Welcome page Returning Candidate? Log back in! Patient Accts Specialist - PFS Hospital - Home - FT/Days Posted Date 2 weeks ago(8/5/2024 12:38 PM) Job ID 2024-50221 Job Category Administrative/Business Support Job Type Full-Time Shift First Shift Department 935093 - PFS HOSPITAL FTE 80 Hours Per Pay Period/FTE 1.0 FTE 80 Hours Per Pay Period/FTE 1.0 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.

 

Campus Overview

Kettering Health Main Campus

Kettering Health Main Campus, formerly Kettering Medical Center, is the flagship hospital of Kettering Health and has been serving Kettering, Ohio and the Greater Dayton area since 1964. The facility includes the Benjamin and Marian Schuster Heart Hospital, maternity service with a level III neonatal intensive care unit (NICU), and level II Emergency Care. In 2020, KH Main Campus received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.Received 4 Star Baby-Friendly Hospital status by the Ohio Hospital Association.Awarded as one of the 50 Top Cardiovascular Hospitals by IBM Watson Health in 2020.Kettering received the Outstanding Patient Experience Award by Healthgrades (2017-2019).Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.465-bed hospital (includes newborn beds) 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 Preferred Qualifications Previous Medicare billing experience preferred Options Apply Today!ApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Need help finding the right job? We can recommend jobs specifically for you! Click here to get started. Application FAQs

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