Details
Posted: 27-May-23
Location: Akron, Ohio
Salary: Open
Categories:
Operations
About Akron Children's Hospital
Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at akronchildrens.org.
OUR PROMISES
- To treat every child as we would our own
- To treat others as they would like to be treated
- To turn no child away for any reason
Prior to the start date, full COVID-19 vaccination is required for employment. Full vaccination is defined as 14 days after the last received vaccination. Boosters are excluded from this requirement.
We are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.
Full - Time: 40 Hours Per Week
1st Shift: 8am - 4:30pm
Monday - Friday
Remote with onsite requirements as needed
Applicant must reside in Ohio or Pennsylvania at the time of offer
Summary:
The Billing Collections Rep is responsible for resolving unpaid insurance accounts, by contacting insurance companies through various means to solicit payment for applicable patient encounters.
Responsibilities:
1.Develops positive relationships with payer representatives in order to collect accounts timely.
2.Investigates pended claims to determine why claims were pended and resolve reasons for the pended scenario.
3.Identifies and resolves trends with pended claims, which includes appeals for untimely claim submission and resolving provider credentialing issues.
4.Accurately posts resolutions to accounts including updating and billing insurance and correct and repost.
5.Establishes and maintains provider manuals for assigned insurance carriers and subsequent plans.
6.Monitors physician's enrollment to not exceed timely filing requirements.
7.Other duties as required.
Other information:
Technical Expertise
1.Experience in processing and billing physician claims is required.
2.Experience in the technical aspects of billing and collections required. This includes CPT and ICD coding knowledge, understanding pay3r remittance coding/process and outcomes analysis/reporting.
3.Experience working with applicable management team members and clinic staff required.
4.Proficiency is the management of CMS formatted claims required.
5.Proficiency in MS Office [Outlook, Excel, Word]. Epic experience is preferred.
Education and Experience
1.Education: High school diploma or equivalent is required. Bachelor's Degree is preferred.
2.Certification: Medical Billing Certificate is preferred.
3.Years of relevant experience: 1 to 2 years required. 5 years relevant experience preferred.
4.Years of experience supervising: None.
Full Time
FTE: 1.000000
Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.
EEO is the law, please click/copy paste the link below to learn more:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/eeoc_self_print_poster.pdf
