HB Insurance Specialist II

FTE: 1.0 (40 hours per week)

Req#: 1404

About Us:

The Lindner Center of HOPE is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time.

One of the first centers designed as a fully integrated system of care to address deficiencies in mental health care as identified by the Institute of Medicine.
Innovative residential assessment, inpatient and outpatient programs in partnership with UC Health serving more than 54,660 patients from around the world.
A leader in research and collaborations that are advancing the field and positioning Cincinnati as a national leader in mental health care.

We embrace the many talents, skills, and experiences our employees bring to Lindner Center of HOPE. Everyone is encouraged to use their unique gifts to express ideas, make meaningful contributions to our programs and genuine connections with patients and family, as well as strengthen donor, referrer and community relations.

At Lindner Center of HOPE, you’ll have the opportunity for a consistently rewarding career, working for an organization that shares your desire and ability to make a demonstrable difference in the lives of people living with mental illness.

Position Summary:

THIS IS A REMOTE POSITION which requires the ability to work independently, as well as part of the billing team. This position is responsible for maintaining facility accounts in assigned Epic work-queues to ensure timely collection of insurance balances. Position handles review of insurance credits for possible refund to insurance or corrected claims Additional responsibilities include reviewing assigned claims WQs, releasing claims daily from clearinghouse and monitoring/correcting rejected claims.

Major Duties and Responsibilities:

Review assigned claims WQ and releasing claims daily from clearinghouse.

Maintaining Facility accounts in assigned Epic work-queues to ensure timely collection of insurance balances.

Responsible for processing daily incoming insurance correspondence.

Position handles review of insurance credits for possible refund to insurance or corrected claims.

Performs other duties as assigned or required.

Position Qualifications:

High school diploma required; Associates degree preferred.

A minimum of 7 years’ experience medical billing/ collection experience required.

Knowledge of third-party payers, claims review, analysis and quality assurance experience preferred.

Strong written communication skills. Must be organized, with high attention to detail.

Strong computer skills, utilizing a variety of software applications, including EPIC is required.

Data entry and/or PC experience required. Familiar with Word, Excel and internet navigation.

Must possess the ability to handle multiple projects/tasks at one time.

Demonstrates the knowledge and skills necessary to communicate effectively using age-specific and developmentally appropriate care for the spectrum of populations admitted to Lindner Center of HOPE.

Ability to enthusiastically follow and model the Lindner Center of HOPE mission, vision and values.

Physical Requirements:

The physical demands of this position are consistent with those performed in a normal office environment, including occasional lifting, carrying, pushing or pulling, and sufficient manual dexterity to operate standard office equipment and ability to use to use a computer.

All candidates extended conditional offer of employment will be subject to will conduct a WebCheck (BCI & FBI Fingerprinting). Fingerprints will be submitted to the Bureau of Criminal Investigation (BCI) and the Federal Bureau of Investigation (FBI). The reports from these agencies will include criminal record information. Lindner Center of HOPE will follow the requirements for employment based on the State of Ohio Administrative Code 5122-30-31, and any other regulatory requirements regarding criminal background checks. Lindner Center of HOPE also reserves the right to obtain Consumer Reports and/or Investigative Consumer Reports as defined in the Federal Fair Credit Reporting ACT (FCRA).

Lindner Center of Hope is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Lindner Center of HOPE

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HB Insurance Specialist II - Full Time (1.0 FTE)