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Skills
- Billingunmatched
- Billing Recordsunmatched
- Business Administrationunmatched
- Clinical Trialunmatched
- Data Qualityunmatched
- Diagnosis-Related Group (DRG)unmatched
- Financial Complianceunmatched
- Financial Servicesunmatched
- Government Regulationsunmatched
- Health Information Managementunmatched
- Healthcare Administrationunmatched
- Healthcare Reimbursementunmatched
- High School Diplomaunmatched
- Human Diseasesunmatched
- Medical Billingunmatched
- Medical Codingunmatched
- Medical Terminologyunmatched
- Medicareunmatched
- Microsoft Officeunmatched
- Pathologyunmatched
- Patient Careunmatched
- Quality Assuranceunmatched
- Quality Monitoringunmatched
- Regulationsunmatched
- Reimbursementunmatched
- Time Managementunmatched
Description
General Summary/Responsibilities:
Under the general direction of the Supervisor Patient Financial Services this employee is responsible for the review of Inpatient and Outpatient accounts for billing and coding compliance for Patient Financial Services (PFS). He/she monitors for quality of billing, and reviews accounts for appropriate documentation to validate billing information. This employee is also responsible for follow up on outstanding assigned accounts in their billing and follow up work queues. All work is carried out in accordance with PFS approved policies and procedures. The specialist is also responsible for understanding reimbursement aspects of the revenue cycle and will work to ensure Premier Health receives the appropriate reimbursement for charges billed. The specialist is responsible for understanding governmental rules and regulations regarding chargeable verses payable, and the components of a compliance claim. Will monitor timely billing and follow-up of clinical trial accounts as a part of work queue audit reviews (if applicable to job duties).
Education
Minimum Level of Education Required: High School completion / GED
Additional requirements:
- Type of degree: High School Diploma with 3-5 years' experience or Associate degree in Healthcare, Business Administration, Health Information Management
Experience
Minimum Level of Experience Required: 3 - 5 years of job related experience
Prior job title or occupational experience: Revenue Cycle Experience.
Prior specific functional responsibilities: Demonstrated working knowledge of Microsoft Office applications is required. Demonstrated ability to train and educate to all levels of the organization is required.
Preferred experience: Current knowledge of Medicare regulations as it relates to charging and reimbursement is highly preferred. Current knowledge of hospital billing and follow up is preferred. Knowledge of medical terminology knowledge of human pathology and diseases and how they relate to diagnosis and DRG assignments
Numbers & Facts
| Location | Moraine, OH |
| Industry | Healthcare Services |
| Company Size | 10,000 employees or more |
| Year Founded | 1995 |
| Website | http://www.premierhealth.com/ |
About Company
About Premier Health Partners
Premier Health Partners (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care.
PHP Mission and Legacy for Better Health Care
The PHP Mission and Legacy has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio.
PHP Hospitals
Our members include more than 65 member locations throughout southwest Ohio, including four hospitals:
As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers:
Find out how to donate or volunteer to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers.
PHP Vendor and Supplier Information
Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our vendor and supplier section.
Serving the Community
PHP is dedicated to serving the community by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created Premier Community Health, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. PHP’s investment in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the under-served of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous community programs and charities. And, as part of our effort to build healthier communities, we have implemented a system-wide ban on tobacco.
Learn more about how we serve the community.
Awards and Recognition
Read About Our Awards and Recognition.
Premier Health Partners (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care.
PHP Mission and Legacy for Better Health Care
The PHP Mission and Legacy has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio.
PHP Hospitals
Our members include more than 65 member locations throughout southwest Ohio, including four hospitals:
- Good Samaritan Hospital Dayton
- Miami Valley Hospital
- Atrium Medical Center
- Upper Valley Medical Center
As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers:
- Good Samaritan North Health Center in Englewood
- Miami Valley South Hospital in Centerville
Find out how to donate or volunteer to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers.
PHP Vendor and Supplier Information
Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our vendor and supplier section.
Serving the Community
PHP is dedicated to serving the community by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created Premier Community Health, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. PHP’s investment in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the under-served of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous community programs and charities. And, as part of our effort to build healthier communities, we have implemented a system-wide ban on tobacco.
Learn more about how we serve the community.
Awards and Recognition
Read About Our Awards and Recognition.