Full-time, 40 hours/week

Monday-Friday 8am-4:30pm

Remote (prefer candidates that live within commutable distance from Akron, Ohio)

Summary:

The Billing Collections Rep is responsible for resolving unpaid insurance accounts, by contacting insurance companies through various means to solicit payment for applicable patient encounters.

Responsibilities:

1. Develops positive relationships with payer representatives in order to collect accounts timely.
   
2. Investigates pended claims to determine why claims were pended and resolve reasons for the pended scenario.
   
3. Identifies and resolves trends with pended claims, which includes appeals for untimely claim submission and resolving provider credentialing issues.
   
4. Accurately posts resolutions to accounts including updating and billing insurance and correct and repost.
   
5. Establishes and maintains provider manuals for assigned insurance carriers and subsequent plans.
   
6. Monitors physician's enrollment to not exceed timely filing requirements.
   
7. Other duties as required.

Other information:
Technical Expertise

1. Experience in processing and billing physician claims is required.
2. Experience in the technical aspects of billing and collections required. This includes CPT and ICD coding knowledge, understanding pay3r remittance coding/process and outcomes analysis/reporting.
3. Experience working with applicable management team members and clinic staff required.
4. Proficiency is the management of CMS formatted claims required.
5. Proficiency in MS Office [Outlook, Excel, Word]. Epic experience is preferred.

Full Time

FTE: 1.000000

Status: Remote

About Akron Children's

More Than a Job. It’s loving what you do - and why you do it. Akron Children’s Hospital is ranked among the best pediatric hospitals by U.S. News & World Report, but it’s our compassionate approach to treatment that sets us apart. It’s creating special high-fives. Thinking of new ways to spark a smile. Holding hands to offer comfort. And working to get a giggle that brightens a room. The minute you walk into Akron Children’s, you can sense that people here love what they do. From visits with the Doggie Brigade, to the balloons and smiles in the halls, the sights and sounds are all about one thing: the children. We are the largest pediatric healthcare system in Northern Ohio and one of the fastest growing in the country. Akron Children’s has two hospital campuses in Northeast Ohio: one in Akron and the other in Boardman in the Mahoning Valley. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we’re making it easier for today’s busy families - regardless of where they live - to find the high-quality care they need. No matter which of our locations you choose, you’ll see that when you give the most, you get more—...support, rewards and satisfaction. CAREER OPPORTUNITIES: It’s making the most of your days. Our passion is felt every day in the way people care at every level. Whether you are working with children face-to-face, or behind the scenes supporting the care and services we deliver, you impact futures. Visit us and see why it’s more than just a place to work. It’s a family. Apply today at careers.akronchildrens.org.

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