Account Specialist I

Job Overview: The major purpose of this position is to expedite positive cash flow, maximize reimbursement, and reduce or eliminate financial loss to department customers by accurate efficient timely billing, follow-up and collections of patient accounts. Duties include: In charge of the timely and accurate follow-up on all patient account balances; In charge of processing the specified number of accounts on a daily basis based on customer specialty and unique billing requirements; In charge of understanding both Government & Non Government Contractual billing and Follow-up guidelines, based on individual payers; Responsible for contacting Government, Non Government & Self payers regarding lack of payment or improper payment; Resolves all incorrect payment issues and ensures that balances after insurance payments are correct based on contracts with individual payers; Displays quality customer service to internal/external customers, by providing timely/accurate information, and works to ensure that problems are resolved. Job Requirements: High School Degree Proficient in EDI/PC applications 1-2 years experience in a related field Job Responsibilities: Other job-related information: Working Conditions: Climbing - Rarely Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Kneeling - Occasionally Lifting 50+ Lbs. - Rarely Lifting Pulling - Rarely Pushing - Occasionally Reaching - Rarely Sitting - Consistently Standing - Rarely Stooping - Occasionally Talking - Consistently Use of Hands - Consistently Color Vision - Occasionally Visual Acuity: Far - Frequently Visual Acuity: Near - Consistently Walking - Frequently 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

Created: 2025-01-18