Senior Account Specialist or Account Specialist II

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.

Location: 4665 Cornell Road, #350, Blue Ash, OH 45241

Work Schedule:

• Full-Time (40 hours weekly)
• Day hours 8a-430p
• No weekend or holidays

Incentives & Benefits:

Comprehensive benefits packageincluding medical, dental, vision, paid time off, retirement plans, and tuition reimbursement.

Job Requirements:

High School Diploma or GED Degree (Required) 3 - 4 years experience in a related field (Required)

Job Overview:

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.

Job 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.

Working Conditions:

Bending - Occasionally Climbing - Rarely Concentrating - Consistently Continuous Learning - Frequently Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Interpersonal Communication - Kneeling - Occasionally Lifting <10 Lbs. - Often Lifting 50+ Lbs. - Rarely Lifting <50 Lbs. - Occasionally Pulling - Rarely Pushing - Occasionally Reaching - Rarely Reading - Consistently Sitting - Consistently Standing - Rarely Stooping - Occasionally Talking - Consistently Thinking/Reasoning - Use of Hands - Consistently Color Vision - Occasionally Visual Acuity: Far - Frequently Visual Acuity: Near - Consistently Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS... Welcome everyone by making eye contact, greeting with a smile, and saying "hello" Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS... Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met Offer patients and guests priority when waiting (lines, elevators) Work on improving quality, safety, and service

Respect: ALWAYS... Respect cultural and spiritual differences and honor individual preferences. Respect everyone's opinion and contribution, regardless of title/role. Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS... Value the time of others by striving to be on time, prepared and actively participating. Pick up trash, ensuring the physical environment is clean and safe. Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS... Acknowledge wins and frequently thank team members and others for contributions. Show courtesy and compassion with customers, team members and the community