Account Specialist I

Job Description

Join TriHealth as an Account Specialist I - In-person in Blue Ash!

TriHealth is a mission-driven health system where your expertise in billing, follow-up, and collections directly supports our ability to deliver exceptional care to the communities we serve. In this role, you'll play a vital part in maximizing reimbursement, accelerating cash flow, and preventing financial loss for our department customers through accurate, efficient, and timely account management. You'll work closely with government, non-government, and self-pay payers to resolve payment issues, ensure contractual accuracy, and provide outstanding customer service to both internal and external partners.

As part of TriHealth's collaborative and high-performing Revenue Cycle team, you'll have the opportunity to reduce outstanding accounts receivable, identify trends, correct errors, and contribute to continuous improvement efforts. Your attention to detail, proficiency with EDI/PC applications, and commitment to timely follow-up will help strengthen TriHealth's financial performance and support our mission of being a trusted, patient-centered health system. If you're motivated, solutions-focused, and ready to make an impact, TriHealth is a place where your work truly matters.

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 position (80 hours biweekly)
• Shift Varies
• No Weekend or Holiday Rotation

Benefits:

TriHealth offers a comprehensive benefits package which includes medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page:

Job Requirements:

• High School Degree
• Proficient in EDI/PC applications
• 1-2 years' experience in a related field

Job Overview:

The major purpose of this position is to expedite positive cash flow, maximize reimbursement, and reduce or eliminate financial loss to department customers by accurate efficient timely billing, follow-up and collections of patient accounts. Duties include: In charge of the timely and accurate follow-up on all patient account balances; In charge of processing the specified number of accounts on a daily basis based on customer specialty and unique billing requirements; In charge of understanding both Government & Non-Government Contractual billing and Follow-up guidelines, based on individual payers; Responsible for contacting Government, Non-Government & Self payers regarding lack of payment or improper payment; Resolves all incorrect payment issues and ensures that balances after insurance payments are correct based on contracts with individual payers; Displays quality customer service to internal/external customers, by providing timely/accurate information, and works to ensure that problems are resolved.

Job Responsibilities:

• Collects insurance and self-pay dollars outstanding through interactions with payers and patients.
• Participates willingly in payer communications and supports others in sharing information and keeping others up to date.
• Prepares monthly status reports for submission to senior management.
• Reduce the outstanding accounts receivable associated with each assigned customer book of business as measured by cash collections and days in accounts receivable.
• Responds to written and oral inquiries from customer contacts and insurance companies.
• Works insurance denials daily to identify errors, correct errors and resubmit claims for payment.
• Look for trends and tracks statistics.

Other job-related information:

Working Conditions:

Climbing - Rarely
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Kneeling - Occasionally
Lifting 50+ Lbs. - Rarely
Lifting <50 Lbs. - Occasionally
Pulling - Rarely
Pushing - Occasionally
Reaching - Rarely
Sitting - Consistently
Standing - Rarely
Stooping - Occasionally
Talking - Consistently
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

Job keywords:

Bill and Account Collector / Billing and Posting Clerk / Medical Records Specialist