PATIENT ACCTS EDUC/TM LD

4 weeks ago

Miamisburg OH USA, United States Kettering Health Network Full time

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

 


Kettering Health Miamisburg  

  • Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
  • Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
  • The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care. 
  • Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning. 
  • 142 bed facility
  • Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
  • In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
  • Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
  • KH Miamisburg received several awards from Healthgrades:
    • Outstanding Patient Experience Award (2017-2019)
    • America’s 100 Best Hospitals for Prostate Surgery Award (2020)
    • Joint Replacement Excellence Award (2020)


Responsibilities:   

 

Under the direction of the Patient Accounts Manager or Patient Accounts Supervisor, the Patient Accounts Team Lead will be responsible for motivating Patient Accounts Specialists and Representatives and ensuring they have the necessary payer specific tools and information necessary to effectively perform their job; identifies team and individual training needs; promotes a supportive environment. This is not a leadership role in the sense of direct reporting, counseling, and discipline.  However, it carries with it the highest expectation of performance and standards of behavior.  Highly involved in all aspects of medical billing and has essential duties including but not limited to:

 

  • Work referral work queues
  • Work inbound emails
  • Oversee day to day activities of the team
  • Respond to clients on process related queries and manage first level escalations
  • Develop processes to improve productivity and quality of work
  • Mentor and train staff to ensure good AR follow-up skills and work ethic
  • Conduct weekly team huddles
  • Prepare monthly scorecards for assigned staff
  • Participate in denial prevention/reduction meetings
  • Identify day to day contract compliance issues and escalate to Supervisor
  • Draft team specific training materials for approval
  • Draft policies / procedures / tip sheets for approval
  • Communicate performance issues to Supervisor
  • Conduct team specific focused lab sessions where applicable
  • Conduct required Account Specialist audits per frequency schedule and address pass/fail rates
  • Participate in Behavior Based interview process
  • Ensure scheduled AR Representative and Specialist competencies are conducted per frequency schedule: report pass/fail outcomes to Coordinator
  • *Other duties / special projects as assigned

 Requirements:

      • High School diploma or equivalent required
      • Minimum of two years’ experience in patient billing required
      • Advanced knowledge of payer, regulatory and compliance guidelines.   Role model KHN Standards of Behavior
      • Strong leadership skills
      • Skilled in Microsoft office tools

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