Lincoln Electric is the world leader in the engineering, design, and manufacturing of advanced arc welding solutions, automated joining, assembly and cutting systems, plasma and oxy-fuel cutting equipment, and has a leading global position in brazing and soldering alloys. Lincoln is recognized as the Welding Expert™ for its leading materials science, software development, automation engineering, and application expertise, which advance customers' fabrication capabilities to help them build a better world. Headquartered in Cleveland, Ohio, Lincoln Electric is a $4.2B publicly traded company (NASDAQ:LECO) with over 12,000 employees around the world, with operations in 71 manufacturing and automation system integration locations across 21 countries and maintains a worldwide network of distributors and sales offices serving customers in over 160 countries.
Location: Euclid - Automation
Employment Status: Salary Full-Time
Function: Sales
Req ID: 27642
Summary
Lincoln Electric Automation is seeking a Key Account Specialist to actively manage and grow our Robotic Integrator partnerships. This role focuses on driving integrator engagement, supporting technical conversions, and providing critical market feedback to influence product innovation.
In addition to competitive pay, Lincoln Electric offers an annual bonus plan, tuition reimbursement, medical/dental/vision, 401(k) with company match, paid time off and many more outstanding benefits!
** This is a hybrid position with flexible work in our Cleveland CHQ and from home**
What You Will Do
Account Development & Management: Identify, target, and convert key robotic integrator accounts while maintaining and expanding existing partnerships.
Technical Support: Collaborate with the Cleveland ARC Center and other internal teams to deliver application-specific support, ensuring integrators have the tools and resources they need to succeed.
Training & Enablement: Conduct both virtual (Teams) and in-person training sessions for robotic integrators, promoting best practices and technical expertise.
Market Insights: Partner with leadership to gather and communicate market intelligence, supporting the strategic development of new robotic products and solutions.
Quoting & Solutions: Work closely with customers and project teams to develop detailed quotes for robotic systems and package solutions.
Subject Matter Expertise: Develop a deep understanding of robotic package equipment, software, and integrated systems to serve as a trusted technical advisor.
Required Education & Experience
Education: Bachelor's degree in Engineering or related technical discipline strongly preferred; equivalent relevant experience considered.
Experience: Minimum of 3 years of direct customer-facing experience, with proven sales and account management success. Experience in the welding industry required; knowledge of robotics preferred.
Ability to travel extensively to support customers and integrators across regions. Estimated between 25%-50%
Skills:
Proven communication and presentation skills (verbal and written).
Strong sales acumen with demonstrated ability to manage accounts and meet regional targets.
Highly motivated, self-driven, and persistent in achieving goals.
Proficiency in Microsoft Office (Word, Excel, PowerPoint, Access).
Lincoln Electric is an Equal Opportunity Employer. We are committed to promoting equal employment opportunity for applicants, without regard to their race, color, national origin, religion, sex (including pregnancy, childbirth, or related medical conditions, including, but not limited to, lactation), sexual orientation, gender identity, age, veteran status, disability, genetic information, and any other category protected by federal, state, or local law.
$35k-46k yearly est. 5d ago
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Supervisor Patient Care
Akron Children's Hospital 4.8
Billing specialist job in Akron, OH
Full Time 36 hours/week 7pm-7am
onsite
The Supervisor Patient Care is responsible for nursing operations and patient care delivery across multiple units during assigned shifts. This role is responsible for staffing management and coordination among hospital departments. The Supervisor collaborates with the Transfer Center for patient placement and throughput, responds to emergencies and codes, and activates the Hospital Emergency Incident Command, when necessary, potentially serving as the Incident Commander
Responsibilities:
1.Understands the business, financials industry trends, patient needs, and organizational strategy.
2.Provides support and assistance to nursing staff to ensure adherence to patient care protocols and quality standards.
3. Assist in monitoring the department budget and helps maintain expenditure controls.
4. Promotes and maintains quality care by supporting nursing staff in the delivery of care during assigned shifts.
5. Visits patient care units to assess patient conditions, evaluates staffing needs and provides support to caregivers.
6. Communicates with the appropriate Nursing Management staff member [VP of Patient Services, Directors of Nursing and Nurse Managers] about any circumstances or situations which has or may have serious impact to patients, staff or hospital.
7. Assist in decision-making processes and notifies the Administrator on call when necessary.
8. Collaborates with nursing and hospital staff to ensure the operational aspects of patient care units are maintained effectively.
9. Supports the nursing philosophy and objectives of the hospital by participating in educational efforts and adhering to policies and procedures.
