Account Specialist II at TriHealth

Norwood, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Jun, 26

Salary

0.0

Posted On

03 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle, Hospital Billing, Claims Processing, Explanation of Benefits (EOB) Interpretation, Discrepancy Investigation, Medicaid Billing, Medicare Billing, Payer Communication, Payment Posting, Account Follow-up, Collections, Reconciliation, Customer Service, Billing Meetings, Status Reporting, Cross Training

Industry

Hospitals and Health Care

Description

***Account Specialist II – TriHealth Corporate Office*** At TriHealth, you’ll be part of a mission‑driven health system that values accuracy, integrity, and teamwork. Our Revenue Cycle professionals play a critical role in protecting the financial health of our organization and we invest in the people who make that possible. If you’re someone who thrives on problem‑solving, digging into payer issues, and ensuring claims are processed correctly, this is a place where your expertise truly matters. We’re seeking someone with strong revenue cycle experience - preferably in hospital billing - who understands how payers’ access and process claims, can interpret Explanations of Benefits (EOBs), and is comfortable investigating discrepancies to drive accurate outcomes. Apply today and grow your career with a team that truly values you. Location: * TriHealth Corporate Office at 625 Eden Park Drive, Cincinnati, OH 45202 [https://www.google.com/maps/dir/TriHealth+Corporate+Offices+Baldwin,+625+Eden+Park+Dr,+Cincinnati,+OH+45202/@39.3883118,-84.5117312,15z/data=!4m8!4m7!1m0!1m5!1m1!1s0x8841b3961505b91f:0xc85173580a1175b1!2m2!1d-84.4987036!2d39.1174228?entry=ttu&g_ep=EgoyMDI2MDIwMS4wIKXMDSoASAFQAw==] Work Schedule: * Full-time position (80 hours biweekly) * Day Shift * No Weekend or Holiday Rotation Incentives & Benefits: TriHealth offers a comprehensive benefits package which includes medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Please view our benefits page: https://careers.trihealth.com/what-we-offer/benefits [https://careers.trihealth.com/what-we-offer/benefits] Job Requirements: * High School Diploma or GED Degree (Required) * 3 - 4 years’ experience in a related field (Required) * Specialized knowledge in Medicaid/Medicare billing, and other payer sources Job Overview: This position's principal purpose is to expedite positive cash flow, maximize reimbursement, and reduce/eliminate financial loss to department customers by efficient billing, follow-up and collections of patient accounts. Duties include: Submit charge information into appropriate system; Post payments; Follow-up on patient account balances including insurance/patient financial balances; Process the specified number of accounts on a daily basis based on customer specialty and unique billing requirements; Contact payers regarding payment; Resolve incorrect payment issues and ensure balances after insurance payments are correct, including entry of corrections into systems; Reconcile monthly reports; Demonstrate quality customer service to internal/external customers. Job Responsibilities: * Bills and collects dollars outstanding through interaction with payer and participates willing in payer communication. * Actively protects the financial resource of Bethesda Healthcare, Inc. * Completes assigned workload based on predefined key performance indicator on a daily basis ensuring accuracy. * Show an effort to consistently produce quality work. * Demonstrates proper customer service skills toward internal and external customers through prompt and courteous communications. * Participate in monthly billing meetings with customer contacts. * Prepares status report and submits agenda items to manager one business day prior to meeting. * Through cross training and experiences, develops and maintains comprehensive knowledge and understanding of billing and follow-up procedures for all BWC and non-BWC payers. * Works with minimal supervisory oversight and exercised appropriate judgment in identifying instances which require management intervention. * Identifies and appropriately communicates process improvement with Manager in a timely manner. Working Conditions: Climbing - Rarely Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Kneeling - Occasionally Lifting 50+ Lbs. - Rarely Lifting

Responsibilities

The primary duties involve submitting charges, posting payments, and following up on patient account balances to expedite positive cash flow and maximize reimbursement. This includes contacting payers regarding payments, resolving incorrect payment issues, and ensuring balances after insurance are correct.