Account Specialist II
TriHealth Corporate Office
At TriHealth, you'll be part of a mission-driven health system that values accuracy, integrity, and teamwork. Our Revenue Cycle professionals play a critical role in protecting the financial health of our organization and we invest in the people who make that possible. If you're someone who thrives on problem-solving, digging into payer issues, and ensuring claims are processed correctly, this is a place where your expertise truly matters. We're seeking someone with strong revenue cycle experience - preferably in hospital billing - who understands how payers' access and process claims, can interpret Explanations of Benefits (EOBs), and is comfortable investigating discrepancies to drive accurate outcomes. Apply today and grow your career with a team that truly values you. Location: TriHealth Corporate Office at 625 Eden Park Drive, Cincinnati, OH 45202 Work Schedule: Full-time position (80 hours biweekly) Day Shift No Weekend or Holiday Rotation Incentives & Benefits: TriHealth offers a comprehensive benefits package which includes medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Job Requirements: High School Diploma or GED Degree (Required) 3 - 4 years' experience in a related field (Required) Specialized knowledge in Medicaid/Medicare billing, and other payer sources Job Overview: This position's principal purpose is to expedite positive cash flow, maximize reimbursement, and reduce/eliminate financial loss to department customers by efficient billing, follow-up and collections of patient accounts. Duties include: Submit charge information into appropriate system; Post payments; Follow-up on patient account balances including insurance/patient financial balances; Process the specified number of accounts on a daily basis based on customer specialty and unique billing requirements; Contact payers regarding payment; Resolve incorrect payment issues and ensure balances after insurance payments are correct, including entry of corrections into systems; Reconcile monthly reports; Demonstrate quality customer service to internal/external customers. Job Responsibilities: Bills and collects dollars outstanding through interaction with payer and participates willing in payer communication. Actively protects the financial resource of Bethesda Healthcare, Inc. Completes assigned workload based on predefined key performance indicator on a daily basis ensuring accuracy. Show an effort to consistently produce quality work. Demonstrates proper customer service skills toward internal and external customers through prompt and courteous communications. Participate in monthly billing meetings with customer contacts. Prepares status report and submits agenda items to manager one business day prior to meeting. Through cross training and experiences, develops and maintains comprehensive knowledge and understanding of billing and follow-up procedures for all BWC and non-BWC payers. Works with minimal supervisory oversight and exercised appropriate judgment in identifying instances which require management intervention. Identifies and appropriately communicates process improvement with Manager in a timely manner. Working Conditions: Climbing - Rarely Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Kneeling - Occasionally Lifting 50+ Lbs. - Rarely Lifting
TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS... Welcome everyone by making eye contact, greeting with a smile, and saying "hello" Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS... Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met Offer patients and guests priority when waiting (lines, elevators) Work on improving quality, safety, and service Respect: ALWAYS... Respect cultural and spiritual differences and honor individual preferences. Respect everyone's opinion and contribution, regardless of title/role. Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS... Value the time of others by striving to be on time, prepared and actively participating. Pick up trash, ensuring the physical environment is clean and safe. Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS... Acknowledge wins and frequently thank team members and others for contributions. Show courtesy and compassion with customers, team members and the community Job keywords: Bill and Account Collector / Billing and Posting Clerk / Medical Records Specialist
TriHealth Corporate Office
At TriHealth, you'll be part of a mission-driven health system that values accuracy, integrity, and teamwork. Our Revenue Cycle professionals play a critical role in protecting the financial health of our organization and we invest in the people who make that possible. If you're someone who thrives on problem-solving, digging into payer issues, and ensuring claims are processed correctly, this is a place where your expertise truly matters. We're seeking someone with strong revenue cycle experience - preferably in hospital billing - who understands how payers' access and process claims, can interpret Explanations of Benefits (EOBs), and is comfortable investigating discrepancies to drive accurate outcomes. Apply today and grow your career with a team that truly values you. Location: TriHealth Corporate Office at 625 Eden Park Drive, Cincinnati, OH 45202 Work Schedule: Full-time position (80 hours biweekly) Day Shift No Weekend or Holiday Rotation Incentives & Benefits: TriHealth offers a comprehensive benefits package which includes medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Job Requirements: High School Diploma or GED Degree (Required) 3 - 4 years' experience in a related field (Required) Specialized knowledge in Medicaid/Medicare billing, and other payer sources Job Overview: This position's principal purpose is to expedite positive cash flow, maximize reimbursement, and reduce/eliminate financial loss to department customers by efficient billing, follow-up and collections of patient accounts. Duties include: Submit charge information into appropriate system; Post payments; Follow-up on patient account balances including insurance/patient financial balances; Process the specified number of accounts on a daily basis based on customer specialty and unique billing requirements; Contact payers regarding payment; Resolve incorrect payment issues and ensure balances after insurance payments are correct, including entry of corrections into systems; Reconcile monthly reports; Demonstrate quality customer service to internal/external customers. Job Responsibilities: Bills and collects dollars outstanding through interaction with payer and participates willing in payer communication. Actively protects the financial resource of Bethesda Healthcare, Inc. Completes assigned workload based on predefined key performance indicator on a daily basis ensuring accuracy. Show an effort to consistently produce quality work. Demonstrates proper customer service skills toward internal and external customers through prompt and courteous communications. Participate in monthly billing meetings with customer contacts. Prepares status report and submits agenda items to manager one business day prior to meeting. Through cross training and experiences, develops and maintains comprehensive knowledge and understanding of billing and follow-up procedures for all BWC and non-BWC payers. Works with minimal supervisory oversight and exercised appropriate judgment in identifying instances which require management intervention. Identifies and appropriately communicates process improvement with Manager in a timely manner. Working Conditions: Climbing - Rarely Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Kneeling - Occasionally Lifting 50+ Lbs. - Rarely Lifting
TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS... Welcome everyone by making eye contact, greeting with a smile, and saying "hello" Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS... Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met Offer patients and guests priority when waiting (lines, elevators) Work on improving quality, safety, and service Respect: ALWAYS... Respect cultural and spiritual differences and honor individual preferences. Respect everyone's opinion and contribution, regardless of title/role. Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS... Value the time of others by striving to be on time, prepared and actively participating. Pick up trash, ensuring the physical environment is clean and safe. Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS... Acknowledge wins and frequently thank team members and others for contributions. Show courtesy and compassion with customers, team members and the community Job keywords: Bill and Account Collector / Billing and Posting Clerk / Medical Records Specialist