<p>Job Details</p> <p>System Services | Miamisburg | Full-Time | First Shift</p> <p>Responsibilities & Requirements</p> <p>Responsibilities:</p> <ul> <li>Under the direction of the Patient Accounts Manager or Patient Accounts Supervisor and guidance of the Team Lead the Patient Accounts Specialist is highly involved in all aspects of medical billing, and is responsible for escalated follow-up and denial work. </li><li>Participates in training and auditing of Patient Account Representatives. </li><li>Works special projects as assigned. </li><li>Effective in identifying and analyzing problems. </li><li>Generates alternatives and identifies possible solutions. </li><li>Timely resolution of claim edits allowing timely claim submission </li><li>Timely follow-up of unpaid claims, worked to ensure maximum reimbursement following compliant standards </li><li>Ability to work independently as well as collaboratively within a team environment </li><li>Excellent problem-solving skills </li><li>Creative ability to escalation of appeals </li><li>Excellent verbal, written and customer service communication skills. </li></ul> <p>Preferred Qualifications</p> <p>Requirements:</p> <ul> <li>Experience in Microsoft tools Epic EMR Experience (Preferred) Relay Health/ePremis Experience (Preferred) </li><li>High School diploma or equivalent required </li><li>Minimum of one years' experience in health care denials </li><li>Experience with the Revenue Cycle - registration, medical records, billing, coding, etc. </li><li>Experience with managed care contract terms and federal payer guidelines </li><li>Experience with medical necessity guidelines and care coordination/case management functions </li><li>Experience with hospital billing (UB92 form) and coding requirements · Understanding of Revenue Cycle Processes </li><li>In depth understanding of explanation of benefits (EOB's) </li></ul> <p>Overview</p> <p>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.</p>