Patient Accts Specialist |PFS Shared Services

Kettering Health • Miamisburg, OH

3d

About The Position

Under the direction of the Patient Accounts Manager or Patient Accounts Supervisor and guidance of the Team Lead the Patient Accounts Specialist is highly involved in all aspects of medical billing, and is responsible for escalated follow-up and denial work. Participates in training and auditing of Patient Account Representatives.
Works special projects as assigned.
First level of contact for Patient Account Representatives.
Must display knowledge retention through scheduled assessments.
Must role model KHN Standards of Behavior.
Other duties as assigned.
This is not considered a leadership role in regard to authority over team members.

Requirements

• Strong knowledge of payer guidelines including government payers
• Competent in preparing and submitting appeals for denied or delayed claims according to established protocols
• Competent in identifying and communicating recurrent insurance carrier denials to Team Lead
• Exceptionally well-versed in resolving errors to ensure prompt claim resolution
• Timely identification of delinquent accounts and following up to expedite resolution
• Expert in system (Epic) navigation
• High School diploma or equivalent required
• Minimum of one years’ experience in patient billing required

Responsibilities

• Highly involved in all aspects of medical billing
• Responsible for escalated follow-up and denial work
• Participates in training and auditing of Patient Account Representatives
• Works special projects as assigned
• First level of contact for Patient Account Representatives
• Must display knowledge retention through scheduled assessments
• Must role model KHN Standards of Behavior
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees