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Financial Clearance Representative L3 (Financial Counselor)

Role overview

Qualifications

  • Associates Degree or higher or High school diploma/GED with 2+ years of experience in insurance, healthcare, or related field
  • Excellent customer service skills coupled with enthusiasm and compassion
  • Exceptional verbal and written communication skills
  • High level of interpersonal skills to handle sensitive, confidential situations

Responsibilities

  • Contacts patients or their designees to collect accurate coverage information
  • Uses integrated health information systems and telephone technology to facilitate customer interactions
  • Performs an accurate search for patient in EPIC data base to reduce duplicate patient records
  • Assists uninsured patients with Presumptive Medicaid, Financial Assistance and HCAP applications as applicable

Key facts

Hard skills

Other skills

  • Customer Service
  • Microsoft Office
  • Communication
  • Social Skills
  • Detail Oriented
  • Professionalism

About the company

Ohio State University Physicians logo

Ohio State University Physicians

Ohio State University Physicians is the medical group managing The Ohio State University Wexner Medical Center, creating a fully integrated, high-performing practice. OSU Physicians is honored to have received 2024 Top Workplaces awards from USA TODAY and for the second year in a row, Columbus CEO! OSUP manages, operates and employs clinical and non-clinical staff at over 100 offices and outpatient care locations throughout Central Ohio. We are proud to foster a work environment built on diversity, employee development, and quality patient care. When it comes to benefits, OSUP recognizes the need for individuals to make the best choices for themselves and their families. We offer an array of benefits to both full- and part-time employees, including health (medical, dental, vision) and disability plans, life insurance coverage for employees and dependents, tuition reimbursement, paid parental leave, a company-paid retirement program, a generous paid time off program and 11 paid holidays. Focusing on the entire patient experience, OSUP offers clinical and non-clinical positions including medical assistants, athletic trainers, sonographers, schedulers, nurses, patient services, medical coders, billing specialists, compliance officers, administrative assistants and much more! At OSUP, we are committed to expanding our outreach and have formed Ohio State University Physicians Community Medical Group (OSUP Community), a group that operates primary and specialty care practices in central and regional areas within Ohio supported by the resources of OSUP and The Ohio State University Wexner Medical Center. Career opportunities are available for physicians and clinical staff.

Company details

Company size1001 - 5000

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Job description

Overview:

Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion?

Who we are

With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth.

Our culture

At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community.

Our benefits

We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that’s why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee, you will be eligible for these various benefits depending on your employment status.

Responsibilities:
  • Contacts patients or their designees to collect accurate coverage information.
    • Uses integrated health information systems and telephone technology with customer service skills to facilitate customer interactions such that the customer experiences the Medical Center and its entities as an accessible, coordinated, and seamless entity.
    • Performs an accurate search for patient in EPIC data base, thus, reducing the number of duplicate patient records. Assesses the patient’s financial ability to pay for services, referring patients to financial counseling staff when appropriate.
    • Sends eligibility requests to all payors to verify accurate and current coverage.
    • Assists uninsured patients with Presumptive Medicaid, Financial Assistance and HCAP applications as applicable.
    • Interacts and maintains excellent working relationships with medical staff, referring physicians, and their designees.
    • Provides timely and appropriate hand off to the contact center when patient is cleared and ready to be scheduled.
    • Displays the highest level of customer service, attentiveness, and consideration possible in all cases, keeping within the standard set by the Office of Compliance and HIPAA in reference to confidentiality.
    • Alerts management of problems with systems and workflow.
    • Creates estimates and collects copayments and deposits as necessary.
    • Provides comprehensive education to patients on estimated liabilities and benefits.
    • The ability to perform the duties of FCR Pre-Reg and FCR OON/Special Coverages/Pre-Cert to assist in those areas as assigned.
    • Other duties as assigned.
Qualifications:
  • Associates Degree or higher or High school diploma/GED with 2+ years of experience in insurance, healthcare, or related field.
  • Excellent customer service skills coupled with enthusiasm and compassion along with the ability to work in a fast paced environment.
  • Exceptional verbal and written communication skills.
  • High level of interpersonal skills to handle sensitive, confidential situations and establish effective working relationships with patients, physicians, team members, and others throughout the organization.
  • Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with physicians, co-workers and supervisors, and politeness to customers, vendors, and patients.
  • Ability to escalate issues if necessary.
  • Experience with PC applications including MS Office and Internet.
  • Ability to maintain employer training requirements.
Pay Range: USD $19.55 - USD $29.33 /Hr.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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