Work from Home - Hybrid - Ohio
Clinical Denials
Full time
40The insurance billing patient account specialist is responsible for all billing and collection activity with insurance carriers. This may include research and contact with patient, guarantor, insurance companies, or other third-party payers.
Under the leadership of the Manager, Patient Financial Services, the patient account specialist is responsible for the billing of accounts, review of payment accuracy, account research, and follow-up. Efforts may include financial, clinical, or demographic account corrections. Research also includes coordination with service providers and payers, root analysis of denied payment, and timely follow up on claims. Filters and sorts EPIC work-queues in an effort to provide most effective A/R strategies. Stays current on all payer billing requirements. Maintains a high level of accuracy and assures compliant billing of claims. Is able to track and communicate payer trends to supervisor and manager.
Department Specific Job Details:
Education
High school diploma or GED required
Experience
Minimum of 1 year of experience in patient financial services or healthcare billing
Skills/Competencies
Strong communication and interpersonal skills
Ability to work tactfully with patients, staff, and interdepartmental customers
Strong analytical and problem-solving skills
Knowledge of healthcare billing regulations and compliance requirements
Excellent organizational and time-management skills
Dayton Children's Hospital is the only facility in the region devoted to the health, safety and information needs of children and their families.
Dayton Children's is staffed by pediatricians, pediatric specialists and clinical staff with special training and experience in caring for children. In addition, everything from room decor to life-saving equipment in is designed with the comfort of children in mind.
As a regional referral center, Dayton Children's draws patients from a 20-county area that includes Ohio and eastern Indiana. Dayton Children's affiliation with Wright State University School of Medicine and accreditation by the Joint Commission on Accreditation of Healthcare Organizations ensures young patients the finest pediatric care available.
Dayton Children's staff of over 200 physicians and residents includes primary care pediatricians as well as subspecialists in over 35 areas of pediatric medicine. Working as a team with the medical staff are more than 3500 employees and volunteers who share a commitment to quality care no matter what their specific titles or duties.
