Specialist - Patient Acct Rep I

Lindner Center of HOPE; Mason (OH); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Affordable medical, dental, and vision

Tuition reimbursement

Paid time off

401(k)

Gym membership

Disability & life insurance

EAP

Job summary

The Lindner Center of Hope in Mason, OH seeks a Rep I - Specialist, Patient Acct to manage accounts receivable follow-up for government and non-government payors.

You will review denials, process refunds, file appeals, and maintain billing accounts using EPIC, Word, and Excel. Candidates should have 2+ years in medical billing and strong multi-tasking skills.

This full-time role offers a stable healthcare environment with opportunities for professional growth.

Qualifications

• High school diploma required; Associates degree preferred.
• 2+ years’ experience in medical facility and professional billing preferred.
• Knowledge of third party payers, managed care contracts, claims review, analysis and QA experience preferred.
• Strong computer skills with Word, Excel and internet navigation.
• Ability to handle multiple projects/tasks simultaneously.
• Ability to communicate effectively with patients and families in an age-appropriate manner.
• Commitment to Lindner Center of Hope mission, vision and values.

Responsibilities

• Research zero paid claims and take action for maximum reimbursement.
• Work collection follow up reports for unpaid claims 0-120+ days.
• Review managed care claims for contract compliance; recover under/overpaid claims and refunds.
• Track denials for quality improvement opportunities.
• File appeals on denied inpatient and outpatient claims.
• Maintain accounts using medical billing software; cash posting in AR systems.
• Research credits for Government and Non-Government claims for refunds.
• Perform other duties as assigned.

Skills

Strong computer skills

EPIC

Data entry

Word

Excel

Internet navigation

Multi-tasking

Communication

Education

High school diploma

Associates degree preferred

Tools

EPIC

Job description

Rep I - Specialist, Patient Acct

FTE: 1.0 (40 hours)

Shift: Days

Req: 1813

About Us

The Lindner Center of Hope is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time.

• One of the first centers designed as a fully integrated system of care to address deficiencies in mental health care as identified by the Institute of Medicine.
• Innovative residential assessment, inpatient and outpatient programs in partnership with UC Health serving more than 54,660 patients from around the world.
• A leader in research and collaborations that are advancing the field and positioning Cincinnati as a national leader in mental health care.

About Us

The Lindner Center of Hope is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time.

• One of the first centers designed as a fully integrated system of care to address deficiencies in mental health care as identified by the Institute of Medicine.
• Innovative residential assessment, inpatient and outpatient programs in partnership with UC Health serving more than 54,660 patients from around the world.
• A leader in research and collaborations that are advancing the field and positioning Cincinnati as a national leader in mental health care.

We embrace the many talents, skills, and experiences our employees bring to Lindner Center of Hope. Everyone is encouraged to use their unique gifts to express ideas, make meaningful contributions to our programs and genuine connections with patients and family, as well as strengthen donor, referrer and community relations.

At Lindner Center of Hope, you’ll have the opportunity for a consistently rewarding career, working for an organization that shares your desire and ability to make a demonstrable difference in the lives of people living with mental illness.

Position Summary

This position is responsible for AR follow up on all unpaid claims for Government and Non-Government payors. The responsibilities will include reviewing all denials and bringing them to resolution and reviewing credits for possible refunds and/or missing revenue.

Major Duties and Responsibilities

• Research zero paid claims and takes action for maximum reimbursement.
• Work collection follow up reports for unpaid claims 0-120+ days..
• Reviews all managed care claims for contract compliance. Recovers under/overpaid claims, refunds overpayments to insurance.
• Tracks and trends all denials for quality improvement opportunities.
• File appeals on appropriate denied inpatient and outpatient claims.
• Creates, organizes, corrects, updates and maintains accounts using medical billing software.
• Cash posting within the AR computer system(s).
• Research all credits for Government and Non-Government claims for possible refunds.
• Performs other duties as assigned or required

Position Qualifications

• High school diploma required; Associates degree preferred.
• A minimum of 2+ years’ experience medical facility and professional billing experience preferred.
• Knowledge of third party payers, managed care contracts, claims review, analysis and quality assurance experience preferred.
• Strong computer skills, utilizing a variety of software applications, including EPIC is required.
• Data entry and/or PC experience required. Familiar with Word, Excel and internet navigation.
• Must possess the ability to handle multiple projects/tasks at one time.
• Demonstrates the knowledge and skills necessary to communicate effectively using age-specific and developmentally appropriate care for the spectrum of populations admitted to Lindner Center Of Hope.
• Ability to enthusiastically follow and model the Lindner Center of Hope mission, vision and values.

Physical Requirements

The physical demands of this position are consistent with those performed in a normal office environment, including occasional lifting, carrying, pushing or pulling, and sufficient manual dexterity to operate standard office equipment and ability to use to use a computer.

Perks And Benefits

At LCOH, we are dedicated to fostering a supportive and caring environment. As part of our team, you'll have access to:

• Affordable medical, dental, and vision plans for both full-time and part-time employees
• Flexible spending and health savings accounts
• Generous paid time off that starts accruing on day one
• Opportunities for tuition reimbursement and continuous education
• An employer-matching 401(k) retirement plan to help you plan for the future
• Complimentary gym membership
• Employer-provided short and long-term disability coverage, life insurance and an Employee Assistance Program
• A community of mission-driven individuals passionate about making a difference

All candidates extended conditional offer of employment will be subject to a WebCheck (BCI & FBI Fingerprinting). Fingerprints will be submitted to the Bureau of Criminal Investigation (BCI) and the Federal Bureau of Investigation (FBI). The reports from these agencies will include criminal record information. Lindner Center of Hope will follow the requirements for employment based on the State of Ohio Administrative Code 5122-30-31, and any other regulatory requirements regarding criminal background checks. Lindner Center of Hope also reserves the right to obtain Consumer Reports and/or Investigative Consumer Reports as defined in the Federal Fair Credit Reporting ACT (FCRA).

Lindner Center of Hope is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.