the role: description of mission, primary contact, combining responsibilities, etc. Could be a prose paragraph. - Responsibilities: list of duties: scheduling patient procedures, resolving financial aspects, outpatient procedure scheduling with financial clearance, ensuring accuracy in patient demographics, insurance, billing details; knowledgeable of self-pay and financial assistance policies; discuss accounts with patients and third parties; coordinate pre-service activities: appointment scheduling, insurance verification, financial screening, patient education regarding financial responsibilities; provide outstanding customer service; communicate effectively with patients, internal/external departments, third-party payers, vendors via phone, MyChart, email, written correspondence; hold quality customer satisfaction as top priority; share fiscal responsibility with other Revenue Cycle departments to complete timely financial clearance, collect on accounts, reduce bad debt, advise patients, obtain necessary info to process applications for all available financial assistance programs; evaluate patient eligibility for Medicaid, state and hospital-sponsored charity care programs, other funding sources; help patients determine a plan for resolution of financial responsibilities; post billing and collection transactions, ensure appropriate self-pay liability applied to accounts up to final disposition; calculate and collect patients’ estimated balances at pre-service or point of service; use critical thinking skills to provide best resolution based on patient’s individual situation; collaborate with other departments and outside vendors; utilize financial systems to document data; demonstrate integrity, good judgment, trust to ensure patient confidentiality. - Requirements: Education: Minimum Level of Education Required: High School completion / GED; Preferred educational qualifications: Associates Degree preferred in related field. Position specific testing requirement: Must be proficient with Windows-based computer technology. Proficient in managing professional communication through email and utilizing Microsoft office 365 tools (outlook, word, excel, teams, etc.) for daily operations, documentation, and collaboration. Licensure/Certification/Registration: Medical Terminology and coding knowledge preferred. - Experience: Minimum Level of Experience Required: 3 - 5 years of job related experience; Preferred experience: Experience working with the public is required. Courses/workshops in compliance, medical self-pay accounts receivable management, Medicaid, medical billing preferred. Familiarity with statutes and regulations regarding self-pay collections practices and financial assistance is preferred. Associate’s degree in healthcare or business can be substituted for two years of experience. Other experience requirements: Overall knowledge of patient registration, third party collections, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts is required. Must have 2 years of customer service experience with 3 + years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in a healthcare/medical setting or financial institution setting with oversight of functions such as processes patient payment plans. Must possess good math skills and pass a skills test which includes calculating co-pays and deductibles. - Skills: Could be derived from requirements: proficiency with Windows, MS Office 365, medical terminology/coding knowledge, good math skills, communication, customer service, critical thinking, etc. But we may combine skills within Requirements or Qualifications. The instruction: Use sections only when posting has real specific content. We have content for Requirements (education, licensure, experience). Could also have Qualifications (maybe same as Requirements). But we can treat "Qualifications" as education + experience combined? However we have separate sections for Requirements and Qualifications. The posting includes both education and experience under "Education" and "Experience". Could map Education to Requirements? Or Qualifications? Usually Requirements = education + experience; Qualifications = preferred qualifications. But we can decide to put education under Requirements, experience under Requirements as well, and maybe Skills separate. Better: Use sections: About the role (prose), Responsibilities (list), Requirements (list), Qualifications (list), Skills (list), Schedule (list or prose). But we must not create thin sections with filler. We have enough content for each. Let's extract specifics: About the role: The One Call Resolution Specialist supports the Premier Health mission, vision, and values by serving as the primary contact for scheduling patient procedures and resolving the financial aspects related to those services. This role combines the responsibilities of outpatient procedure scheduling with financial clearance functions ensuring accuracy in patient demographics, insurance, and billing details. This position plays a key role in the Revenue Cycle process by coordinating pre-service activities such as appointment scheduling, insurance verification, financial screening, and patient education regarding financial responsibilities. The One Call Resolution Specialist is responsible for providing outstanding customer service while performing all duties in a courteous, respectful, and professional manner. A high level of integrity, confidentiality, and judgment is essential. One Call Resolution Specialists must communicate effectively with patients, internal and external departments, third-party payers, and vendors through various channels such as phone, MyChart, email, and written correspondence. This position will hold quality customer satisfaction as a top priority. The One Call Resolution Specialist shares fiscal responsibility with other Revenue Cycle departments to complete timely financial clearance on accounts, collect on accounts, reduce bad debt, advise patients, and obtain the necessary information to process applications for all available financial assistance programs. This includes evaluating patient eligibility for Medicaid, state and hospital-sponsored charity care programs, and other available funding sources. The One Call Resolution Specialist position will help patients determine a plan for resolution of their financial responsibilities. The One Call Resolution Specialist is responsible for posting billing and collection transactions, ensuring appropriate self-pay