Patient Accounts Rep - PFS Hospital - Miamisburg - FT/Days

Kettering Health Network; Miamisburg (OH); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Patient Accounts Representative to join their team in Miamisburg. This role is essential for ensuring the smooth processing of patient billing and claims, providing an opportunity to make a real difference in the healthcare experience. The ideal candidate will demonstrate strong problem-solving skills and the ability to work both independently and collaboratively. Join a team committed to high-quality care and help transform the healthcare experience for patients at every stage of life.

Qualifications

• High School diploma or equivalent required.
• Experience in patient billing preferred.

Responsibilities

• Responsible for daily billing functions and working claim edits.
• Review insurance claims for accuracy and follow up on unpaid claims.

Skills

Problem-solving skills

Timely resolution of claim edits

Ability to work independently

Ability to work collaboratively

Education

High School diploma or equivalent

Tools

Microsoft Office

Epic

Job description

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 facility.
• Awarded 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 Supervisor, the Patient Accounts Representative is responsible for daily billing functions including but not limited to working claim edits, reviewing 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 in compliance 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, working to ensure maximum reimbursement following compliant standards.
• Ability to work independently as well as collaboratively within a team environment.
• Excellent problem-solving skills.

Preferred Qualifications

Requirements

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

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