Job Details
**Customer Service Representative, SBO - CBO Customer Service - Full Time - Days**
Toledo, Ohio **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 womens and childrens 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 ProMedicas 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 organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica*
*Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact ...@promedica.org*
*Equal Opportunity Employer/Drug-Free Workplace*
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