Kettering Health is a not-for-profit network of nine hospitals, Kettering College, and over 160 outpatient facilities serving southwest Ohio. Patients have access to high quality maternity care, state-of-the-art cancer fighting technology, Ohio's leading heart hospital, as well as revolutionary brain and spine surgery. With nearly 14,000 employees and 2,100 physicians, Kettering Health is committed to transforming the healthcare experience with world class health services for every stage of life.
As a faith-based organization we are dedicated to treating all patients with love and respect regardless of religious preference. Multi-denominational Spiritual Services are offered at the network every day.
Responsibilities & Requirements
- Knowledge of Hospital Patient Accounting functions required.
- Five plus years' experience working with Managed Care contract terms.
- Professional communication skills, both written and verbal required.
- High School graduate or equivalent
Responsible for monitoring payment from Managed Care Third Party payers for compliance against contract terms. Following up and working collaboratively with payers to ensure correct payment is received. Responsible for monitoring expected reimbursement software and its results to assure the information is useful, accurate and appropriately applied. Acting as a liason between the Network PFS and other departments and the Payer to understand, address and bring resolution to issues. Reports to Manager of Contract Compliance.
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