Account Specialist II

TrihealthNorwood, OH
10d

About The Position

This position's principal purpose is to expedite positive cash flow, maximize reimbursement, and reduce/eliminate financial loss to department customers by efficient billing, follow-up and collections of patient accounts. Duties include: Submit charge information into appropriate system; Post payments; Follow-up on patient account balances including insurance/patient financial balances; Process the specified number of accounts on a daily basis based on customer specialty and unique billing requirements; Contact payers regarding payment; Resolve incorrect payment issues and ensure balances after insurance payments are correct, including entry of corrections into systems; Reconcile monthly reports; Demonstrate quality customer service to internal/external customers.

Requirements

  • High School Diploma or GED Degree (Required)
  • 3 - 4 years' experience in a related field (Required)
  • Specialized knowledge in Medicaid/Medicare billing, and other payer sources

Responsibilities

  • Bills and collects dollars outstanding through interaction with payer and participates willing in payer communication.
  • Actively protects the financial resource of Bethesda Healthcare, Inc.
  • Completes assigned workload based on predefined key performance indicator on a daily basis ensuring accuracy.
  • Show an effort to consistently produce quality work.
  • Demonstrates proper customer service skills toward internal and external customers through prompt and courteous communications.
  • Participate in monthly billing meetings with customer contacts.
  • Prepares status report and submits agenda items to manager one business day prior to meeting.
  • Through cross training and experiences, develops and maintains comprehensive knowledge and understanding of billing and follow-up procedures for all BWC and non-BWC payers.
  • Works with minimal supervisory oversight and exercised appropriate judgment in identifying instances which require management intervention.
  • Identifies and appropriately communicates process improvement with Manager in a timely manner.
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