Patient Account Specialist - Clinical Denials

Facility:
Work from Home
- Hybrid
- Ohio Department:
Clinical Denials

Schedule:

Full time

Hours:

40 Job Details:
The 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.

Education High school diploma 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

At Dayton Children's, we believe that each moment counts with our patients, families, and with each other. We are moving at a fast pace and are looking for the right talent for our team at Dayton Children's. We want people who embody our values and want to become a part of the Dayton Children's difference. Our values:

• We commit to safety
  - We ensure every action and decision prioritizes the safety of patients, families, and employees.
• We serve with compassion
  - We bring generosity, empathy, and kindness to all interactions.
• We own every moment
  - We take pride in everything we do.
• We’re better together
  - We collaborate, communicate, and support one another to deliver optimal care.
• We innovate with purpose
  - We adapt and change to improve pediatric care, for today and tomorrow.
• We value and respect each person
  - We create an inclusive space where everyone feels welcome and respected.

Dayton Children’s is proud to be an Equal Opportunity Employer that values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation, or transgender status.