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Patient Account Specialist - CBO Managed Care - Full Time - Days

Company: ProMedica Health
Location: Toledo
Posted on: June 14, 2019

Job Description:

Job Title
Patient Account Specialist - CBO Managed Care - Full Time - Days
Category
Office / Administrative / Clerical
Organizational Unit
ProMedica - ProMedica System - PHS Corporate - CBO Managed Care (8967)
Location
Toledo, OH 43606 US (Primary)
Job Description

This position completes a regular comparison of actual reimbursement received to the expected reimbursement due under ProMedica s non-government Managed Care payer contracts. As part of the responsibilities, this position is expected to research and identify any discrepancies or trends that cause a reduction in reimbursement at the individual account level or overall reimbursement from a payer. Follow-up will be completed for each account or discrepancy until final resolution. This position is actively cooperating with internal and external parties such as Revenue Cycle, other internal teams and Managed Care payers. Job Requirements

Required Qualifications:

Education: High School graduate or equivalent

Skills: Detail orientated, strong organizational skills, investigative nature and an ability to multi-task. Microsoft office application experience with an emphasis on Excel.

Years of Experience: 1 years experience in medical billing or equivalent knowledge of claim forms (UB04) and medical terminology. Managed Care contract reimbursement experience a plus.



Preferred Qualifications:

Education: Bachelor Degree in Business or Medical related field.

Skills: Detail orientated, strong organizational skills, investigative nature and an ability to multi-task. Microsoft office application experience with an emphasis on Excel.

Years of Experience: 3 years experience in medical billing or equivalent knowledge of medical claim forms (UB04) and medical terminology. Managed Care contract reimbursement experience a plus.

Other skills required:

* Ability to accurately and independently identify problems as demonstrated by taking a basic skills test and scoring a minimum of 80%.

* Must be able to function both independently and as a team member.

* Self-motivation and willingness to learn





ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. It serves communities in 30 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 70,000 employees, 13 hospitals, 2,700 physicians and advanced practice providers with privileges, 900+ healthcare providers employed by ProMedica Physicians, a health plan, and 450 assisted living facilities, skilled nursing and rehabilitation centers, memory care communities, outpatient rehabilitation clinics, and hospice and home health care agencies. Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics.

Equal Opportunity Employer/Drug-Free Workplace

Employee Exemption Type
Non-Exempt
Job Type
Full-time
Budgeted Hours / Pay Period
80
Shift Type
Days
Shift Hours

Weekends

On-call Requirements

Additional Schedule Details

Keywords: ProMedica Health, Toledo , Patient Account Specialist - CBO Managed Care - Full Time - Days, Other , Toledo, Ohio

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