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Jobs at University of Toledo Physicians, LLC (Now Hiring) — 17 open

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Senior Insurance Follow Up Specialist

Toledo, Ohio, United States · On-site

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Insurance Denial Resolution, Revenue Cycle Management, Medical Terminology, Data Entry, Analytical Thinking

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Transitional Care Coordinator

Toledo, Ohio, United States · On-site

Mid level

POSITION INFORMATION Job Title: Transitional Care Coordinator Department: Value Based Care Reports to: Manager, Care Management and Coordination POSITION SUMMARY The Transitional Care Coordinator (TCC) will be responsibl…

Skills: Care Coordination, Patient Assessment, Interpersonal Communication, Time Management, Relationship Building

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Business Assistant I

Toledo, Ohio, United States · On-site

Entry level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Insurance Verification, Patient Scheduling, Dentrix, Receptionist Duties, Billing Transactions

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Physician Assistant - Cardiothoracic Surgery

Toledo, Ohio, United States · On-site

Senior

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Pre-operative Evaluation, Intraoperative First Assisting, Post-operative Management, CABG, Valve Surgery

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

CRNA / CAA - Department of Anesthesiology

Toledo, Ohio, United States · On-site

$240k/yr

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Anesthesia Administration, Perioperative Patient Evaluation, Cardio-pulmonary Resuscitation, Patient Monitoring, Ventilatory Support

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

CRNA / CAA - Department of Anesthesiology

Toledo, Ohio, United States · On-site

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Anesthesia Administration, Perioperative Patient Evaluation, Cardio-pulmonary Resuscitation, Patient Monitoring, Ventilatory Support

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Medical Assistant

Toledo, Ohio, United States · On-site

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Clinical Proficiency, Interpersonal Skills, Professionalism, Computer Skills, MS Office

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

CRNA / CAA - Department of Anesthesiology

Toledo, Ohio, United States · On-site

$240k/yr

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Anesthesia Administration, Perioperative Patient Evaluation, Cardio-pulmonary Resuscitation, Multi-parameter Monitoring, Ventilatory Support

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Anesthesiologist - Physician

Toledo, Ohio, United States · On-site

Senior

The University of Toledo Physicians: The University of Toledo Physicians strives to provide the highest quality personalized care to patients throughout Ohio and Southeastern Michigan. Representing more than 300 provider…

Skills: Anesthesiology, Patient Care, Acute Pain Management, Chronic Pain Management, Intensive Care Services

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Anesthesiologist - Physician

Toledo, Ohio, United States · On-site

Senior

The University of Toledo Physicians: The University of Toledo Physicians strives to provide the highest quality personalized care to patients throughout Ohio and Southeastern Michigan. Representing more than 300 provider…

Skills: Anesthesiology, Acute Pain Management, Chronic Pain Management, Intensive Care Services, Patient Assessment

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

VP of Value Based Care

Toledo, Ohio, United States · On-site

Senior

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Budget Development, Staff Management, Healthcare Quality Programs, Analytical Abilities, Organizational Abilities

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Assistant Professor – General Internal Medicine & Geriatrics

Toledo, Ohio, United States · On-site

Mid level

Position Summary The Division of General Internal Medicine is currently providing clinical services to the community of NW Ohio. An important aspect of the mission of the University of Toledo College of Mission and Life …

Skills: Medical Teaching, Patient Care, Clinical Research, Mentorship, Internal Medicine

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Nurse Practitioner / Physician Assistant - Pain Medicine

Toledo, Ohio, United States · On-site

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Patient Assessment, Pain Medicine, Diagnostic Studies, Prescription Writing, Patient Education

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Medical Assistant

Toledo, Ohio, United States · On-site

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Clinical Proficiency, Interpersonal Skills, Professionalism, Computer Skills, MS Office

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

NIGHT APP - Trauma/SICU/Acute Care Surgery

Toledo, Ohio, United States · On-site

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Trauma Care, Surgical ICU Management, General Surgery, Vascular Surgery, Suturing