10. Other duties as assigned.
Other information:
Technical Expertise
1. Experience in clinical pediatrics is required.
2. Experience working with all levels within an organization is required.
3. Experience in healthcare is preferred.
4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience
1. Education: Graduate from an accredited School of Nursing; Bachelor of Science in Nursing (BSN) is required.
2. Licensure: Currently licensed to practice nursing as a Registered Nurse in the State of Ohio is required.
3. Certification: Current Health Care Provider BLS is required; PALS, NRP, ACLS or TNCC is preferred.
4. Years of relevant experience: Minimum 3 years of nursing experience required.
5. Years of supervisory experience: Previous Charge Nurse, Clinical Coordinator, or other leadership experience is preferred.
Full Time
FTE: 0.900000
Status: Onsite
$52k-69k yearly est. 3d ago
Accounts Receivable Coordinator
LHH Us 4.3
Billing specialist job in Cleveland, OH
Schedule: Monday-Friday, 8:00 AM-5:00 PM (one late evening per month) Employment Type: Contract-to-Hire About the Role We are seeking an entry-level Accounts Receivable Coordinator to join our client's team. This isan excellent opportunity for candidates with an Accounting degree who are eager to learn and grow in a dynamic environment. We are willing to train and provide mentorship for the right individual.
Responsibilities
Manage business-to-business collections with professionalism and accuracy
Perform account reconciliations to ensure financial integrity
Collaborate with internal teams to resolve discrepancies and maintain positive client relationships
Qualifications
Bachelor's degree in Accounting
Strong proficiency in Microsoft Excel (formulas, pivot tables, VLOOKUPs)
Excellent communication skills-both written and verbal
Detail-oriented with strong organizational skills
Ability to work onsite and commit to one late evening per month
Pay Details: $20.00 per hour
Search managed by: Jessica Robbins
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
$20 hourly 1d ago
Billing Specialist
Spooner Medical Administrators, Inc. 2.7
Billing specialist job in Westlake, OH
Spooner Medical Administrators, Incorporated (SMAI) is a family owned and operated company that offers rewarding career opportunities for motivated individuals who are passionate about excellence and growth. Since 1997, SMAI's proactive philosophy and best practices have set the standard in workers' compensation by continuously improving the delivery of case management, utilization review and billing services to help facilitate a successful return to work for the injured worker.
The BillingSpecialist is primarily responsible for reviewing, auditing and data entry of bills submitted by medical providers for compliance with proper billing practices.
Essential Functions
Review bills to determine if the information needed to process the bill has been received and contact the medical provider for any missing information.
Perform fee bill audits according to established procedures and guidelines.
Data enter fee fills accurately for electronic transmission.
Adhere to established billing performance requirements.
Review electronic response to transmitted bills and make modifications accordingly.
Respond to telephone inquiries from customers regarding bill payment status.
Participate in continuous improvement activities and other duties as assigned.
Supervision Received
Reports to the Billing Supervisor
Experience and Education Required
Medical billing certification or at least 2 years of experience working in the medical billing field
Data entry experience
Additional Skills Needed
Effective written and verbal communication
Detail oriented
Strong organizational ability
Basic computer literacy skills
Working Environment
The work environment characteristics described herein are representative of those an employee encounters while performing the essential functions of the job. While performing the duties of this job, the employee typically works in a normal office environment. The noise level in the work environment is usually quiet.
$28k-33k yearly est. 3d ago
Onsite Billing Associate
S. A. Comunale Co 3.9
Billing specialist job in Barberton, OH
About Us
We provide industry-leading, end-to-end fire protection, mechanical, and HVAC services. Our skilled tradespeople work in virtually every market across the nation.
S.A. Comunale is seeking an Onsite Billing Associate to support the Aligned job site in Sandusky, Ohio. The primary function of this role is to process monthly GMP billings. The Company goal is to continuously grow the revenues while maintaining profits, satisfying customers' requirements, and staying compliant with required guidelines Project a professional company image through in-person and phone interaction. Other duties may be required as assigned by the Executive Vice President of Mechanical and Project Executive.
This job requires the ability and desire to work in a fast-paced multi-tasked environment with a focus on customer service and support, quality work performance, and administration.
S.A. Comunale has been a local industry leader for end-to-end mechanical, fire protection and HVAC services for nearly 100 years.
We offer our clients significant financial strength, unmatched bonding capability, an award-winning safety program, and large-scale purchasing power.
