Patient Accounts Rep

Kettering Health Network; Kettering (OH); On-site; USD 36,000 - 48,000; Full time

Job summary

Kettering Health is seeking a Patient Accounts Representative for remote, full-time work focused on billing functions, claim edits, and insurance claim reviews. You will contact insurers and providers to resolve unpaid claims and support first level appeals in line with departmental policies.

Ideal candidates will have a High School diploma, proficiency in Microsoft Office, and the ability to work independently within a team, with competency assessments to track knowledge retention.

Qualifications

• High School diploma or equivalent required.
• Experience with Microsoft Office tools preferred.

Responsibilities

• Daily billing functions including claim edits and review of insurance claims for accuracy.
• Contacting various parties for information on unpaid claims and pursuing first level appeals in compliance with policies.
• Knowledge retention demonstrated through scheduled competency assessments.
• Other duties as assigned.

Skills

Timely resolution

Timely follow-up

Independent worker

Problem solving

Education

High School diploma or equivalent

Tools

Microsoft Office

Job description

Job Details

Remote l Full-time l Days

Responsibilities & Requirements

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.

• Essential Skills:
• 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.