Patient Account Specialist- Billing

Dayton Children's Hospital - Dayton, OH

Full-time - Entry Level

Remote - Dayton, OH

Hospitals

About the position

The Patient Account Specialist in Billing at Dayton Children's Hospital is responsible for managing all billing and collection activities for assigned patient accounts. This role involves ensuring accurate claim submissions, researching denied claims, and coordinating with various stakeholders to secure payments. The specialist must maintain compliance with billing requirements and provide oversight of aging reports while striving for continuous improvement in billing processes.

Responsibilities

• Manage billing and collection activities for assigned patient accounts from initial claim submission to final payment.
• Research and resolve denied claims and billing errors.
• Communicate with patients, guarantors, insurance companies, and third-party payers regarding billing issues.
• Review payment accuracy and conduct account research and follow-up.
• Process credit balances and rebill patient accounts as necessary.
• Utilize automated Health Information Systems for account review and documentation.
• Stay current on payer, Medicare, and Medicaid billing requirements through professional development activities.
• Provide oversight of assigned aging reports, including credit balances.

Requirements

• High school diploma or GED (required)
• 1-2 years of medical billing experience (required)
• Computer experience (required)
• Experience with denials and resolving claim edits/rejections (preferred)
• Familiarity with reviewing claims and payer portals (preferred)
• Epic (billing) experience is a plus.

Nice-to-haves

• AS degree in a related field (preferred)

Benefits

• Work from home flexibility
• Full-time schedule with no weekends or holidays
• Professional development opportunities