Patient Financial Specialist II Jobs in Grove City at Mount Carmel Health System
Title: Patient Financial Specialist II
Company: Mount Carmel Health System
Location: Grove City
Why Mount Carmel?
With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in central Ohio each year, and we’ve been a pillar of this community for more than 130 years. As a proud member of Trinity Health, one of the nation’s largest Catholic healthcare delivery systems, our network of caring spans 22 states, 94 hospitals, and 133,000 colleagues nationwide.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
What we offer:
Competitive compensation and benefits packages including medical, dental, and vision coverage
Retirement savings account with employer match starting on day one
Generous paid time off programs
Employee recognition incentive program
Tuition/professional development reimbursement
Relocation assistance (geographic restrictions apply)
Discounted tuition and enrollment opportunities’ at the Mount Carmel College of Nursing
The nation’s 14th largest city, Columbus, Ohio is one of the fastest growing major metropolitan areas in the Midwest – ranked #1 for population growth, #1 for job growth, #1 for wage growth, and #1 real estate market. And with a vibrant blend of professional sports, world-class attractions, creative cuisines, and a flourishing music and arts scene, you’ll never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at www.experiencecolumbus.com!
About the job:
PFS II obtains demographic, clinical, financial and insurance information in the process of appointment making for patient tests and procedures. In addition, the PFS II also performs pre-registration and registration activities including response to real-time eligibility verification and financial clearance. Incumbent provides instructions to the patient on test preparation, prints and mails patient itineraries if lead time is sufficient and validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Obtains and processes signed physician orders to ensure clinical documentation for care delivery.
What you will do:
Performs activities that relate to patient scheduling, pre-registration, registration, real-time eligibility verification, medical order processing, medical necessity review (LMRP/LCD review), dissemination of patient information, and support coverage of other intra-departmental functions.
Provides a high level of customer service and establishes effective working relationships with other departments, physicians, staff, patient and families.
Participate in and foster a performance improvement approach that includes both intradepartmental and interdepartmental activities
Determines proper scheduling requirements and/or limitations according to requested test(s)/procedure(s) and scheduling resources (equipment, staff, room, and etc.) in a timely manner to ensure customer satisfaction, maintain patient flow, and appropriate utilization of the service area. Coordinates add-on and same-day appointments with the service area, as required. Ensures proper test sequencing with minimal patient delays when multiple testing is required.