Patient Accounts Rep - PFS Hospital

Kettering Health

Posted 3 months ago

Full Time

Xenia, Ohio

Remote OK

Smart Summary

Responsibilities

The Patient Accounts Representative manages daily billing functions, including resolving claim edits and reviewing insurance claims for accuracy. They are responsible for following up on unpaid claims and handling first-level appeals to ensure maximum reimbursement.

Qualifications

You have a high school diploma or equivalent and experience with Microsoft Office tools. You are responsible for daily billing functions, including working claim edits and following up on unpaid claims, while adhering to departmental policies and procedures.

Must Have Skills for ATS

Microsoft Office

Job Description

Job Details

Remote | Xenia | Full-Time | First Shift

Responsibilities & Requirements

Responsibilities:

  • Under the direction of the Patient Accounts Manager or Supervisor the Patient Accounts Representative is responsible for daily billing functions including but not limited to working claim edits, review of insurance claims for accuracy, contacting various parties for further information on unpaid claims, identifying issues resulting in non-payment, and working first level appeals…all incompliance with departmental policies and procedures.
  • Must display knowledge retention through scheduled competency assessments.
  • Other duties as assigned.
  • Essential Skills:
  • Timely resolution of claim edits allowing timely claim submission
  • Timely follow-up of unpaid claims, worked to ensure maximum reimbursement following compliant standards
  • Ability to work independently as well as collaboratively within a team environment
  • Excellent problem-solving skills

 Requirements:

  • High School diploma or equivalent
  • Experience in Microsoft office tool

Preferred Qualifications

  • Previous experience in patient billing preferred
  • Epic experience a plus

Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

Kettering Health

As a faith-based, nonprofit healthcare system, Kettering Health's mission is to live God's love by promoting and restoring health. We're made up of 14 medical centers and more than 120 outpatient locations throughout western Ohio, as well as Kettering Health Medical Group. With more than 700 board-certified providers, we're dedicated to elevating the health, healing, and hope of our community.
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