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Patient Service Representative
OhioHealth. Serve as an initial point of contact for patients, physicians, and the public .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient interaction, customer service, and insurance verification while maintaining compliance with privacy regulations. Proficient in managing patient information and scheduling, with a focus on effective communication and problem resolution.
Highest-signal resume keywords
Customer Service ExcellenceInsurance VerificationEMR System ProficiencyPatient Privacy ComplianceCritical Thinking
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Typing 40 WPMCPT Code SelectionPatient Demographic EntryFinancial Information ProcessingAppointment Scheduling
Soft Skills
Excellent CommunicationOrganizational SkillsProblem ResolutionInterpersonal Skills
Tools & Technologies
MyChartEMR SystemsOnline Insurance Verification Tools
Certifications & Qualifications
High School Diploma or GED
Industry Keywords
Patient PrivacyHIPAA ComplianceService Industry ExperienceMedical Office ExperienceCall Center Experience
About the role
Key responsibilities & impact- Serve as an initial point of contact for patients, physicians, and the public
- Provide exceptional customer service during encounters with patients, families, visitors, physicians, and associates
- Accept inbound calls and make outbound calls according to customer service standards
- Accurately identify patients in the EMR system
- Obtain and enter patient demographic and financial information while maintaining confidentiality
- Use critical thinking to make decisions, resolve issues, or escalate concerns
- Verify insurance eligibility using online systems, payer websites, or telephone
- Process faxes and transcribe information into the EMR
- Contact care centers regarding urgent patient requests and ensure timely follow-up
- Schedule outpatient appointments
- Generate, print, and provide patient estimates
- Inform patients of outstanding balances, collect balances and copayments, or provide financial assistance information
- Answer questions regarding insurance residuals and self-pay accounts
- Use CPT codes to select codes from clinical descriptions
- Determine out-of-network acceptance
- Explain billing procedures and hospital policies and provide documentation
- Update and annotate accounts using standard work
- Review insurance information and determine need for referrals or financial counseling
- Educate patients on MyChart, including activation
- Participate in and contribute to Lean process development
- Confirm physician orders and visit purposes
- Verify multidisciplinary outpatient schedules to expedite patient processing
- Obtain Release of Information authorization for medical records
- Resolve patient complaints and concerns, escalating appropriately when necessary
- Provide information to physician offices and hospital departments
Requirements
What you’ll need- High School or GED (Required)
- Typing of 40 wpm
- Excellent communication, organization, and basic computer skills
- 1-2 years of previous experience in the service industry with a focus on delivering exceptional customer service, or 1-2 years previous experience in a Medical Office setting, or 1-2 years previous experience in a Call Center, or 1-2 years previous experience in Collections
- Comply with organizational, state, and federal laws and regulations related to patient privacy and confidentiality (PHI, HIPAA, etc.)