Revenue Cycle

Patient Financial Services

Patient Financial Services primary responsibilities include billing, collections, revenue control and support for University of Toledo Medical Center.

Operations including the following functions:

Financial Counseling - Dedicated to helping patients and physicians determine sources of reimbursement for the hospital.  Financial Counselors identify and assist patients who are unable to pay estimated liability prior to treatment or who have large existing balances.  The assistance includes:

  • Assessing a patient liability
  • Linking patients to available funding sources
  • Determining whether patients are eligible for charity care or financial hardship.

Pre-Certification- University of Toledo uses a team approach to obtain and track all authorizations including admission pre-certification, reauthorizations, and discharge.  Pre-Certification department services as a point person for care managers, registration staff, and payer representatives to ensure that all authorizations are secured, documented, and renewed as necessary.  

Hospital Third Party Billing & Collections- Dedicated team that works primary with insurance companies to bill and collect the payment of inpatient and outpatient services provided at University of Toledo Medical Center. Our team takes a cradle to grave approach working each patient account with prompt, accurate and compliance claim processing.

Denial & Appeals Management- Our denial team conducts reviews of medical claim denials. We are responsible to appeal in writing with supporting documentation in order to resolve as quickly as possible. In addition, responsibilities also include the analyzing and interpreting trends associated with denials and appeals.

Cashiering, Cash application & Reconciliation- Supports all financial and accounting matters pertaining to cash collections, daily cash reconciliation and ensures the accuracy of cashier functions. Our cash application team is responsible to posting electronic payment transactions on patient accounts in order to accurately reflect daily cash receipts.

Last Updated: 6/9/16