Patient Accounts Rep

Kettering Health; Kettering (OH); On-site; USD 38,000 - 52,000; Full time

Job summary

Kettering Health, a not-for-profit system with 14 medical centers and 120 outpatient facilities in southwest Ohio, is seeking a Patient Accounts Representative for remote, full-time work. You will handle daily billing tasks, review insurance claims, and pursue timely resolutions to maximize reimbursements.

The role requires a high school diploma and proficiency with Microsoft Office; Epic experience is a plus.

Qualifications

• High School diploma or equivalent.
• Experience in Microsoft Office tools.

Responsibilities

• Process daily billing functions including claim edits and insurance claim review.
• Contact parties for information on unpaid claims.
• Identify issues causing non-payment and pursue first-level appeals.
• Demonstrate knowledge retention through competency assessments.
• Resolve claim edits timely to enable prompt submission.
• Follow up on unpaid claims to maximize reimbursement per standards.
• Work independently and with a team; strong problem-solving.

Skills

Problem-solving

Education

High School diploma or equivalent

Tools

Microsoft Office

Epic

Job description

Job Details

Remote l Full-time l Days

Responsibilities

• Under the direction of the Patient Accounts Manager or Supervisor the Patient Accounts Representative is responsible for daily billing functions including but not limited to working claim edits, review of insurance claims for accuracy, contacting various parties for further information on unpaid claims, identifying issues resulting in non-payment, and working first level appeals…all incompliance with departmental policies and procedures.
• Must display knowledge retention through scheduled competency assessments.
• Other duties as assigned.
• 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

Requirements

• High School diploma or equivalent
• Experience in Microsoft office tool

Preferred Qualifications

• Previous experience in patient billing preferred
• Epic experience a plus

Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.