Account Specialist

TriHealthWilmington, OH
14hOnsite

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. Work hours: Full-time, 80 hours biweekly Day Shift No weekends or holidays commitment Job Overview: 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.

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

  • 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.
  • 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.

Benefits

  • Health & Wellness: Medical, dental, and vision coverage
  • Financial Security: Retirement savings plan
  • Work-Life Balance: Generous paid time off and 7 holidays paid
  • Career Development: Tuition reimbursement and professional growth opportunities
  • Perks & Discounts: Employee wellness programs and exclusive discounts
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