Account Specialist

TriHealth•Cincinnati, OH

9h•Onsite

About The Position

We’re excited to welcome TriHealth Clinton Regional Hospital to our system—marking a new chapter in our shared mission to deliver exceptional care and strengthen our regional network. Location Advantage: Country Living with City Access TriHealth Clinton Regional Hospital (CMH) is located at 610 W Main St, Wilmington, OH 45177 and it is a 165-bed hospital located in the heart of Wilmington, Ohio—a charming community that offers the tranquility and friendliness of country living. Nestled in a scenic rural setting, Wilmington provides a peaceful lifestyle with easy access to urban amenities. It’s centrally located just an hour’s drive from three of Ohio’s major metropolitan areas: Cincinnati, Dayton, and Columbus. This unique location allows healthcare professionals to enjoy a relaxed pace of life while staying connected to vibrant city culture and entertainment. 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.
Participates 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.