Transitions of Care Scheduler

Scope of Position

Revenue Cycle for The Ohio State University Wexner Medical Center is responsible for providing excellent customer service while processing patient demographic and insurance information efficiently and accurately. Areas within Revenue Cycle include pre-registration, registration, pre-certification, financial clearance and counseling, financial assistance, scheduling, billing, claims follow-up, and customer service.

Position Summary

The Transitions of Care Scheduler will work within the Ross Heart Hospital to support the Transition of Care program.They are an expert in product, process or service line area scheduling; pre-registration and registration; insurance verification, and patient liability determination and communication. They guide patients through the healthcare system and works to eliminate barriers to receiving timely care and treatment across all segments of the healthcare continuum, with specific focus on patients recently admitted across the OSUWMC system with a primary diagnosis of heart failure. They assist patients and their families by identifying resources as they navigate through medical, insurance, financial and social issues. They will remain up-to-date on available services and programs that may benefit our heart failure patients, both within the OSU network and outside of the organization; aid in matching patient needs with resources, assisting the patient in seeking available services and programs. They will maintain appropriate tracking and reporting systems and complete other related duties as assigned. Schedule return appointments and / or other appointments as assigned. Assures accurate appointment, demographic and insurance information is gathered to support clinical and financial needs including changes to insurance or other patient information. Facilitates a bedside intervention for the lateral integration of the care team, collaborating with physicians, advanced practice, counselors / social workers, pharmacist, nurses, research staff and / or other staff to provide comprehensive heart failure disease management.Provides support to physicians and consumer by coordinating their requests and satisfying their needs in one transaction. Solves routine and complex customer problems and knows where to direct customers to address specific questions. Communicates regularly with clinical staff, medical secretaries and staff within the product / service line to ensure customer and department staff needs are met. Always creates a positive first impression. Must be able to use a variety of software packages which include the Electronic Medical record, scheduling and registration systems, ABN, eligibility, document management software, excel, etc.

Minimum Qualifications

High School Diploma or GED. PC Knowledge and interpersonal, verbal, and written communication. Minimum 6 months experience in customer service or a healthcare environment.

Preferred : Experience with Windows, Excel, and Intranet / internet navigation tools as well as system content. Medical terminology, coding and third party reimbursement experience. Ability to work in multiple systems for assigned tasks, management and reporting. Strong problem-solving and presentation skills. High level of customer service skills. Able to prioritize and coordinate multiple tasks in a busy environment.