About this role
Location:
Remote - OhioDepartment:
CBO Revenue CycleWeekly Hours:
40Status:
Full timeShift:
Days (United States of America)Job Summary:
- Keep ProMedica’s mission, “To improve your health and well-being”, as the foundation of employment.
- Demonstrate personally and foster a work environment that includes ProMedica Values; Compassion, Innovation, Teamwork, and Excellence.
- Using various Patient Accounting and Claim Scrubbing software applications, such as Epic and Quadax, perform a variety of hospital billing and claim follow up activities to achieve maximum reimbursement for all billable services provided by the facility from the appropriate third party payor.
- Contact patients for necessary information pertaining to registration, billing and collection.
- Answer all written correspondence and phone inquiries from insurance companies, internal or external departments, local, state or federal agencies and/or patients/guarantors in a timely manner with professionalism and exceptional customer service.
- Maintain a working knowledge of department billing and follow-up procedures and workflows, including system functionality and program logic as it applies to assistance in procedures and workflows.
- Maintain elevated attention to detail by reviewing all work for completeness and accuracy in compliance with system quality assurance policies. Complete billing and follow-up tasks meeting department QA standards as demonstrated on the monthly Key Performance Indicators (KPI).
- Function as a team member to organize and prioritize responsibilities to complete daily work requirements:
a. Comply with changes in duties and assignments in a positive and cooperative manner.
b. Adjust to peaks in workload.
c. Demonstrate flexibility and adaptability to change. D. Complete assignments in appropriate time frames.
d. Aid co-workers to ensure completion of all assigned duties, as necessary.
e. Work in collaboration with team to ensure prioritized daily tasks are completed when team members are absent, both planned and unplanned.
f. Perform duties in a self-directed manner with minimal supervision or direction.
- Take ownership of identified issues, including internal and external customer service issues. Ensure the matter is resolved in a timely manner if able or escalate as appropriate with continued follow-up until resolution.
- Provide feedback to leadership staff and/or Quality Assurance (QA) staff on issues that impede timeliness or quality and work with the appropriate personnel to resolve such issues.
- Accountable for meeting individual and team designated KPI goals and deadlines.
- Complete assigned special projects in a timely and efficient manner.
- Actively participate in generating ideas for continuous optimization and automation solutions.
- Keep abreast of in scope third party payor(s)’s billing, reimbursement and medical policies. Review in scope payer’s provider communication distributions, including registering for payer’s ListServe, for relevant updates and notifications. Notify leadership of identified payor updates that apply to ProMedica’s billing and follow-up procedures.
- Keep fluent with in scope payer’s provider billing manual.
- Attend mandatory team and departmental meetings both on-site and virtual.
- Complete all assigned continuing education courses. i.e. HBI, Healthstream.
Maintain current knowledge of Microsoft Office Application Suite. Self-assign training courses as needed. Including but not limited to Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft Teams and Microsoft OneNote.
- Perform all other duties as assigned.
REQUIRED QUALIFICATIONS
Education: High School Diploma; OR Equivalent. Preferred: College Degree
Certification: Preferred: Certificate in billing and/or coding from an accredited school
Years of Experience: Preferred: One year of healthcare or related experience
Skills: Must demonstrate the ability to accurately and independently solve problems by taking a basic skills test and scoring a minimum of 80%.
License: N/A
ADDITIONAL EXPERIENCE
Must demonstrate creative problem-solving skills.
Must demonstrate excellent communication and interpersonal skills.
Must demonstrate excellent computer skills with Microsoft Office 365 Experience.
Must be able to move about office and between workstations while on-site.
Must interact virtually with team, clients and/or patients.
Must demonstrate commitment to exceptional customer service.
Must have strong organizational skills and the ability to multi-task.
Must be a team player and be supportive of our department and ProMedica mission and values.
Must be able to work independently, demonstrate the ability to manage large volumes of work, quickly learn and retain information.
WORKING CONDITIONS
Personal Protective Equipment: N/A
Physical Demands: Basic office environment
Salary Range - $31,200 - $58,968
We offer a competitive benefits package with coverage effective day one of employment which includes medical, dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts.
The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.
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
ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus.
Benefits:
We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It’s what makes us one of the best places to work, and helps our employees live and work to their fullest potential.
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 [email protected]
Equal Opportunity Employer/Drug-Free Workplace
Other facts
About ProMedica
ProMedica is a mission-based, not-for-profit health care organization headquartered in Toledo, Ohio. The organization serves communities in 17 states and employs approximately 19,000 people. It offers acute and ambulatory care, a dental and vision plan, and post-acute and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization has 2,500+ physicians and advanced practice providers with privileges and 1,300+ health care providers employed by ProMedica Physicians. Driven by its Mission to improve health and well-being, ProMedica has been nationally recognized for its top-tier clinical excellence and efforts to address social determinants of health.
What you'll do
- The Patient Account Analyst II is responsible for performing hospital billing and claim follow-up activities to maximize reimbursement from third-party payors. This includes contacting patients for information, answering inquiries, and maintaining knowledge of billing procedures.
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