Patient Account Specialist - PFS Hospital

Remote Full-time
Job Details:
PFS Hospital | Remote | Full-time | First shift

Responsibilities & Requirements:
Responsibilities: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 payersCompetent in preparing and submitting appeals for denied or delayed claims according to established protocolsCompetent in identifying and communicating recurrent insurance carrier denials to Team LeadExceptionally well-versed in resolving errors to ensure prompt claim resolutionTimely identification of delinquent accounts and following up to expedite resolutionExpert in system (Epic) navigation High School diploma or equivalent requiredMinimum of one years’ experience in patient billing required

Overview:
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

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