Overview:
The Senior Patient Accounts Representative is able to perform all job functions of the Patient Accounts Representative in their department (ex: Billing, Follow Up, Data Specialist or Customer Service). In addition, they are responsible for the more technical job duties within their area.
Schedule: Full-Time, Benefits Eligible (Monday-Friday, 1st shift business hours)
Work environment: Fully on-site during the first 90 days of training, and then fully remote based on productivity levels
Location: 3700 Corporate Drive
Suite 230
Columbus, Ohio 43231
United States
Why Nationwide Children's Hospital?:
The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose.
Here,Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.
We’re 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we’ll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.
Ask anyone with a Nationwide Children’s badge what they do for a living. They’ll tell you it’s More Than a Job. It’s a calling. It’s a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.
Nationwide Children’s Hospital. A Place to Be Proud.
Responsibilities:
FOLLOW UP
• Works Global Accounts
• Distributes payments from global disbursement
• Updates global patients spreadsheet
• Communicate monthly to ancillaries on global patients
• Resolves global issues for payment
• Grant, Research Accounts, MDA, Ben Franklin, Audits
• Works the above accounts to ensure: Compliance, timely follow up, review and update eTrac, and notify the appropriate department of issues on accounts
CUSTOMER SERVICE
• Works closely with hospital administrators for resolution of billing disputes
• Coordinates patient care issues with billing for Patient Relations, both Hospital and ED teams
• Manages and monitors accounts weekly on stop bill for dispute or administrative hold
• Processes guarantor updates per parent’s requests
• Processes guarantor corrections due to registration errors
• Processes requests from Billing to update guarantors for FCCS
• Manages Payment Plan issues with respect to billing and cash posting
• Processes requests from collection agencies
• Processes requests from HRMG
• Manages WQ’s as assigned by supervisor
• Works weekly reports from EDW for guarantor issues
• Retrieves and processes all emails daily to the Patient Accounts Hospital Billing Website
• Retrieves all voice mails daily for Patient Accounts & provides them to Lead for distribution
BILLING
• Works and resolves any accounts that fall on the HB Candidate for Billing (Dashboard)
• Reconciles claim issues
• Works with the Financial Systems Coordinators to resolve claim edits, creating a higher clean claim rate.
• Monitors and works the Misc Payor Plan and other reports.
DATA SPECIALISTS
• Responsible for working with Chase Bank for bank corrections, encoding errors or posting errors
• Responsible for balancing all 4 lockboxes daily – Hospital, Dental Clinic, Orthodontic Clinic and Behavioral Health
• Responsible for working with the Finance Department to complete month end balancing
• Assists Supervisor in identifying areas for improvement opportunity.
• Works with peers in determining the best approach for workflow and special projects.
•Participates as a cooperative and helpful team member. Acts as a role model to subordinate staff, shows enthusiasm and support and is a positive influence on employee morale.
• Displays role model qualities in teamwork and cooperation.
• Attends conferences and in services to stay up to date in knowledge of payer requirements and regulations for billing and reimbursement and incorporate data learned into the work being processed.
• Serves on and contributes to various task forces within the department and/or hospital.
• Performs all other related duties as assigned by supervisor.
Qualifications:
KNOWLEDGE , SKILLS AND ABILITIES REQUIRED
1. High school diploma or GED, Associates degree preferred.
2. Minimum of 3-5 years of experience in medical billing, claims follow-up and customer service.
3. Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third party payers.
4. The ability to do data entry and work a calculator.
5. One year experience working on a mainframe computer. Experience using Outlook, Word and Excel.
6. Problem identification and problem solving skills are required.
7. Excellent interpersonal, verbal, and written communication skills.
8. Excellent organization skills and the ability to comprehend and follow written and verbal instructions.
9. Demonstrated traits of teamwork, cooperation, and positive and enthusiastic role model.
10. Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with staff and customers.
11. Desires opportunity for learning process improvement strategies, project management, people management, and overall management skills. Willing to be mentored; accepting both positive reinforcement and constructive criticism.
The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual 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.
EOE M/F/Disability/Vet
