Cincinnati, Ohio, USA
4 days ago
Patient Services Representative Specialist PSR) – Remote
Everyone who works with Mercy Health is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities.

Bon Secours

As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.

Patient Services Representative Specialist PSR) – Work at Home - Ohio Cincinnati Market

Job Summary:

Responsible for all aspects of scheduling, pre-registration and financial clearance functions associated with the respective specialty procedures.  Respond to heavy call volume from various sources to include patients, physicians, hospitals and other professionals in the medical field.  Responsibilities include collection and validation of accurate patient demographic and insurance information, obtaining pre-certification/authorization, scheduling for inpatient and outpatient services, and entering information into multiple outpatient and inpatient systems, serving as primary liaison with the patient, physician and hospital related to financial aspect of services.  Perform tasks which allows the physician to optimize service to the patient to include rooming patients for office visits and mediation refill.  Initiate getting information form the patient and to the patient with regards to surgery.  Enter surgery information into EPIC for appropriate billing.

Essential Functions:

Physician correspondence, transcription - narrative reports, letters of recommendation for Provider.Schedule and confirm business meetings, arrange business related travel/accommodations and course registrations, and organize business receipts. Record CME/DEA/State License. Maintain weekly schedule and appointment schedule and coordinate call schedule and coverage. Communicate with appropriate staff/manager when physician is out of office. Schedule inpatient and outpatient services and initiate the verification and pre-auth process.  Review benefits, cost and coverage with patients to assess financial liability and answers questions and verify demographic and insurance information. Enter information into both inpatient and outpatient systems including surgery charge entry within 48 hours. Primary liaison for patient, Provider and hospital for financial aspect of services. Assist Provider with denials and appeals process. Manage patient calls and communicates patient issues with appropriate department and triage call consults. Print and scan medical documentation into EPIC and assist with patient forms to include completion of Medco 14.Ensure all pre-op requirements have been completed:  surgeries, pre-admission testing, scheduling outside medical evaluations, and pre-op teaching class. Coordinate equipment orders for surgical patients, assists with patient medication refills, complete bracing and orthotic paperwork, maintain research records and outcomes.Patient related nonclinical job duties:   Answer all patient calls within 24 hours. 

Education:

High School Degree or GED

Experience:

Prior experience in the healthcare field or a related area is preferred but not requiredKnowledge of medical terminology preferred but not requiredKnowledge in Microsoft Office, Cadence, and Connect care preferred but not requiredHealthcare/Medical Receptionist experience preferred.

Skills & Abilities:

Possesses problem-solving skills, basic computer skills, 40 WPM typing skills with excellent communication and interpersonal skillsEngage with staff and patients in a professional mannerBasic math skills

Many of our opportunities reward* your hard work with:

Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more

*Benefits offerings vary according to employment status

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 you'd 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 Employers, please email recruitment@mercy.com. 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 recruitment@mercy.com

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