With 16 locations and over 1,450 employees, including 850 skilled tradesmen throughout Ohio, Pennsylvania, New Jersey, Kentucky, Maryland, and West Virginia, S.A. Comunale can work in virtually every market sector and facility type.
Essential Duties & Responsibilities
Include the following. Other duties may be assigned.
Create monthly GMP billing sheets for submission to the Construction Manager for processing.
Coordinate with the Contract Department and the branches to obtain paperwork and resolve discrepancies.
Review contracts/POs for each job to verify contract price.
Set up jobs and Schedule of Values in lump sum billing in TCMS, as needed.
Create, print, and post invoices in TCMS, All-Share and Textura.
Scan billing packets and credit memos into Doc Manager and send to customer before billing deadline.
Post pencil jobs by closing calendar deadline monthly for TCMS, Textura, GC Pay and Procore billings.
Verify billing requirements and documents needed to submit pay request if information is missing from file.
Invoice using TCMS AIA documents, state documents, costumer forms, and standard AIA documents, customize invoices as needed.
Request closeout information be sent by the Blueprint Room Associate as needed.
Work with Accounts Receivable Associates and customers to address customer issues, accounts, paperwork, etc. and solve in a timely fashion.
Keep an updated log of customer emails and contact information in TCMS.
Ensure accounts are balanced and all information is accurate and up to date.
Research contact information and/or any other items as directed.
Responsible for sending out pay applications and all pencil copies of invoices to be billed.
Prepare waivers, affidavits, and sworn statements.
Provide material or job information to contractors as requested.
Request supplier waivers to complete billing processes.
Send waivers to customers.
Verify final face amounts are accurate.
Send retention letters as needed.
Respond to a high volume of emails and/or inquiries regarding payment.
Obtain missing paperwork from vendors.
Enter customer invoices on customer websites.
Qualifications
High school diploma or GED is required.
5+ years' previous billing experience is required.
Business to business collections is a plus.
Previous experience in the construction industry is required.
Strong customer service skills and the ability and willingness to learn new systems and processes required.
Proven experience with Microsoft Office (i.e., Word, Excel, PowerPoint) applications is required.
Equal Opportunity Employer As a leading provider of mechanical and electrical construction, facilities services, and energy infrastructure, we offer employees a competitive salary and benefits package and we are always looking for individuals with the talent and skills required to contribute to our continued growth and success. Equal Opportunity Employer/Veterans/Disabled Notice to Prospective Employees Notice to prospective employees: There have been fraudulent postings and emails regarding job openings. EMCOR Group and its companies list open positions here. Please check our available positions to confirm that a post or email is genuine.
EMCOR Group and its companies do not reach out to individuals to help with marketing or other similar services. If an individual is contacted for services outside of EMCOR's normal application process - it is probably fraudulent.
$30k-40k yearly est. Auto-Apply 5d ago
Drop Ship Billing Specialist
Palmer Holland 4.2
Billing specialist job in Westlake, OH
The Drop Ship Invoicing Specialist is responsible for accurately and efficiently processing all drop ship sales transactions, ensuring timely and compliant billing and payment workflows. This position plays a critical role in maintaining the integrity of the company's financial records by reconciling supplier invoices, managing customer billing, and supporting various accounting functions as needed.
Essential tasks of the position
* Process all drop ship payables and customer invoices accurately and within established timeframes.
* Reconcile and process credits to customers for pricing discrepancies or adjustments.
* Prepare and process credit and rebill transactions for internal accounting purposes.
* Manage consignment billing processes, ensuring correct timing and documentation.
* Prepare commission invoices and related documentation for applicable transactions.
* Oversee prepaid supplier management, including payment tracking and reconciliation.
* Ensure all transaction documents are properly scanned, stored, and maintained in compliance with Palmer Holland document retention policies.
* Communicate proactively with internal departments, suppliers, and customers to resolve billing or invoicing issues.
* Provide backup and cross-functional support to other members of the Accounting team as needed.
* Perform additional duties and special projects as assigned by management.
Note:
The outline of duties is not arranged in order of priority. These duties are not meant to restrict initiative, but rather to describe baseline activities. These duties will from time to time be altered to suit the needs of the company.
We are a tobacco and drug free, professional environment.
Requirements
Education
* Associate degree in accounting, Finance, or related field preferred; equivalent experience considered.
Experience
* 2+ years of experience in accounts payable, receivable, or billing roles - manufacturing or distribution industry experience a plus.
Knowledge/Skills
* Intermediate level of expertise in MS Office and Contact Management Software
* Excellent verbal and written communication abilities
* Ability to maintain professional conduct that exemplifies the corporate policies at all times, particularly when interacting directly with internal and external customers
* Ability to handle sensitive information with confidentiality and discretion
* Detail oriented with strong, accurate clerical skills
* Proficient at multi-tasking
* Proactive problem solver
* Highly motivated
Physical Requirements
* Satisfactory motor skills relevant to position
* Ability to sit for long periods of time
* Ability to lift up to 25 pounds
$31k-38k yearly est. 60d+ ago
Brooklyn Senior Biller
Donald Martens & Sons Ambulance Services
Billing specialist job in Cleveland, OH
Full-time Description
The Senior Billing Representative has at least three years' experience and a demonstrated record of high-quality and high-volume billing. This incumbent is responsible for accurate coding and follow-up on insurance claims and resolve unpaid accounts in a timely and efficient manner while maintaining the minimum production standards set by the Billing Manager.
Requirements
Billing Job Duties:
· Process claims within an appropriate timeframe (e.g. claim status check, appeals of denied claims).
· Recode insurance claims into the Accounts Receivable Billing System as necessary.
· Update appropriate modifiers based on origin and destination of the trip and change insurance claims as necessary.
· Create narrative in the Accounts Receivable Billing System to document status of trip for use in claim appeals.
· Ensure charges are billable to a particular insurance based on the payer's criteria (e.g. prior authorization) as needed.
· Resolve payment issues with carrier (e.g. denials partial payments, etc.).
· Refile and appeal claims as necessary.
· Process incoming correspondence, including signatures letters, denials, and additional information necessary to release the claim.
· Review clearinghouse transmission listings and carrier acknowledgment reports to make appropriate corrections as required.
· Determine the appropriate level of service to be billed based on supporting documentation on the PCR and or in the CAD notes, including but not limited to, designating Advanced Life Support (ALS), Basic Life Support (BLS), Wheelchair, Specialty Care Transport (SCT), or Critical Care Transport (CCT).
· Assign appropriate condition code/ICD-10 codes into the Accounts Receivable Billing System.
· Accept incoming calls from carriers, providers, and patients.
· Ensure all Medicare billing requirements are met. (Certificates of Medical Necessity, Signatures etc.).
· Identify patterns of concern in medical documentation that may affect payment of claim. (Medical Necessity calls to providers, Clinical Documentation Improvement forms for crew members).
· Complete Ambulance Certification for all Medicare claims.
· Verify eligibility of benefits via internet and or telephone.
· Escalate the appeal process as needed.
· Proactively update skills and knowledge on billing regulations and practices
· Responsible for assisting with training peers to ensure understanding of the current processes and billing practices.
· Demonstrate billing subject matter knowledge at an expert level to encourage and assist in development of peers.
· Accept and complete interim assignments in a timely manner.
· Manage own time and work assignments effectively.
· Seek advice/feedback in terms of priorities or issues when necessary.
· Perform other duties as assigned and required.
Interpersonal:
· Strong professional communication skills.
· Work in a spirit of teamwork and cooperation.
· Convey a sense of competence and commitment.
· Use initiative to learn new skills, enhance personal knowledge and improve communications
· Demonstrate the ability to work well with team members.
· Communicate a willingness to help others succeed.
· Share workspace and resources as necessary.
Knowledge:
· Medical transportation processes.
· Understanding of the terminology of a PCR, Hospital Face Sheet, and or a CAD sheet.
· Understanding of the distinctions between the different level of service (e.g. ALS, BLS, Wheelchair, SCT, and CCT).
· Understanding of the distinctions between the different level of service (e.g. ALS, BLS, Wheelchair, SCT, and CCT).
· Understanding of insurance carrier coverage guidelines, filing limits, and necessary prior authorizations.
· HIPAA requirements.
Abilities:
· Flexible with shifting daily priorities.
· Meet deadlines working within tight time constraints.
· Handle large volume of work and or telephone calls.
· Recognize improper fee schedules.
· Identify non-payment issues by carrier, claim, and to escalate to Management as necessary.
· Recognize overpayments and request refunds as necessary.
· Prioritize workflow.
· Process clean claims.
· Exceed minimum quality performance standards consecutively for a minim of six months, and maintain those standards for a minimum of four out of every six-month rolling time-period.
· Ability to meet, exceeds, or sustains established standards for productivity.
· Ability to communicate effectively, both orally and in writing, in English.
Minimum Requirements:
· High Scholl Diploma or GED required; Associates Degree or Technical Certification in Coding and Billing preferred.
· A minimum of three (3) years billing experience with Medicare and other insurances in the healthcare industry (preferably in medical transportation).
Physical Demands
While performing the duties of this job, employees are regularly required to sit, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to finger, handle, feel or operate standard office equipment; reach with hands and arms; and lift up to 15 pounds.
Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
Mental Demands
While performing the duties of this job, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents; analyze and solve non-routine and complex office administrative problems; use math and mathematical reasoning; observe and interpret situations; learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions; and interact with healthcare professionals, facility representatives, staff, customers, the public and others encountered in the course of work, some of whom may be dissatisfied individuals.
Working Environment:
· Mandatory and or voluntary overtime.
· Office environment (cubicles).
Equipment Used:
· General collating equipment.
· Copy machine, scanners, fax machine.
· Personal computer, telephone.
This document in no way constitutes a contract of employment.
This description is not intended to be an exhaustive listing of all skills, duties, or responsibilities associated with the job.
Management reserves the right to revise the job, or to require that other or different tasks be performed, should circumstances change (e.g. changes in personnel, workload, or technological developments).
$46k-72k yearly est. 4d ago
Billing Specialist
Red Oak Behavioral Health 3.7
Billing specialist job in Akron, OH
Job DescriptionDescription:
FULL-TIME
Applicants must be located in Northeast OH.
The BillingSpecialist is responsible for ensuring that all providers are enrolled and active w/multiple payers to ensure timely billing of services. The role is responsible for processing, verification, and preparation of all commercial claims for insurance clients. The position maintains records of payments and handles administrative detail and follow-up.
Essential Functions and Duties:
Support the creation and implementation of a streamlined provider credentialing process to ensure appropriate enrollment of clinical staff, ensuring service delivery coincides with efficient and timely billing.
Manage and update provider credentialing tools and processes to ensure there are no lapses in service delivery due to the inability to bill for services.
Daily posting of Insurance payments and electronic remittance adviser (ERA) files (a.k.a. 835 transactions).
Provide insurance verification and prior authorization for clients.
Daily posting of Explanation of Benefits (EOB) and Explanation of Payments (EOP) for non-payments; management of denials and rebill/ Coordination of Benefits (COB) issues.
Weekly compile and transmit claims
Upload EOB into scanning solution (eBridge).
Assists with prior authorization/benefit coordination and rebill claims, as needed.
Assists with weekly submission of Centers for Medicare & Medicaid Services (CMS) claims
Identify and assists in resolution of errors for all Insurance claims
Performs regular review and investigates unpaid claims and other accounts receivable management projects.
Assist clients in accessing and trouble shooting our Payment Hub, an online payment system.
Fixes and Reversal of Payment issues on the Ohio MITS portal
Maintain orderly, current, and up-to-date records of client insurance coverage to ensure accurate client files
Assist other staff with general inquires and requests, as needed
Unique responsibilities as assigned by supervisor or Management
Qualifications:
Associate degree or equivalent education from a two-year college or technical school with major in Medical Billing/Coding and/or Accounts/Receivable, plus 3-5 yrs. billing experience.
Knowledge, Skills and Abilities:
Excellent and proven attention to detail
Strong computer/software management skills
Excellent math skills.
Ability to work well within a team environment
Ability to work with a diverse group of people
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act (ADA) of 1990 and the Americans with Disabilities Amendments Act (ADAA) of 2008.
While performing this job, the employee is regularly required to sit, talk, and hear. This job requires filing, opening, and closing of file cabinets, and the ability to bend and/or stand as necessary. This job is frequently required to use hands; handle, feel and reach with hands and arms; and may occasionally lift and/or move files and other related materials up to 20 pounds.
The position requires regular use of a computer, calculator, and telephone.
Work Environment:
This job operates in a professional office environment and in the community. While performing the duties of this position in the office this role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The employee will occasionally travel by automobile and is exposed to changing weather conditions.
The employee may be required to drive daily to nearby locations for meetings or visits to assigned work sites.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
EEO Statement
Red Oak is proud to be an equal opportunity workplace. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
Requirements:
$29k-39k yearly est. 7d ago
DENTAL BILLING ASSOCIATE
Lorain County Health & Dentistry 3.2
Billing specialist job in Lorain, OH
Dental Billing Associate
Hours: Monday-Friday
PRIMARY PURPOSE
The Billing Associate works closely with insurance carriers, providers and fellow staff to meet the billing and payment needs of our patients and the organization as a whole.
EDUCATION AND CERTIFICATION REQUIREMENTS
Must have a high school diploma or GED.
