Patient Accounts Rep - PFS NW Business Support - Miamisburg - FT/Days

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 Miamisburg  

• Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
• Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
• The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care. 
• Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning. 
• 142 bed facility
• Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
• In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
• Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
• KH Miamisburg received several awards from Healthgrades:
  • Outstanding Patient Experience Award (2017-2019)
  • America’s 100 Best Hospitals for Prostate Surgery Award (2020)
  • Joint Replacement Excellence Award (2020)

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 appeals…all 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

Preferred Qualifications

 Requirements:

• High School diploma or equivalent
• Experience in Microsoft office tool

• Previous experience in patient billing preferred
• Underpayment experience preferred
• Knowledge of payer contract/reimbursememt policies preferred
• Epic experience a plus