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One Call Resolution Specialist
Miami Valley Hospital. Serve as the primary contact for scheduling patient procedures .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient scheduling, financial clearance, and billing processes within a healthcare setting. Proficient in managing patient accounts, verifying insurance, and educating patients on financial responsibilities.
Highest-signal resume keywords
Patient SchedulingFinancial ClearanceInsurance VerificationBilling ManagementCustomer Service
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial AssistanceAccounts Receivable ManagementPatient RegistrationThird-Party CollectionsMath Skills
Soft Skills
CommunicationCollaborationProblem-Solving
Tools & Technologies
Microsoft Office 365Windows-Based TechnologyMyChart
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
HealthcareInsurance Benefits VerificationMedicaidManaged Care ContractsCharity Care
About the role
Key responsibilities & impact- Serve as the primary contact for scheduling patient procedures
- Resolve financial aspects related to patient services
- Perform outpatient procedure scheduling and financial clearance
- Maintain accurate patient demographics, insurance, and billing information
- Discuss accounts with patients and responsible third parties
- Coordinate appointment scheduling, insurance verification, financial screening, and patient financial-responsibility education
- Communicate with patients, internal and external departments, third-party payers, and vendors via phone, MyChart, email, and written correspondence
- Complete timely financial clearance, collect on accounts, reduce bad debt, and advise patients
- Evaluate eligibility for Medicaid, charity care, and other financial assistance programs
- Help patients establish plans to resolve financial responsibilities
- Post billing and collection transactions and apply self-pay liability through final account disposition
- Calculate and collect estimated patient balances
- Document data in financial systems while maintaining patient confidentiality
- Collaborate with hospital departments and outside vendors
Requirements
What you’ll need- High School completion / GED required
- 3–5 years of job-related experience
- Experience working with the public required
- Proficient with Windows-based computer technology
- Proficient in professional email communication and Microsoft Office 365 tools, including Outlook, Word, Excel, and Teams
- 2 years of customer service experience
- 3+ years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in a healthcare/medical or financial institution setting
- Knowledge of patient registration, third-party collections, insurance benefits verification, Medicaid and other government programs, hospital billing, and/or managed care contracts
- Good math skills and ability to pass a skills test calculating co-pays and deductibles
- Open availability to work any shift
- Associate’s degree in healthcare or business may substitute for two years of experience
Benefits
Comp & perks- Remote work otherwise, with occasional office attendance required
- 80 hours per pay period
- Flex/float scheduling
- Opportunity to work weekends and holidays