liability is applied to accounts up to and including the final disposition of the balance, and calculating and collecting the patients’ estimated balances at pre-service or at the point of service. The One Call Resolution Specialist must possess the ability to use critical thinking skills to provide the best resolution based upon the patient’s individual situation. One Call Resolution Specialists collaborate with other departments within the hospital and with outside vendors as necessary. They utilize financial systems to document data, and must demonstrate integrity, good judgment, and trust to ensure patient confidentiality is maintained at all times. That's a lot; could be split into About the role and Responsibilities. But we can keep About the role as a brief overview, and Responsibilities as a list of duties. Let's craft About the role: maybe first two sentences: "The One Call Resolution Specialist supports the Premier Health mission, vision, and values by serving as the primary contact for scheduling patient procedures and resolving the financial aspects related to those services. This role combines the responsibilities of outpatient procedure scheduling with financial clearance functions ensuring accuracy in patient demographics, insurance, and billing details." Then Responsibilities: list bullet points of duties. Responsibilities bullet points: - Serving as primary contact for scheduling patient procedures and resolving financial aspects. - Combining outpatient procedure scheduling with financial clearance functions, ensuring accuracy in patient demographics, insurance, and billing details. - Coordinating pre-service activities: appointment scheduling, insurance verification, financial screening, patient education regarding financial responsibilities. - Providing outstanding customer service while performing duties courteously, respectfully, professionally. - Maintaining high level of integrity, confidentiality, and judgment. - Communicating effectively with patients, internal/external departments, third-party payers, vendors via phone, MyChart, email, written correspondence. - Holding quality customer satisfaction as top priority. - Sharing fiscal responsibility with other Revenue Cycle departments: completing timely financial clearance, collecting on accounts, reducing bad debt, advising patients, obtaining information to process applications for all available financial assistance programs. - Evaluating patient eligibility for Medicaid, state and hospital-sponsored charity care programs, other funding sources. - Helping patients determine a plan for resolution of financial responsibilities. - Posting billing and collection transactions, ensuring appropriate self-pay liability applied to accounts up to final disposition. - Calculating and collecting patients’ estimated balances at pre-service or point of service. - Using critical thinking skills to provide best resolution based on patient’s individual situation. - Collaborating with other departments and outside vendors as necessary. - Utilizing financial systems to document data. - Demonstrating integrity, good judgment, trust to ensure patient confidentiality. That covers many. Now Requirements: Education and licensure/certification. Education bullet points: - Minimum Level of Education Required: High School completion / GED. - Preferred educational qualifications: Associates Degree preferred in related field. - Position specific testing requirement: Must be proficient with Windows-based computer technology. - Proficient in managing professional communication through email and utilizing Microsoft Office 365 tools (Outlook, Word, Excel, Teams, etc.) for daily operations, documentation, and collaboration. - Medical Terminology and coding knowledge preferred. Experience bullet points (maybe under Requirements as well, but we could separate Qualifications for experience). However we have a section for Qualifications; we could put experience there. Qualifications (Experience): - Minimum Level of Experience Required: 3 - 5 years of job related experience. - Experience working with the public is required. - Courses/workshops in compliance, medical self-pay accounts receivable management, Medicaid, medical billing preferred. - Familiarity with statutes and regulations regarding self-pay collections practices and financial assistance preferred. - Associate’s degree in healthcare or business can be substituted for two years of experience. - Overall knowledge of patient registration, third party collections, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts required. - Must have 2 years of customer service experience with 3+ years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in a healthcare/medical setting or financial institution setting with oversight of functions such as processing patient payment plans. - Must possess good math skills and pass a skills test which includes calculating co-pays and deductibles. Skills: Could list specific skills: proficiency with Windows, MS Office 365, medical terminology/coding, communication, customer service, critical thinking, math, etc. But we already covered many in requirements. Might be redundant. Perhaps we can omit Skills section if content overlaps heavily. But we need to follow instruction: prefer a few substantive sections over many thin ones. If we already have Education and Experience covered under Requirements and Qualifications, we could combine them into Requirements only and omit Qualifications. However the posting distinguishes Education vs Experience; we could treat Requirements as education + licensure, and Qualifications as experience. That seems reasonable. Schedule: we have "FLEX, FLOAT, VARIES, WEEKENDS, HOLIDAYS (MUST HAVE OPEN AVAILABLITY TO WORK ANY SHIFT) 80 HOURS PER PAY PERIOD". That's schedule info. We'll put in Schedule section as a

    or

      . Since it's a short statement, we can use

      . Now Benefits: not mentioned, omit. Pay: not mentioned, omit. Now produce HTML fragment:

      About the role

      ...

      Responsibilities

      • ...
      • ...

      Requirements

      • ...
      • ...

      Qualifications

      • ...
      • ...

      Schedule

      FLEX, FLOAT, VARIES, WEEKENDS, HOLIDAYS (MUST HAVE OPEN AVAILABLITY TO WORK ANY SHIFT) 80 HOURS PER PAY PERIOD

      Make sure no extra whitespace issues. Ensure we preserve all substantive info. Let's verify we didn't miss any important details. From

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