Senior Account Specialist or Account Specialist II

TriHealth•Blue Ash, OH

5d•Onsite

About The Position

Senior Account Specialist or Account Specialist II - In-person Blue Ash. Use your expertise in Worker’s Compensation Billing to support our mission to deliver exceptional patient care. As an Senior Account Specialist/Account Specialist II, you’ll be part of a collaborative, high‑performing team that values accuracy, integrity, and continuous improvement. Your work ensures clean claims, timely reimbursement, and a smooth financial experience for our patients, and we recognize the importance of that impact. We offer career growth opportunities, and a comprehensive benefits package! Apply today and grow your career with a team that truly values you.

Requirements

High School Diploma or GED Degree (Required)
3 - 4 years experience in a related field (Required)
Responsible for reducing TriHealth Corporate Health accounts receivable.
Must remain current with Ohio BWC billing requirements, Federal Government regulations and Third Party contracts to ensure compliance with billing/reimbursement regulations in order to receive maximum reimbursement.
Strong billing systems technical background and ability to provide backup technical support to the department Supervisor.

Responsibilities

Billing accuracy, call MD for DX, questioning missing charges or procedures, having units checked, call patients for accident information.
Billing and Coding-Displays extensive knowledge of CPT and revenue codes unique to payers in order to maximize reimbursement. All billing and payer edits are resolved and claims submitted timely with minimal number of accounts placed in 'hold' status. Monitor accounts in 'hold' status. Will notify management of need for additional Availity edits in order to expedite claims processing and reimbursement.
Billing performed within Federal and Ohio BWC compliance statues and guidelines.
AR Follow up - Routinely works denial work queue, charge processing error report, and billing reconciliation reports. Keeps reminders current. Displays ability to identify, resolve claim denial issues and communicates the issue to management in a clear, concise manner in weekly update meetings. Displays sound and accurate judgment in escalating payment issues with both the payer and TriHealth.
Operating Systems: Has knowledge of and takes advantage of Net Health Agility EHR/Billing system and scanning to enhance performance. Responsible for Net Health Agility system training of new employees.