Account Specialist II

Use your expertise in Worker’s Compensation Billing to support our mission to deliver exceptional patient care. As part of a collaborative, high-performing team, you’ll ensure clean claims, timely reimbursement, and a smooth financial experience for our patients.

About the role

This position's principal purpose is to expedite positive cash flow, maximize reimbursement, and reduce/eliminate financial loss by efficient billing, follow-up, and collections of patient accounts.

Responsibilities

• Submit charge information into the appropriate system
• Post payments and follow up on patient account balances, including insurance and patient financial balances
• Process a specified number of accounts daily based on customer specialty and unique billing requirements
• Contact payers regarding payment and resolve incorrect payment issues
• Ensure balances after insurance payments are correct, including entry of corrections into systems
• Reconcile monthly reports
• Demonstrate quality customer service to internal and external customers
• Bill and collect outstanding dollars through interaction with payers
• Actively protect the financial resources of Bethesda Healthcare, Inc.
• Complete assigned workload based on predefined key performance indicators daily, ensuring accuracy
• Produce quality work consistently
• Participate in monthly billing meetings with customer contacts
• Prepare status reports and submit agenda items to the manager one business day prior to meetings
• Develop and maintain comprehensive knowledge of billing and follow-up procedures for all BWC and non-BWC payers through cross-training and experience
• Work with minimal supervisory oversight and exercise appropriate judgment in identifying instances requiring management intervention
• Identify and communicate process improvements to the Manager in a timely manner

Requirements

• High School Diploma or GED (Required)
• 3–4 years of experience in a related field (Required)
• Specialized knowledge in Worker’s Compensation billing and other payer sources

Skills

• Proper customer service skills toward internal and external customers through prompt and courteous communications
• Ability to work with minimal supervisory oversight
• Strong attention to detail and accuracy

Benefits

• Comprehensive benefits package including medical, dental, and vision
• Paid time off
• Retirement plans
• Tuition reimbursement

View our benefits page

Pay

Competitive wages

Schedule

• Full-Time (40 hours weekly)
• Day hours: 8:00 AM – 4:30 PM
• No weekends or holidays

Working Conditions

• Climbing: Rarely
• Hearing (Conversation): Consistently
• Hearing (Other Sounds): Frequently
• Kneeling: Occasionally
• Lifting 50+ Lbs.: Rarely
• Lifting <50 Lbs.: Occasionally
• 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, all team members are expected to demonstrate and live the following behaviors:

• 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 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 resources, using supplies and equipment efficiently and effectively, and 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

Location: 4665 Cornell Road, #350, Blue Ash, OH 45241

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