POSITION SUMMARY

In conjunction with the OM and CBO, reduce front end, back end, T&Q errors; increase collections; and assure all charges are being captured.

ACCOUNTABILITIES

1. Monthly reports:

a. Receive, review, trend, and work with responsible staff members on monthly report findings. Completes in timely fashion, communicating status to OM and trainer. Include 727, 800, back-end edits, co-pay, missing tickets, and T&Q reports. Show improvement in all areas.

2. Back-end edits:

a. Manages back end edit findings for not eligible rejections (D ), no referral rejections (Not PCP = R ) other insurance primary (O ), and invalid ID (J ) and coordinates corrections in Mysis and in patient’s chart. Show improvement in all areas.

3. Request for information:

a. Receive, review, trend and follow up errors, reporting data to OM. Completes process in designated time frame. Show improvement in all areas.

4. Coordinates internal collections process to assure patient contact, set up of payment plans, follow-up to CBO, and management of patients in collections. Takes action with OM for defaulted accounts. Turn accounts over in no more than 45 days.

Education: Must have a high school diploma or equivalent with business emphasis.

Skills:

• Must demonstrate the ability to independently and accurately resolve problems.
• Must be able to understand directions, communicate and respond to inquiries requires a strong commitment to customer service and effective interpersonal skills.
• Must be able to input and retrieve information from a computer.
• Must be able to operate a fax machine and copier.

Years of Experience: 3-5 years of previous experience in specific specialty billing area

ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org

Equal Opportunity Employer/Drug-Free Workplace