Account Specialist I - Norwood
TriHealth
Job Overview:
The major purpose of this position is to expedite positive cash flow, maximize reimbursement, and reduce or eliminate financial loss to department customers by accurate efficient timely posting. Responsible for posting all incoming payments and denials to correct patient accounts on a daily basis for either the hospitals or the physician offices. This will include manual and electronic posting, obtaining payment details if they were not provided with payment, and downloading payment files from multiple sources such as payer portals. Consistently meeting monthly productivity and quality goals. Responsible for researching and clearing unapplied and undistributed payments. Resolves all incorrect payment issues and ensures that balances after insurance payments are correct based on contracts with individual payers. Displays quality customer service to internal/external customers, by providing timely/accurate information, and works to ensure that problems are resolved.
Job Requirements:
High School Degree
Proficient in EDI/PC applications
1-2 years experience in a related field
Job Responsibilities:
Other job-related information:
Working Conditions:
Climbing - Rarely
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Kneeling - Occasionally
Lifting 50+ Lbs. - Rarely
Lifting <50 Lbs. - Occasionally
Pulling - Rarely
Pushing - Occasionally
Reaching - Rarely
Sitting - Consistently
Standing - Rarely
Stooping - Occasionally
Talking - Consistently
Use of Hands - Consistently
Color Vision - Occasionally
Visual Acuity: Far - Frequently
Visual Acuity: Near - Consistently
Walking - Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community
The major purpose of this position is to expedite positive cash flow, maximize reimbursement, and reduce or eliminate financial loss to department customers by accurate efficient timely posting. Responsible for posting all incoming payments and denials to correct patient accounts on a daily basis for either the hospitals or the physician offices. This will include manual and electronic posting, obtaining payment details if they were not provided with payment, and downloading payment files from multiple sources such as payer portals. Consistently meeting monthly productivity and quality goals. Responsible for researching and clearing unapplied and undistributed payments. Resolves all incorrect payment issues and ensures that balances after insurance payments are correct based on contracts with individual payers. Displays quality customer service to internal/external customers, by providing timely/accurate information, and works to ensure that problems are resolved.
Job Requirements:
High School Degree
Proficient in EDI/PC applications
1-2 years experience in a related field
Job Responsibilities:
Other job-related information:
Working Conditions:
Climbing - Rarely
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Kneeling - Occasionally
Lifting 50+ Lbs. - Rarely
Lifting <50 Lbs. - Occasionally
Pulling - Rarely
Pushing - Occasionally
Reaching - Rarely
Sitting - Consistently
Standing - Rarely
Stooping - Occasionally
Talking - Consistently
Use of Hands - Consistently
Color Vision - Occasionally
Visual Acuity: Far - Frequently
Visual Acuity: Near - Consistently
Walking - Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone’s opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community
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