Job Description
To provide support for all aspects of the Revenue Cycle billing and collections process, Responsible for the billing and collection of accounts receivable outstanding balances.
Act in a manner that maintains confidentiality, protects and safeguards patient personal medical and financial information at all times.
Responsibilities
Responsible for the timely and accurate resolution of billing and reimbursement issues, customer service and collection of outstanding balances.
Responsible for working with third party payors and intermediaries, following standard operating departmental procedures, to pursue prompt payment of professional claims for assigned financial classes, while meeting benchmarks, performance measurements and reporting requirements.
Works collaboratively with internal / external stakeholders to resolve issues pertaining to assigned workgroup.
Interacts and works with other areas of the patient financial services team to identify and resolve issues related to the billing and collections of medical claims, as well as patient and insurance provider payment posting.
Performs other job-related duties and assignments as requested.
Qualifications
KNOWLEDGE AND SKILLS :
Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not personalize the job description, credentials, or knowledge and skills based on the current associate.
List any special education required for this position.
EDUCATION : High school diploma or equivalent required.
YEARS OF EXPERIENCE :
1-3 years (preferred) recent work experience interpreting payer contracts, professional and / or hospital reimbursement and billing compliance, developing and maintaining third party payer relationships, and familiarity with Patient Financial Services (PFS) processes for claim generation and submission, billing edits, payer processing requirements, and claim / medical records audit procedures
REQUIRED SKILLS AND KNOWLEDGE :
- Windows-based PC skills and computer proficiency required.
- Familiarity with medical terminology, ICD-10 and CPT / HCPCS coding systems preferred.
- Basic EMR / billing system knowledge required
- Basic claims clearinghouse system knowledge required
LICENSES & CERTIFICATIONS :
About Us
For more than 130 years, The Christ Hospital been the beacon for exceptional healthcare in the Greater Cincinnati community.
We're industry pioneers, always pushing the boundaries and reimagining the future of healthcare.
Our culture promotes collaboration, diversity and innovation. Together, as a team, we work tirelessly to enhance healthcare quality, accessibility and safety.
Full time/Part time Sales- REMOTE
WORK LIFE BALANCE- Full time & Part time/ You are your own boss/ Work from home. Full-time agents have potential to make $100,000+ in the first year. Are you looking for a proven turnkey system that delivers consistent results and allows you to grow into your full potential?. The Uyemura A...
Patient Care Assistant (full-time): South High Street
Patient Care Assistant/ Job Description. Unique opportunity to join Maryhaven, Central Ohios largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team! Maryhaven was founded on the p...
URGENT. LPN Full Time Nights
Full time, part time and PRN schedules available. Benefits Offered to Full and Part Time Employees. PTO Eligibility for Full Time Employees. Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. ...
Sales & Business Development Associate, Enterprise Software *Remote*
TeamMate® has revolutionized the industry, empowering audit departments of all sizes to spend less time documenting and reviewing and more time providing value-added services. By providing an integrated paperless strategy for managing audits, TeamMate's audit software eliminates the barriers associa...
Member Services Representative - Full Time Morning Opener
Full time employee health insurance. Respond to member questions and concerns in a timely and professional manner and elevate to Assistant Manager or Manager as needed. ...
Patient Registrar - FHP OBGYN - Full Time (53881)
The Patient Registrar supports the mission of providing quality healthcare to the patients of Fairfield Healthcare Professionals by being a professional and personable first point of contact for all patients. Job Location FHP OB/GYN - Lancaster, OHPosition Type Full Time name="local_right" class=" c...
Patient Services Representative - Float
As a full-time employee, you will have access to the following employer/employee paid benefits: * Medical, Dental, Vision, 401k match, HealthJoy - a no cost medical and mental health online resource available Day 1, and much more * Robust earned paid time off program (PTO) ...
Patient Care Representative (remote, hybrid, on-site)
Patient Care Representatives work for our state-of-the-art call center in Lima, OH, representing hospitals and healthcare providers while caring for their patients by processing payments and assisting them to resolve their patient account balances. We are hiring full-time Patient Care Represent...
Financial Services Representative – State Farm Agent Team Member
As a Financial Services Representative – State Farm Agent Team Member with JENNIFER ROBERTS - State Farm Agent, you will successfully market the financial products that manage everyday risks. Proven experience working as a financial services representative. Your proficient knowledge of financial pro...
Full Time Guest Service Representative
Hourly full-time store associates receive time and a half on Sundays and select holidays. Part-time store associates are paid a $1 premium per hour on Sundays and select holidays. Part-time and full-time associates are eligible for vision insurance and two dental coverage options that are designed t...