Specialist - Patient Acct Rep

Rep I - Specialist, Patient Acct FTE: 1.0 (40 hours) Shift: Days

Req: 1813

The Lindner Center of Hope is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time.

• One of the first centers designed as a fully integrated system of care to address deficiencies in mental health care as identified by the Institute of Medicine.
• Innovative residential assessment, inpatient and outpatient programs in partnership with UC Health serving more than 54,660 patients from around the world.
• A leader in research and collaborations that are advancing the field and positioning Cincinnati as a national leader in mental health care.

The Lindner Center of Hope is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time.

• One of the first centers designed as a fully integrated system of care to address deficiencies in mental health care as identified by the Institute of Medicine.
• Innovative residential assessment, inpatient and outpatient programs in partnership with UC Health serving more than 54,660 patients from around the world.
• A leader in research and collaborations that are advancing the field and positioning Cincinnati as a national leader in mental health care.

We embrace the many talents, skills, and experiences our employees bring to Lindner Center of Hope. Everyone is encouraged to use their unique gifts to express ideas, make meaningful contributions to our programs and genuine connections with patients and family, as well as strengthen donor, referrer and community relations.

At Lindner Center of Hope, you’ll have the opportunity for a consistently rewarding career, working for an organization that shares your desire and ability to make a demonstrable difference in the lives of people living with mental illness.

This position is responsible for AR follow up on all unpaid claims for Government and Non-Government payors. The responsibilities will include reviewing all denials and bringing them to resolution and reviewing credits for possible refunds and/or missing revenue.

• Research zero paid claims and takes action for maximum reimbursement.
• Work collection follow up reports for unpaid claims 0-120+ days..
• Reviews all managed care claims for contract compliance. Recovers under/overpaid claims, refunds over payments to insurance.
• Tracks and trends all denials for quality improvement opportunities.
• File appeals on appropriate denied inpatient and outpatient claims.
• Creates, organizes, corrects, updates and maintains accounts using medical billing software.
• Cash posting within the AR computer system(s).
• Research all credits for Government and Non-Government claims for possible refunds.
• Performs other duties as assigned or required

• High school diploma required;
  Associates degree preferred.
• A minimum of 2+ years’ experience medical facility and professional billing experience preferred.
• Knowledge of third party payers, managed care contracts, claims review, analysis and quality assurance experience preferred.
• Strong computer skills, utilizing a variety of software applications, including EPIC is required.
• Data entry and/or PC experience required. Familiar with Word, Excel and internet navigation.
• Must possess the ability to handle multiple projects/tasks at one time.
• Demonstrates the knowledge and skills necessary to communicate effectively using age-specific and developmentally appropriate care for the spectrum of populations admitted to Lindner Center Of Hope.
• Ability to enthusiastically follow and model the…