Patient Account Specialist Community Based Pediatrics

001 Dayton Childrens Hospital - Miamisburg, OH

Full-time - Entry Level

Miamisburg, OH

About the position

The Billing and Collection Specialist at Dayton Children's - South Campus is responsible for managing all billing and collection activities for assigned patient accounts. This role involves ensuring accurate claim submissions, payment follow-ups, and maintaining zero balances on accounts. The specialist will interact with patients, insurance companies, and other payers to resolve billing issues and ensure compliance with all relevant regulations.

Responsibilities

• Manage billing and collection activities for assigned patient accounts from initial claim submission to final payment.
• Research and contact patients, guarantors, and insurance companies regarding billing inquiries.
• Review payment accuracy and conduct account research and follow-up.
• Correct financial, clinical, or demographic account information as needed.
• Coordinate with service providers and payers for billing processes.
• Research denied payments and rebill accounts as necessary.
• Process credit balances and rebill patient accounts to secure hospital payments.
• Oversee assigned aging reports, including credit balances.
• Utilize automated Health Information Systems for account review and documentation.
• Stay current on payer, Medicare, and Medicaid billing requirements through professional development activities.
• Maintain high accuracy in billing and ensure compliance with claims.
• Communicate payer trends impacting revenue to the supervisor.

Requirements

• 1-2 years of experience in billing and collections, preferably in a healthcare setting.
• Typing speed of 30-40 wpm.
• Proficient computer skills including word processing, basic Excel, and internet use.
• Strong customer service skills.