Patient Representative | Full Time | Jerome

About the role

We are seeking a Patient Representative to join our collaborative team at Memorial Health. The role involves performing registration tasks in various Medical Office Buildings (MOBs).

Responsibilities

• Performs registration for City Gate MOB: Urgent Care, Jerome MOB: Central Registration 1st and 2nd floors, Urgent Care, Urbana MOB: Central Registration (1st floor), Urgent Care.
• Conducts interviews with patients on the telephone and/or in person to gather pertinent registration information including demographic, financial and guarantor information, travel screenings, MyChart activation, and simultaneously inputs information into the HIS during the patient interview.
• Contributes to the financial effectiveness of the Hospital by obtaining and/or reviewing scanned Medicare, Medicaid, and third-party insurance cards along with patient or patient representative photo identification.
• Identifies patient’s veteran status and documents in the demographics. Inquires with patients about their intention to bill the Department of Veteran Affairs. For non-scheduled Emergency Department / Urgent Care / Admitted patient services, notifies the pre-cert specialist of the intent to bill VA. For scheduled services: ensures proper VA authorization is on file for scheduled procedure.
• Identifies accident-related encounters and corrects details of the claim, guarantor, and coverage.
• Sets up patient or patient representative signatures on required forms including consent to treat, financial policy, patient rights and responsibilities, HIPAA notice of privacy practices, Provider Based Billing Acknowledgment, Notice of Non-Coverage and notice of non-discrimination.
• Completes verification of patient insurance plan eligibility and benefits utilizing the Hospital based eligibility system and/or web-based technologies.
• Verifies that prior authorization/precertification is secured for required outpatient testing and procedures, documents as appropriate within the EMR.
• Completes as needed, medical necessity verification for Medicare outpatient tests and services that have Local Medical Review Policies (LMRP) / Local Coverage Determinations (LCD) in place and requests additional information from physician offices if needed to ensure compliance; presents the patient with an Advanced Beneficiary Notice (ABN) if needed for a non-compliant diagnosis.
• Correctly identifies patients with verification of three primary identifiers. Avoids duplicate medical records (DMR) creation and reports duplicate MRNs when discovered.
• Notifies clinical departments of patient arrivals and delays.

Requirements

• Completion of High school diploma or equivalent.
• Personal computer/data entry experience preferred.
• Six months working in the healthcare environment preferred.
• Experience with Microsoft Word, Excel and Outlook preferred.
• Strong telephone and interpersonal communication skills.
• Teambuilding skills.
• Knowledge of medical terminology and medical insurance preferred.
• Excellent customer service skills.
• American Heart Association’s BLS certification within first sixty (60) days of employment, maintained continuously.
• Attends Behavioral Health De-escalation Training Class (within six months of hire).

Shift

Shift: 1st
Hours: 80 per pay period

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Flexible Spending Account
• Time Off: Vacation, Sick Leave, 11 Paid Holidays, Personal Day
• Retirement: Ohio Public Employee Retirement System
• Deferred Compensation
• Other: Tuition Reimbursement, Kidzlink Daycare Center, Employee Recognition, Free Parking, Wellness Center
• Competitive Salaries
• Community/Family Atmosphere

Location

Approx. 20 minutes away from Marysville, OH
Approx. 30 minutes away from Hillard, OH
Approx. 30 minutes away from Delaware, OH
Approx. 30 minutes away from Powell, OH

Contact

We look forward to seeing your application!
For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.