Account Specialist

Location:

Cincinnati, OH, United States

Tri Health 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 Tri Health
’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 Tri Health
’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,
Tri Health is a place where your work truly matters.

• 4665 Cornell Road, #350, Blue Ash, OH 45241(Use the "Apply for this Job" box below)./Fe432tTHYdigKGUcv

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

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

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

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.

• 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.

Working Conditions:

• Climbing
  - Rarely
• Hearing:
  Conversation
  - Consistently
• Hearing:
  Other Sounds
  - Frequently
• Kneeling
  - Occasionally
• Lifting 50+ Lbs.
  
  - Rarely
• Lifting