Welcome page Returning Candidate? Log back in! PFS Pt Acct Denial Spclst - PFS Hospital - Miamisburg - FT/Days Posted Date 9 hours ago(1/13/2025 1:37 PM) Job ID 2024-52594 Job Category Accounting/Finance Job Type Full-Time Shift First Shift Department 935093 - PFS HOSPITAL FTE 80 Hours Per Pay Period/FTE 1.0 Job Code 124800 Overview

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

 

Campus Overview

Kettering Health Miamisburg  

Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio. The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care.  Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning.  142 bed facilityAwarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.KH Miamisburg received several awards from Healthgrades: Outstanding Patient Experience Award (2017-2019)America’s 100 Best Hospitals for Prostate Surgery Award (2020)Joint Replacement Excellence Award (2020) Responsibilities & Requirements

Responsibilities:

Under the direction of the Patient Accounts Manager or Patient Accounts Supervisor and guidance of the Team Lead the Patient Accounts Specialist is highly involved in all aspects of medical billing, and is responsible for escalated follow-up and denial work.Participates in training and auditing of Patient Account Representatives.  Works special projects as assigned. Effective in identifying and analyzing problems. Generates alternatives and identifies possible solutions.  Timely resolution of claim edits allowing timely claim submission  Timely follow-up of unpaid claims, worked to ensure maximum reimbursement following compliant standards Ability to work independently as well as collaboratively within a team environment   Excellent problem-solving skills  Creative ability to escalation of appeals  Excellent verbal, written and customer service communication skills. Preferred Qualifications

Requirements:  

Experience in Microsoft tools Epic EMR Experience (Preferred) Relay Health/ePremis Experience (Preferred)      High School diploma or equivalent requiredMinimum of one years’ experience in health care denials Experience with the Revenue Cycle – registration, medical records, billing, coding, etc. Experience with managed care contract terms and federal payer guidelines  Experience with medical necessity guidelines and care coordination/case management functions  Experience with hospital billing (UB92 form) and coding requirements · Understanding of Revenue Cycle Processes  In depth understanding of explanation of benefits (EOB's) Options Apply Today!ApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Need help finding the right job? We can recommend jobs specifically for you! Click here to get started. Application FAQs

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