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Hours Full-time, Part-time
Location Toledo, OH
Toledo, Ohio

About this job

Job Description

SUMMARY

To assist in providing overall management and support to the patient accounts department, as well as hands on patient accounts coordination (medical and dental).

 

DESCRIPTION OF DUTIES

 

  1. Effectively manage patient accounts.
  2. Ensure that revenues are collected in an efficient and timely manner.
  3. Assists with supervising the patient accounts coordinators.
  4. Reviews provider super bill reports for accuracy and completeness including reviewing super bill for provider sign offs and communicating to clinical staff for any needed documentation as well as provide any needed direction or correction.
  5. Develops and maintains relationships with insurance companies to ensure that all essential activities related to third-party billing are handled properly.
  6. Work with department to provide monthly, year to date and other reports regarding encounters, billings, collections, aged receivables and utilization of capitated plans.
  7. Assist with Medicaid, Medicare and other fund settlements.
  8. Participates in the ongoing credentialing, empaneling and enrolling providers with insurances.
  9. Assist as needed with training related to Patient Accounts for Receptionists, Medical Assistants, Providers and others.
  10. Ensures that payments from insurance companies and patients are recorded and deposited on a daily basis.
  11. In conjunction with the Patient Accounts Manager, maintains equipment and software with appropriate vendors as well as makes recommendations for changes.
  12. Assists the Patient Accounts Manager and Chief Finance Officer in both program and financial analyses as needed.
  13. Assists with the preparation and distribution of patient statements.
  14. Performs other duties as requested by the Chief Finance Officer and/or the Patient Accounts Manager.

 

QUALIFICATIONS

1.    Degree in Health Administration, Business Administration or Associates Degree with applicable work experience.

2.    Certification in Medical Billing and Coding a plus.

3.    Progressive patient accounts experience in a health care setting.

4.    Clear understanding of health insurance and other third-party billing practices.

5.    The ability to read medical, legal and insurance documents.

6.    Proficiency with MS office and EHR along with basic familiarity with routine medical protocol and terminology.

7.    Proficiency and understanding of CPT/CDT and ICD 10 Codes

8.    Strong communication skills

Company Description

ProNexus is a professional services firm that delivers business solutions and consulting services to help companies manage and execute on their finance, accounting, and IT projects and initiatives. At ProNexus, our consultants and project professionals have an average of 3-20 plus years of experience and they bring a higher degree of competency, quality, and productivity at a more competitive value than other traditional consulting and Big 4 firms.