Account Specialist II

TriHealth • Blue Ash, OH

4h

About The Position

The Account Specialist II supports Hospice financial operations by managing patient accounts to expedite positive cash flow, maximize reimbursement, and reduce or eliminate financial loss. The role handles billing, payment posting, insurance follow-up, collections, and account resolution, ensuring account balances and reimbursement information are accurate.

The position submits charge information, posts payments, follows up on patient and insurance balances, contacts payers, resolves incorrect payments, enters corrections, and reconciles monthly reports. The specialist processes a daily workload according to customer specialty and billing requirements, provides courteous service to internal and external customers, and participates in monthly billing meetings. The role works with minimal supervisory oversight, identifies matters requiring management intervention, and communicates process improvement opportunities to the Manager.

This is a full-time, day-shift position at Hospice - Blue Ash, scheduled for 80 hours bi-weekly. Weekends, holidays, and on-call commitments are not required.

Requirements

• High school diploma or GED.
• Three to four years of experience in a related field.
• Specialized knowledge of Medicaid/Medicare billing and other payer sources.

Responsibilities

• Submit charge information into the appropriate system and post payments.
• Follow up on patient account balances, including insurance and patient financial balances.
• Process the required number of accounts daily based on customer specialty and billing requirements.
• Contact payers regarding payment and participate in payer communications.
• Resolve incorrect payment issues, ensure balances after insurance payments are correct, and enter corrections into systems.
• Reconcile monthly reports.
• Bill and collect outstanding amounts while protecting Hospice of Cincinnati’s financial resources.
• Complete assigned daily workload according to predefined key performance indicators, maintaining accuracy and quality.
• Provide prompt and courteous customer service to internal and external customers.
• Participate in monthly billing meetings with customer contacts; prepare a status report and submit agenda items to the Manager one business day before the meeting.
• Develop and maintain knowledge of billing and follow-up procedures for BWC and non-BWC payers through cross-training and experience.
• Work with minimal supervisory oversight, use appropriate judgment to identify matters requiring management intervention, and communicate process improvement opportunities to the Manager in a timely manner.

Benefits

• Competitive shift differentials.
• Opportunities for professional growth.
• Comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED