ProMedica

The Payor Specialist is responsible for notifying payers and securing authorizations for patient admissions. This includes submitting clinical information to determine the appropriate level of care and documenting determinations in Epic.

The Patient Account Analyst handles patient inquiries regarding hospital and physician billing, registration, and collections. They are responsible for posting payments, adjustments, and denials to patient accounts while resolving billing questions.

Translate healthcare services and procedures into standardized codes for inpatient accounts using Epic work quests. Communicate with providers and clinical documentation specialists to resolve incomplete documentation through compliant queries.