SKILL AND EXPERIENCE REQUIREMENTS
Required - at least 2 years of dental billing experience, preferably in a community health center environment.
Required - must have knowledge of insurance processes and procedures.
Required - strong computer skills with proficiencies and previous experience in Outlook, Word, Excel, and electronic claims filing.
Required - knowledge of dental terminology in order to properly code.
Ability to independently coordinate multiple tasks.
Ability to maintain a calm and professional demeanor and communicate enthusiastically with patients.
Ability to be responsive in working with a culturally-diverse patient population.
Ability to work cooperatively with others.
PHYSICAL DEMANDS
Extensive use of computer and telephone.
Some lifting of supplies and equipment up to 50 lbs.
20% walking or standing, 80% sitting at a desk.
Category III re: exposure to blood, bodily fluids, and communicable diseases.
ESSENTIAL FUNCTIONS
Gather all pertinent information required to complete the billing process which includes but is not limited to the follow actions:
enter charges, payments, and adjustments into the practice management system
prepare and transmit electronic insurance claims
print and mail paper insurance claims and patient statements
review denied claims and resubmit as appropriate
monitor reimbursements
Investigate instances of low reimbursement and stay current with changes in reimbursement regulations.
Must maintain accurate records.
Obtain patient financial history and determine their ability to pay current charges based on federal poverty guidelines, when needed.
Comply with HIPAA guidelines as all times
BENEFITS
Excellent Training and Orientation Program
Paid Holidays
Generous Paid Time Off (PTO)
Health, Dental, and Vision Insurance
Prescription Coverage
Employer Paid Life Insurance
Employer Paid Short- and Long-Term Disability
401(k) Retirement Plan
Giving back, outreach, and true advocacy to the patient community we serve.
Lorain County Health & Dentistry (LCH&D) is an Equal Opportunity Employer and is committed to adhering to employment practices in accordance with the EEOC.
LCH&D will ensure that all persons with disabilities are provided reasonable accommodations for the hiring process. If an accommodation is needed please contact the LCH&D Human Resources Department at **********************************
$32k-38k yearly est. Auto-Apply 28d ago
Billing Specialist
Nuehealth 3.6
Billing specialist job in Amherst, OH
The BillingSpecialist generates insurance claims and patient statement billings and collects outstanding insurance or patient balances.
Essential Functions
Makes follow-up phone calls on accounts with outstanding balance
Maintains standards to ensure systematic, consistent and timely collection follow-up
Follow-up on accounts with outstanding balances that do not have appropriate payment arrangements
The Aged Trial Balance report will be printed every other week and every outstanding account should be worked
All notes regarding written and/or verbal communication on the account will be maintained in the “MEMO” file on the patient's account and should include the following:
Date of collection work
Time of collection work
Telephone # of contact
Full name of contact
Location of contact (home, work, employer, insurance co.)
Complete summary of conversation
Next follow-up date based on payment promises
Collector's initials
Prior to sending accounts to a collection agency for follow-up, dates for all patient statements should be documented in the “MEMO” file. (refer to the batch statement record to obtain statement billing dates)
Insurance Due Accounts should have the initial follow-up call made 30 days following the date of service. Subsequent follow-up calls should be made every 14 days until the balance is paid. Insurance Due balances not paid within 90 days from date of service will be transferred to patient due and billed to the patient
Patient Due Accounts should have the initial follow-up call made 14 days following the date of service. Subsequent follow-up calls should be made every 14 days until the balance is paid or until adequate payment arrangements are made according to the
Prompt Pay Discount policy (FIN04.08)
. Patient due balances aged 60 days that do not have adequate payment arrangements will be sent to a collection agency for follow-up. Any uncollected balances aged 180 days that do not have payment arrangements made will be written off as bad debt in accordance with the
Bad Debt Write-off policy (FIN04.12)
All Outstanding Accounts aged 120 days without appropriate payment arrangements will be sent to a collection agency. Any uncollected balances aged 180 days that do not have payment arrangements made will be written off as bad debt in accordance with the
Bad Debt Write-off policy (FIN04.12)
. The following information should be included with the accounts when sent to the collection agency:
Print screen of all collection memos
Print screens of patient demographics, billing data, insurance verification/authorization information, statement dates, etc
Patient Statements will be generated on a 14 day cycle. Statements should be printed every Thursday evening and mailed out the following morning
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.
The employee must be able to stand and/or walk at least five hours per day.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
$32k-44k yearly est. 59d ago
Medical Billing Representative
CHC Addiction Services 4.2
Billing specialist job in Akron, OH
CHC is a non-profit social service agency in the Akron area whose mission is to treat, inspire, support and empower individuals and families impacted by the disease of addiction. CHC has been a critical part of Ohio's efforts to treat and prevent substance use disorders since 1974.
We are currently looking for a full time Medical Billing Representative to work in our busy addiction treatment center, Monday through Friday. The Billing Representative's duties include:
Intake admissions
Work claim denials
Process corrected claims
Work with payers to resolve unpaid claims and ensure reimbursement of highest allowable revenue per contract
Follow-through on claim status
Problem solving
Account reconciliation
Minimum Requirements: High School Diploma or equivalent, at least 2 years in similar position. Must have strong computer skills with knowledge of modern office practices, procedures and equipment and be detail oriented. Must have experience in all facets of Medicare, Medicaid and insurance billing (electronic). Why you would love it here
Medical, dental and vision benefits for employees working 30+ hours weekly!
32 paid days off per year! (holidays, vacation, personal and sick days!)
Referral Bonuses!
403b, with company match after one year!
Professional licensure fee reimbursement!
Company Sponsored Training Opportunities - based on position
Employee Assistance Program (including Health Management, Family Support and Financial Advice/Assistance)!
CHC is an Equal Opportunity Employer and Provider of Services.
We are a non-smoking facility.
$29k-36k yearly est. 1d ago
Billing Specialist
Elara Caring
Billing specialist job in Mentor, OH
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place.
:
BillingSpecialist - Remote
Delivering the right care, at the right time, in the right place is the mission that drives Elara Caring, and that starts with the right people. We have extraordinary employees with a passion and enthusiasm to exceed the expectations of each patient we serve, each visit, every day-and that could include you.
Elara Caring is looking for a passionate BillingSpecialist to join our elite team of healthcare professionals and make a difference, one patient at a time.
Why Join the Elara Caring mission?
* Supportive, collaborative environment
* Unique, rewarding opportunity caring for patients in their homes
* Competitive compensation
* Comprehensive onboarding and mentorship
* Opportunities for advancement and growth
* Medical, dental, and vision benefits, 401K and paid-time off for full-time staff.
What is Required?
* Associates Degree preferred
* 5 years of billing experience in an appropriate clinical care setting or home health environment preferred
* Positive attitude
* Dedication to quality patient care
* Strong communication skills
* Reliable transportation to perform job duties
Apply with Elara Caring today!
This is not a comprehensive list of all job duties; a full will be provided.
We value the unique skills of veterans and military spouses. We encourage applications from military veterans and their families.
Elara Caring provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age (40 and older), national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, protected veteran status, or any other basis prohibited under applicable federal, state or local law.
Elara Caring participates in E-Verify and we will provide the Federal Government with your Form I-9 information to confirm that you are authorized to work in the United States. Employers like Elara Caring can only use E-Verify once you have accepted the job offer and completed the Form I-9.
At Elara Caring, pay and compensation are determined by a variety of factors, including education, job-related knowledge, skills, training, and experience. Our compensation structure reflects the cost of labor across different U.S. geographic markets, and may vary based on location.
This is not a comprehensive list of all job responsibilities and requirements; upon request, a job description can be provided.
If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by reaching out to ********************.
$30k-40k yearly est. Auto-Apply 22d ago
Managed Care/Medicaid Billing Specialist
Fairlawn Opco LLC
Billing specialist job in Akron, OH
Job Description
Managed Care / Medicaid BillingSpecialist
Facility: Arbors at Fairlawn
We invite you to apply and be part of a team that truly values your contribution. We offer competitive wages and are committed to fostering a workplace where growth, teamwork, and patient-centered care are at the forefront. At the end of each day, knowing that you've made a meaningful impact in the lives of our residents will be your greatest reward.
Why Choose Arbors?
One of Ohio's Largest Providers of long-term care skilled nursing and short-term rehabilitation services.
Employee Focus: We foster a positive culture where employees feel valued, trusted, and have opportunities for growth.
Employee Recognition: Regular acknowledgement and celebration of individual and team achievements.
Career Development: Opportunities for learning, training, and advancement to help you grow professionally.
Key Benefit Package Options?
Medical Benefits: Affordable medical insurance options through Anthem Blue Cross Blue Shield.
Additional Healthcare Benefits: Dental, vision, and prescription drug insurance options via leading insurance providers.
Flexible Pay Options: Get paid daily, weekly, or bi-weekly through UKG Wallet.
