Patient Accounts Rep - PFS Shared Svcs

Incentives

PFS Shared Svcs | Miamisburg | Full-time | First Shift

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.

Preferred Qualifications

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

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 appealsall 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