About Akron Children's HospitalAkron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. 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 to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at .OUR PROMISESTo treat every child as we would our ownTo treat others as they would like to be treatedTo turn no child away for any reasonWe are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.Full - Time: 40 Hours Per Week1st Shift: Monday - Friday, 8am-4:30pmRemote with Onsite Requirements as neededSummary:The representative utilizes telephone, email, and letters for verbal and written communication when providing assistance for families and insurances with all concerns and complaints regarding hospital and/or physician services. Documents interactions and transactions; details of inquiries; complaints and comments; and actions takenResponsibilities:Responsible for the timely and accurate updating and processing of patient registration, and insurance information.Responsible for investigating current insurance eligibility information through web sites established by Third Party Insurance and Governmental Payers to locate accurate information needed for timely claims submission.When questioned can review patient accounts that are denied by the insurance companies.Facilitate further investigation of denied claims to determine if denial may have been appropriate. If denial is inappropriate accounts are returned to applicable team members to appeal with the insurance for reconsideration and ultimate payment.Identifies denial trends and works with administrators or managers of various Hospital Departments.Responsible to inform leadership of denial trend information and work with them towards a resolution.Meets with coding representatives to identify and resolve denial trends.Shares information regarding denial trends with Managed Care Department to resolve payment issues at the contract level.Responsible for promoting positive internal and external relationships while providing superior customer service.May performs financial screening of guarantors and assist families with the application process for HCAP/Charity.Must have an understanding of health benefits and services rendered to identify the root cause/complaint/issue.Read/interpret and provide guidance to guarantors related to payer EOBs.May be responsible for the collection of self pay accounts billed for services, including establishing payment arrangements.May be called as hospital representative for legal collection cases and may be required to testify at court hearings.Triage and escalate complaints and patient care issues trending as appropriate.Responsible for special projects that support the Revenue Cycle process.Create and maintain spreadsheets for projects as needed.Other duties as assigned.Other information:High school graduate or equivalent required. One (1) year experience in a physician/hospital billing setting required, three (3) years