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Form of workWhat is OSU Physicians all about?
We believe that being engaged and sharing in a larger purpose at work is instrumental to the employee experience. "Tradition, determination, teamwork, purpose, compassion, community, pride, integrity"....these are just a few words that our employees use to describe what it feels like to embody the "Buckeye Spirit" and work for our organization.
We strive to create environments where our colleagues and all those we serve feel empowered to share their full, authentic selves.
Our over 100 physician practices embody the spirit of teamwork with passionate care for our patients and each other. Our teams are diverse in employees, thoughts, and ideas bringing the full spectrum of a collaborative culture to the big picture - TEAMWORK!
Sound like something you are seeking in your next career adventure? We invite you to keep reading.
What will you be doing?
The OON/Special Coverages/Pre-Certification Financial Clearance Representative (FCR) interacts with patients and/or their representatives to perform insurance verifications, obtain insurance information, and seek authorizations for out of network, VA, and BWC appointments and accurately enter and/or update all required data in EPIC. The FCR provides benefit education and financial obligation estimates to patients and collects deposits as necessary.
Duties and Responsibilities include but not limited to:
- 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.
- Provides required clinical, insurance, and demographic information to payor to obtain precertification. Verifies insurance eligibility via various tools. Requests and creates referrals for specified population, as required.
- Pre-certifies and obtains authorization numbers and enters information into patient's account obtaining medical, ICD and CPT codes.
