Schedule: MF (Day shift)
Fully remote employee must reside within the Central Ohio area
Responsible for the timely processing of duties and/or activities related to the accurate processing and handling of patient accounts. Ensures that all patient account information charges billings and followup activities are accurate complete and timely.
Essential Functions:- Reviews patient account information for completeness and accuracy.
- Makes necessary changes/updates to patient account information to ensure timely payment on accounts. Retrieves status information from government and third party payers regarding outstanding professional claims.
- Coordinates with governmental agencies thirdparty payers and internal auditors to ensure maximum reimbursement for hospital services.
- Acts as a liaison between the hospital and third party payers in resolving billing and reimbursement issues.
- Provides followup on claim edits rejections denials and outstanding professional claims in a timely manner.
- Maintains patient records and ensures confidentiality of sensitive information.
Education Requirement: - High school diploma required.
- Associates degree preferred.
Licensure Requirement:(not specified)
Certifications:(not specified)
Skills: - Knowledge of medical terminology various claim forms third party contracts and payment patterns CPT and ICD9 coding and reimbursement regulations and policies of third party payers.
- The ability to do data entry and work a calculator.
- Problem identification and problem solving skillsrequired.
- Excellent interpersonal verbal and written communication skills.
- Excellent organization skills and the ability to comprehend and follow written and verbal instructions.
Experience: - Two years experience in medical billing claims followup and customer service required.
- One year experience working on a mainframe computer. Experience using Outlook Word and Excel required.
Physical Requirements:OCCASIONALLY: Lifting / Carrying: 010 lbs Lifting / Carrying: 1120 lbs Pushing / Pulling: 025 lbs Reaching above shoulder Squat/kneel Standing Walking
FREQUENTLY: Flexing/extending of neck Patient Equipment Peripheral vision
CONTINUOUSLY: Audible speech Color vision Computer skills Decision Making Depth perception Hand use: grasping gripping turning Hearing acuity Interpreting Data Problem solving Repetitive hand/arm use Seeing Far/near Sitting
Additional Physical Requirements performed but not listed above:(not specified)
Accuracy and Attention to Detail Working Knowledge (Meets Expectations) Data Entry Management Basic Understanding (Meets Expectations) Effective Communications Working Knowledge (Meets Expectations) Healthcare Information Systems Working Knowledge (Meets Expectations) High School/GED NCH Core Values Basic Understanding (Meets Expectations) Problem Solving Working Knowledge (Meets Expectations)
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified nor is it intended to limit or modify the right of any supervisor to assign direct and control the work of employees under their supervision. EOE M/F/Disability/Vet