Patient Accounts Rep - PFS Hospital Location: Xenia, Ohio, United States Remote Full-time Job Description: Responsibilities & Requirements Responsibilities: - Under the direction of the Patient Accounts Manager or Supervisor the Patient Accounts Representative is responsible for daily billing functions including but not limited to working claim edits, review of insurance claims for accuracy, contacting various parties for further information on unpaid claims, identifying issues resulting in non-payment, and working first level appeals…all incompliance with departmental policies and procedures. - Must display knowledge retention through scheduled competency assessments. - Other duties as assigned. - Essential Skills: - Timely resolution of claim edits allowing timely claim submission - Timely follow-up of unpaid claims, worked to ensure maximum reimbursement following compliant standards - Ability to work independently as well as collaboratively within a team environment - Excellent problem-solving skills Requirements: - High School diploma or equivalent - Experience in Microsoft Office tools Preferred Qualifications - Previous experience in patient billing preferred - Epic experience a plus Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God's love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.

• Manage daily operations of the call center and ensure performance targets are met • Supervise, coach, and motivate a team of call center representatives • Monitor call quality, scripts, and customer interactions to ensure compliance and professionalism • Create and improve call center processes, workflows, and internal systems • Track key performance metrics (KPIs) such as call volume, lead conversion, follow-up rate, and appointment setting • Conduct regular performance reviews and provide ongoing coaching and feedback • Train new hires and ensure proper onboarding and call scripting • Handle escalated customer issues and ensure resolution in a timely manner • Ensure compliance with company policies and mortgage industry regulations • Help build a structured call center culture focused on accountability and results

Role Description The RN Supervisor (Alerts) is responsible for the daily workflow, clinical quality, and operational performance of a remote team of Registered Nurses (RNs) working in a high-volume, queue-based triage environment. This team manages real-time patient alerts generated from remote monitoring data. This role requires strong clinical judgment, real-time operational management, and performance coaching to ensure RNs deliver timely, accurate triage while meeting aggressive productivity expectations. The RN Supervisor will balance clinical auditing with throughput management in a fast-paced, back-to-back workflow environment. This individual will also partner closely with clinical leadership to support escalation pathways, clinical decision-making, and ongoing team development. This role reports directly to the RN Manager. Qualifications - Active, unencumbered RN compact license with strong clinical judgment, ideally in triage, remote patient monitoring, acute care, or chronic disease management. - Strong experience coaching in fast-paced environments, providing structured feedback on both clinical quality and productivity. - Proven ability to lead and manage a fully remote team of up to 20 RNs/LPNs in a high-volume, queue-driven environment. - Strong ability to interpret real-time metrics including alert volume, call handling time, throughput, and billable time. - Excellent verbal and written communication skills for leading team meetings, conducting 1:1s, and collaborating with clinical and cross-functional leaders. - Highly organized with experience managing schedules, PTO, shift coverage (including after-hours/weekends), and daily staffing needs in a continuous operations environment. - Experience participating in hiring processes, particularly assessing candidates for triage readiness, speed, and clinical decision-making. Requirements - Minimum of 5 years of experience as a practicing RN. - Active, unencumbered compact RN license required. - Minimum of 1 year of supervisory or management experience, in triage, remote patient monitoring or high-volume call or queue-based environments. - Experience in ICU, triage, urgent care, or other high-acuity settings, with demonstrated ability to manage medically complex patients with chronic conditions. - Demonstrated experience managing metric-driven performance and productivity. - Prior experience in remote workforce management strongly preferred. Benefits - Company culture all about impact, shared growth mindset, empowerment, and integrity. - An opportunity to help improve the quality of life of millions of Americans. - Unique chance to support the development of an amazing product; Cadence’s in-house clinicians are our super users and beta testers. - Competitive salaries and quarterly incentives. - Medical, dental, and vision insurance. - Competitive PTO. - 401K and 401K match. - National and local discounts powered by TriNet. - Onboarding stipend for remote equipment and home office setup. - Paid Parental Leave. - Charitable Donation Match program.

Role Description We are seeking a detail-oriented Service Center Support Specialist to join our inbound call center team. This position serves as a critical first point of contact for injured workers, gathering essential information and coordinating appropriate medical care. The role involves processing high-volume transaction-oriented assignments with efficiency and accuracy. The ideal candidate will need to have medical terminology knowledge and excellent multitasking abilities in a high-call-volume environment. - Answer inbound calls from injured workers with empathy and professionalism - Obtain and accurately document detailed injury information - Coordinate referrals to appropriate medical clinics and providers - Process and verify workers' compensation documentation - Perform data entry with high accuracy in case management systems - Follow established protocols for injury assessment and referral - Maintain confidentiality of sensitive medical and personal information - Provide administrative support for routine "back office" tasks - Process applications and verify documents according to established procedures Qualifications - High School Diploma or equivalent - Minimum 2 years of relevant experience in customer service, healthcare, or administrative support - Knowledge of medical terminology - Proficient computer skills and data entry abilities - Demonstrated ability to multitask in a fast-paced call center environment - Strong attention to detail and accuracy - Excellent phone etiquette and communication skills - Ability to remain calm and professional when speaking with injured or distressed callers Requirements - Experience in workers' compensation, healthcare, or insurance industries (preferred) - Prior call center experience (preferred) - Familiarity with medical clinic networks and referral processes (preferred) - Experience with case management software (preferred) - Basic understanding of workers' compensation processes (preferred) - Fluent bilingual skills in English and Spanish (written and verbal) (preferred) - Remote work experience (preferred) Benefits - Medical, Dental, Vision - Health Savings Accounts / Flexible Spending Accounts - Life and AD&D Insurance - 401(k) - Tuition Reimbursement - An array of resources that encourage a lifetime of healthier living