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

RN Care Manager

Toledo, Ohio, United States · On-site

Mid level

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, rese…

Skills: Care Management, Patient Assessment, Care Planning, Patient Education, Interpersonal Communication

University of Toledo Physicians, LLC logoUniversity of Toledo Physicians, LLC

Vice Chair, Clinical Services Anesthesia

Toledo, Ohio, United States · On-site

Senior+

Position Summary: The Vice Chair, Clinical Services Anesthesia is the senior physician leader responsible for all clinical operations, quality, safety, and performance of the anesthesia service line at UToledo Health. Th…

Skills: Clinical Leadership, Operational Oversight, Perioperative Care, Quality Improvement, Patient Safety

University of Toledo Physicians, LLC logo

Senior Insurance Follow Up Specialist

University of Toledo Physicians, LLC

Toledo, Ohio, United States • On-site

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Mid level

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  • Full-time
  • high school
  • 403B, Pension, Health Insurance, Tuition Waiver
  • Posted 12d ago
  • ~40 hrs/week

Responsibilities

The Senior Insurance Follow Up Specialist resolves outstanding account balances and insurance denials to optimize revenue cycle outcomes. This role involves documenting claim actions, researching non-payment trends, and collaborating with insurance representatives and internal teams.

Requirements

Requires a high school diploma and at least 2 years of experience in revenue cycle or insurance denial resolution. Candidates should possess strong communication skills and proficiency in medical billing concepts and computer systems.

Full job description

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family. The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians’ practice at hospitals and medical offices throughout the region.

University of Toledo Physicians offers competitive pay and benefits including: 403B, Pension, health and tuition waiver at UT.

The Senior Insurance Follow Up Specialist performs job duties in accordance to established procedures, policies, and detailed instructions, drive resolution and promote peak performance while delivering world class revenue cycle outcomes. This position interacts daily with team members, insurance representatives and other departments in an effort to quickly resolve outstanding account balances while enhancing the patient experience and promoting code of conduct to ensure integrity and compliance. This role serves as a subject matter expert.

ESSENTIAL JOB FUNCTIONS AND ACCOUNTABILITIES:

  • Documents all responses and actions taken to reach claim or account resolution in the practice management system.
  • Exhibits strong communication skills and positive attitude with internal (team members, other departments, providers and leadership) and external customers (patients, insurance companies, vendors and employers). Directs customer complaints to management for immediate response if unable to resolve.
  • Follows workflow process to ensure correct registration, coding, payment/adjustment posting and insurance processing of claims.
  • Conducts verbal and written inquiries to determine the reasons for unpaid/denied claims to reach resolution.
  • Successfully manages claims in assigned worklists to meet/exceed productivity standards.
  • Participates as a team member by performing additional assignments not directly related to the job description when workload requires and as directed by management.
  • Selects priorities and organizes work and time to meet them in order of importance.
  • Ensures claims are submitted to the appropriate responsible party within designated filing limit guidelines and makes certain that appropriate claim resolution is a priority of the department.
  • Recognizes and researches problematic trends regarding non-payment in an effort to implement preventive measures to increase velocity of cash collections.
  • Travels to practice locations to provide on-site support and participates in regular meetings with practice leadership to promote positive revenue cycle performance outcomes.
  • Maintains the confidentiality of all patient records and accounts.
  • Actively participates in staff meetings and process improvement planning sessions.
  • Maintains work area in a clean and orderly fashion making sure all source documents are stored electronically on the shared network.
  • Understands HIPAA policies and procedures and uses this knowledge to practice in a manner that maintains the confidentiality of protected health information (PHI) in compliance with HIPAA.
  • Performs other duties as assigned.

