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Billing Specialist - Remote (within 120 miles of Toledo)

Toledo, Ohio
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Description

ProMedica is a locally owned, nonprofit healthcare organization serving northwest Ohio and southeast Michigan. Driven by our Mission to improve your health and well-being, we offer a full range of diagnostic, medical and surgical specialties in areas such as emergency medicine and trauma, heart and vascular, oncology, orthopedics, neurology, and women’s and children’s services. Today, ProMedica – a committed team of dedicated experts, passionate volunteers and inspired advocates – is recognized nationally for the consistent, high-level care that we provide our communities.

 

Job Description: 


•Conducts payor denial analysis to identify denial trends for process improvement and revenue generation
•Produces denial reports to support ProMedica revenue cycle and various other departments 
•Creates denial reduction procedures to assist with reducing ProMedica’s denial experience
•Maintains assigned work queues
•Identifies and recommends process improvements related to current operating procedures
•Creates standard operating procedures to assist in denial reduction 
•Works claims to assist in follow-up and appropriate payment
•Participates in cross functional workgroups and committees
•Maintain up to date knowledge on state and federal regulatory agencies rules and regulations related to hospital billing and collections
•Keeps abreast of trends, developments, and practices 
•Gathers and analyzes payor data to achieve optimal reimbursement 
•Provides denial education to help ensure denial reductions
•Performs other duties as assigned or required  


  • High School diploma or equivalent, college degree preferred
  • Medical billing experience preferred
  • Must be proficient in Excel and data analysis
  • Must have exemplary customer service and communications
  • Must be flexible with the ability to adapt to change quickly and think conceptually
  • Must have exceptional interpersonal skills
  • Team mentality
  • Ability to multi-task in a fast paced environment
  • Impeccable attendance
  • Must be PC proficient 
  • Must pass Skills Test with  a 90% or greater score
  • Must be able to move about office and between workstations
  • Must be able to occasionally lift, move and carry up to 20lbs of materials

 

ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. It serves communities in 28 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 56,000 employees, 13 hospitals, 2,100+ physicians and advanced practice providers with privileges, 900+ healthcare providers employed by ProMedica Physicians, a health plan, and nearly 400 assisted living facilities, skilled nursing and rehabilitation centers, memory care communities, outpatient rehabilitation clinics, and hospice and home health care agencies. Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. For more information about ProMedica, please visit www.promedica.org/aboutus. 
 
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex, pregnancy, sexual orientation, gender identity or gender expression, age, disability, military or veteran status, height, weight, familial or marital status, or genetics.
 
Equal Opportunity Employer/Drug-Free Workplace

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