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Customer Service Representative - CBO Revenue Cycle - Full Time - Days

Company: ProMedica Health System
Location: Toledo
Posted on: January 16, 2022

Job Description:

ProMedica is a locally owned, nonprofit healthcare organization serving northwest Ohio and southeast Michigan. Driven by our Mission to improve your health and well-being, we offer a full range of diagnostic, medical and surgical specialties in areas such as emergency medicine and trauma, heart and vascular, oncology, orthopedics, neurology, and women's and children's services. Today, ProMedica - a committed team of dedicated experts, passionate volunteers and inspired advocates - is recognized nationally for the consistent, high-level care that we provide our communities.

Job Description: ---Conducts payor denial analysis to identify denial trends for process improvement and revenue generation ---Produces denial reports to support ProMedica revenue cycle and various other departments ---Creates denial reduction procedures to assist with reducing ProMedica's denial experience ---Maintains assigned work queues ---Identifies and recommends process improvements related to current operating procedures ---Creates standard operating procedures to assist in denial reduction ---Works claims to assist in follow-up and appropriate payment ---Participates in cross functional workgroups and committees ---Maintain up to date knowledge on state and federal regulatory agencies rules and regulations related to hospital billing and collections ---Keeps abreast of trends, developments, and practices ---Gathers and analyzes payor data to achieve optimal reimbursement ---Provides denial education to help ensure denial reductions ---Performs other duties as assigned or required

Job Requirements:

+ High School diploma or equivalent, college degree preferred

+ Medical billing experience preferred

+ Must be proficient in Excel and data analysis

+ Must have exemplary customer service and communications

+ Must be flexible with the ability to adapt to change quickly and think conceptually

+ Must have exceptional interpersonal skills

+ Team mentality

+ Ability to multi-task in a fast paced environment

+ Impeccable attendance

+ Must be PC proficient

+ Must pass Skills Test with a 90% or greater score

+ Must be able to move about office and between workstations

+ Must be able to occasionally lift, move and carry up to 20lbs of materials

ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact

Equal Opportunity Employer/Drug-Free Workplace

**Requisition ID:** 59879

Keywords: ProMedica Health System, Toledo , Customer Service Representative - CBO Revenue Cycle - Full Time - Days, Sales , Toledo, Ohio

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