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Scheduled Weekly Hours:
40Work Shift:
Days/Afternoons (United States of America)Job Title:
Patient Services Specialist
Responsible for all aspects of scheduling pre-registration and financial clearance functions associated with the respective specialty procedures. Responsibilities include collection and validation of accurate patient demographic and insurance information obtaining pre-certification/authorization scheduling the patient for outpatient and inpatient services and entering information into multiple outpatient and inpatient systems. Other responsibilities include serving as the primary liaison with the patient physician and hospital related to financial aspect of services.
Ensures that all pre-operative requirements have been completed including scheduling surgeries pre-admission testing scheduling for outside medical evaluations related to surgery and pre-operative teaching classes.
Initiates the insurance verification and pre-authorization process by contacting insurance carriers and providing proof of needed documentation.
Works closely with involved providers to pre-certify procedures and other necessary evaluations or processes; assists with denial and appeal process.
Reviews benefits cost and coverage with patients and assesses their potential financial liability and answers applicable questions. Completes all documentation for processes for both outpatient and inpatient services.
Proactively communicates issues or potential issues involving customer service and process improvement opportunities to management and providers.
Demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information. Maintains stable performance under pressure and handles stress in ways to maintain relationships with patients customers and co-workers.
Will schedule OB/GYN procedures.
Required minimum education: High school diploma or GED
Experience: two years of experience in a similar health care role.
MercyHealth is an equal opportunity employer.
Many of our opportunities reward* your hard work with:
*Benefits offerings vary according to employment status.
Department:
East Obsterics/Gynecology - MHP Cincinnati LLCIt is our policy to abide by all Federal and State laws as well as the requirements of 41 CFR 60-1.4(a) 60-300.5(a) and 60-741.5(a). Accordingly all applicants will receive consideration for employment without regard to race color national origin religion sex sexual orientation gender identity age genetic information or protected veteran status and will not be discriminated against on the basis of disability. If youd like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown Ohio or Bon Secours Franklin Virginia; Petersburg Virginia; and Emporia Virginia which are Affirmative Action and Equal Opportunity Employer please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process please contact The Talent Acquisition Team at .
Full-Time