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Specialty Team CSR/Poster

Dayton Children's Hospital

This is a Contract position in Lexington, KY posted December 24, 2021.

Facility:Dayton Children’s
– Tech TownDepartment:Third Party ResourcesSchedule:Full timeHours:40Job Details:Responsible for all billing and collection activity for assigned patient accounts from date of initial claim submission to accurate final account payment and ultimate zero balance.

This may include research and contact with patient, guarantor, insurance companies, Medicaid/Medicare and/or other third party payers.

Responsible for billing of account, review of payment accuracy, account research and follow up.

Efforts may include financial, clinical or demographic account correction, coordination with service providers and payers, research for denied payments, rebilling of account, coordination of benefits with guarantors and timely follow up of payment.

Also may include processing of credit balances and rebilling of patient accounts as needed in order to obtain hospital payment for services.

Provides oversight of assigned aging reports including credit balances and utilizes automated Health Information System(s) for account review, claim status and account documentation.

Must stay current on all payer/Medicare/Medicaid billing requirements which may include attending seminars or other professional development activities.

Maintain high level of accuracy and assures compliant billing of claims.

Communicates payer trends impacting revenue to supervisor.1-2 years experience.

Typing 30-40 wpm, computer skills including word processing, basic excel spreadsheet, Internet use, and customer service skills.

Department Specific Job Details: To provide exceptional customer service by answering all Incoming calls for specialty billing areas.

Responds to callers needs by working on resolving issues.

Answers questions regarding account balances.

Take payments from callers as appropriate.

Interacts closely with parents, patients, third party payers and hospital personnel.

Retrieves billing data for parents/patients, auditors, attorney’s and third-party payers.

Self-pay balance collections efforts.

Responsibilities will also include review of patient accounts for demographic accuracy, research efforts and patient contact to determine the correct coordination of benefits while coordinating efforts with follow up staff to ensure timely response to patient inquiries.

Daily posting of third party and guarantor payments to proper patient accounts using established payment posting processes.

This entails the daily importing of electronic remits from vendors and lockboxes, formatting electronic files into acceptable format for electronic posting and reconciliation of remit totals.

Responsible for daily review of undistributed cash totals with goal of maintaining total within acceptable amount based on key metrics and best practices.

Once electronic remits are posted, review posting errors and correct line item posting against invoices.

Remit patient detail must be reviewed to ensure proper payment is posted via debit, credit, adjustment or cash payment or other methods of reconciling patient remit data to Epic account detail.

Responsibilities include self pay, home care, retail RX ,and other areas as added remits received.

Education Requirements: GED, High School (Required) Certification/License Requirements: At Dayton Children’s we believe that each moment counts with our patients, families and with each other.

We are moving at a fast pace and are looking for the right talent for our team at Dayton Children’s.

We want people who embody our values and want to become a part of the Dayton Children’s difference.

If this is you, apply today Our values: SafetyWe make safety our first priority.

CompassionWe deliver compassionate, family-centered care to all we serve.

OwnershipWe are the pediatric care experts and act knowing that every patient, visitor and the hospital is our collective responsibility.

CollaborationWe work collaboratively to care for children, their families and each other.

InnovationWe continuously innovate to make Dayton Children’s even better today and into the future.

Equity We strive for an environment in which all feel welcomed, valued and fairly treated in order to reach their full potential.

Dayton Childrens is proud to be an Equal Opportunity Employer who values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or on the basis of age, color, gender identity, national origin, race, religion, sex, sexual orientation or transgender status.

Covid Notice: At the urging of the Childrens Hospital Association, the American Hospital Association, the American Academy of Pediatrics and the American Academy of Nursing, Dayton Childrens will require the COVID-19 vaccine for staff, volunteers, students and onsite contractors going forward.

This decision is made with a great deal of research, analysis and discussion, putting the safety of our children at the forefront.

With that, we will be requiring that all new hires to have at least their first dose of the vaccine before their start date .