Patient Accounts Representative- Patient Accounts; Shaffer

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- Patient Accounts (Shaffer) role at Nationwide Children's Hospital.

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 follow‑up activities are accurate, complete, and timely.

• 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.
• Co‑ordinates with governmental agencies, third‑party 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 follow‑up on claim edits, rejections, denials, and outstanding professional claims in a timely manner.
• Maintains patient records and ensures confidentiality of sensitive information.

• High school diploma, required.
• Associates degree, preferred.

• 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.
• Ability to do data entry and work a calculator.
• Problem identification and problem solving skills, required.
• Excellent interpersonal, verbal, and written communication skills.
• Excellent organization skills and the ability to comprehend and follow written and verbal instructions.

• Two years’ experience in medical billing, claims follow‑up and customer service, required.
• One year experience working on a mainframe computer. Experience using Outlook, Word and Excel, required.

Occasionally: Lifting/Carrying 0‑10 lbs, Lifting/Carrying 11‑20 lbs, Pushing/Pulling 0‑25 lbs, Reaching above shoulder, Squat/knee, 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).

“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.”

• Entry level

• Full‑time

• Health Care Provider

• Hospitals and Health Care

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