 

 

REQUIRED QUALIFICATIONS:

  • Education: High School diploma or equivalent
  • Years of experience: 2+ years in resolving insurance denials and/or revenue cycle
  • Skills: 
    • A basic understanding of insurance requirements and regulations, contract benefits, credit and collection procedures, financial assistance programs as well as a familiarity of medical terminology.
    • Advanced reading, writing and oral communication skills as well as the knowledge to perform mathematical calculations.
    • Interpersonal skills necessary for making patient and third-party payer contacts. Must be able to work with interruption by co-workers or other internal customers needing assistance with patient accounts.
    • Analytical and critical thinking ability to diagnose account issues and active listening skills to provide service excellence. Demonstrated project and time management skills and an ability to work effectively over the phone and in a team environment.
    • Demonstrated proficiency in data entry and computers. 

 

PREFERRED QUALIFICATIONS:

  • Skills:
    • Knowledge of CPT and ICD terminology.
    • Familiarity with billing software.
    • EPIC experience.

WORKING CONDITIONS:

Works in an open office environment; area is well ventilated, lighted, and close to equipment and materials required for daily work functioning.


The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.

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

Related keywords

Revenue CycleInsurance DenialsHIPAAPHICPTICDEpicMedical BillingClaim ResolutionPractice Management SystemHealthcare FinancePatient Accounts

About University of Toledo Physicians, LLC

LinkedInVisit site
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1973
Headquarters
Toledo, Ohio
LinkedIn followers
3,246

The mission of UT Physicians is to provide the highest quality, comprehensive, cost-efficient and effective healthcare in a patient-centered environment, distinguished by national leadership in medical education and research. Incorporated as MCO Associates in 1973, Dr.Lucien Morris who was then Chairman for the Department of Anesthesiology at the Medical College of Ohio formed MCO Associates. The goal was to find a solution for the MCO physicians to be compensated both academically and clinically. The idea was to split revenue between the hospital and the physicians of the corporation. The business was created and began handling the physicians'​ billing and collections of the newly created group. In 2004 the organizational structure was changed from a for-profit to a not-for-profit, and the name changed to MCO Physicians. As a result of the merger of the University of Toledo and the Medical College of Ohio in July, 2006, the group name changed again to the University of Toledo Physicians (UTP). The organization provides practice management support services to its physician members that includes provider credentialing, health plan enrollment, managed care contracting, compliance, fee schedule maintenance, billing, payment processing and collection services. Also provided is benefit administration services for medical malpractice, payroll, flexible spending accounts, retirement plans and accounts payable services.

Offices: 4510 Dorr St, Toledo, Ohio 43615, US

physiciansbillingand healthcareHospitalHealth CareTelehealthOutpatient CareMedicalMental HealthPrimary and Urgent Care
View all jobs at University of Toledo Physicians, LLC

About University of Toledo Physicians, LLC

LinkedInVisit site
Industry
Hospitals and Health Care
Company size
501-1,000 employees
Founded
1973
Headquarters
Toledo, Ohio
LinkedIn followers
3,246

The mission of UT Physicians is to provide the highest quality, comprehensive, cost-efficient and effective healthcare in a patient-centered environment, distinguished by national leadership in medical education and research. Incorporated as MCO Associates in 1973, Dr.Lucien Morris who was then Chairman for the Department of Anesthesiology at the Medical College of Ohio formed MCO Associates. The goal was to find a solution for the MCO physicians to be compensated both academically and clinically. The idea was to split revenue between the hospital and the physicians of the corporation. The business was created and began handling the physicians'​ billing and collections of the newly created group. In 2004 the organizational structure was changed from a for-profit to a not-for-profit, and the name changed to MCO Physicians. As a result of the merger of the University of Toledo and the Medical College of Ohio in July, 2006, the group name changed again to the University of Toledo Physicians (UTP). The organization provides practice management support services to its physician members that includes provider credentialing, health plan enrollment, managed care contracting, compliance, fee schedule maintenance, billing, payment processing and collection services. Also provided is benefit administration services for medical malpractice, payroll, flexible spending accounts, retirement plans and accounts payable services.

Offices: 4510 Dorr St, Toledo, Ohio 43615, US

physiciansbillingand healthcareHospitalHealth CareTelehealthOutpatient CareMedicalMental HealthPrimary and Urgent Care
View all jobs at University of Toledo Physicians, LLC

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