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    ProMedica Health System
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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 women’s and children’s 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 ProMedica’s 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 Job Requirements:

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 health and well-being organization headquartered in Toledo, Ohio. It serves communities in 28 states. The organization offers acute and ambulatory care, an insurance company with a dental plan, and post-acute and academic business lines. The organization has more than 49,000 employees, 13 hospitals, 2,500+ physicians and advanced practice providers with privileges, 1,000+ healthcare providers employed by ProMedica Physicians, a health plan, and 330+ assisted living facilities, skilled nursing and rehabilitation centers, memory care communities, and hospice and home health care agencies. Driven by its Mission to improve your health and well-being, ProMedica has been nationally recognized for its advocacy programs and efforts to address social determinants of health. For more information about ProMedica, please visit www.promedica.org/aboutus. Requisition ID: 51813

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