PFS II - Circleville - job 1197140

Date: 09/12/2021

City: Circleville, Ohio

Employment type: Full-time


Employment Type:
Full time
Shift:


Description:


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


Why Columbus?

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:


Patient Financial Specialist (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.

  • Provides pricing estimates and communicates pre-service patient liability based on expected charges and potential coverage, as requested.


What we are looking for:


  • High School Diploma; Associates Degree preferred

  • Excellent interpersonal skills are necessary in dealing with peers, internal, and external customers. Accuracy, attentiveness to detail and time management skills are required.

  • Incumbent will be required to work independently, read, write, and operate keyboard and telephone effectively.

  • Must possess a working knowledge of medical terminology, and data entry skills.


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Mount Carmel and all its affiliates are proud to be equal opportunity employers.
We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.


Trinity Health's Commitment to Diversity and Inclusion



Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.



Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.





How to apply:

This job is expired.