Benefits Concierge: Internal company assistance in understanding and utilizing your benefit options.
Pet Insurance: Three options available
Education Assistance: Tuition reimbursement and student loan repayment options.
Retirement Savings with 401K.
HSA and FSA options
Unlimited Referral Bonuses.
Start a rewarding and stable career with Arbors today!
Education and Licensure:
3 years of Billing experience in a Long-Term Care/Skilled Nursing Facility setting.
High School Diploma or equivalent.
3-5 years in accounts receivable in a healthcare environment; preferred
Skills and Abilities:
Knowledge with Managed Care, Medicare, Medicaid, and Coinsurance and follow-up.
Proficient in relevant computer software, Point Click Care, Excel.
Prepare, bill, and follow up on Managed Care claims ensuring timely and proper reimbursement.
Bill and follow up on secondary claims associated with Manage Care primary billing.
Post all payments for Managed Care timely and properly, moving copay amounts to the proper payer source as needed.
Thorough understanding of Managed Care, Medicare, and Medicaid in SNF setting
Thorough understanding of ADRs (Additional Documentation Request) in both Managed Care and Medicare billing
Maintain up to date knowledge of changes in the healthcare industry that affect SNF billing policies and procedures.
Take on special projects as needed by management.
Resolve any discrepancies through research put forth on the Policy & Procedures of the AR department.
Provide complete and accurate documentation for any Write-Offs proposed by the Medicaid biller.
Point Click Care system experience is ideal but not required.
Strong working experience using Microsoft Excel.
Working knowledge of insurance policies and appeals.
Other duties as assigned.
$29k-39k yearly est. 27d ago
Billing Specialist- Insurance payment poster
Midwest Vision Partners
Billing specialist job in Brecksville, OH
Job DescriptionDescriptionAs a BillingSpecialist you will be responsible for overseeing the billing process for customers, patients, and MVP platforms. This position performs many accounting, customer service, and organizational tasks to promote the financial health of the organization.
Schedule:
Monday-Friday
8:00am-5:00pm
What you will be doing
Problem solving to reconcile outstanding balances from insurances and patients
Discussing open balances with patients and collect payment accordingly
Maintaining collection agency accounts
Placing outgoing calls to insurance companies and patients to resolve outstanding claims/balances
Exhibiting knowledge of medical insurance and proper use of computer software
Posting charges, payments and adjustments in Allscripts Practice Management software
Communicating effectively and professionally with physicians, co-workers, managements and patients
Performing general office duties and other duties as assigned
What you know Required
High school diploma or GED
Knowledgeable in ICD-10 & CPT Codes
Desired
One (1) or more years of customer service experience
Ophthalmology, Optometry, Ambulatory Surgery Center, and/or Optical billing experience
Experience in Revenue Cycle Management
What you will receive
Competitive wages
Robust benefit package including medical, dental, life and disability (short- and long-term) insurance
Generous paid time off (PTO) program
Seven (7) company paid holidays
401(k) retirement plan with company match
An organization focused on People, Passion, Purpose and Progress
Inspirational culture
$29k-39k yearly est. 32d ago
Biller
FTMC
Billing specialist job in Norwalk, OH
Caring For the Community You Love Choose a career to make a difference in people's lives every day, choose Fisher-Titus! Perks of working at Fisher-Titus: * Hours of Work- Full time * Comprehensive Benefits Package- Medical & Dental coverage, 401K match, paid time off, tuition assistance and more!
* Shift, Weekend & PRN differential
About Fisher-Titus:
Fisher-Titus proudly serves the greater Huron County area's 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation.
Vision: Be the first choice for healthcare and employment within our community
Mission: Deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community
General Summary:
Responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. Responsible for reading patient charts to determine medical history, including diagnoses and treatments given. Utilize established medical codes to transcribe patient history that will be used by the office's physicians as well as insurance companies. Responsible for the timely submission of technical or professional medical claims to insurance companies.
Essential Functions:
* Code and enter all patient visits, tests, etc.
* Ensure the accuracy of all patient information in the billing system.
* Ensure the timeliness of all charges.
* Verify, adjust, and correct bills to ensure accuracy and consistency.
* Ensure compliance with all federal, state, and third party billing requirements, rules, and regulations.
* Reviews and researches accounts to identify errors with claims.
* Ensures corrected claims are created and sent to the payer in a timely fashion.
* Reviews account information and able to explain charges and other related inquiries while complying with HIPAA guidelines.
$32k-41k yearly est. 21d ago
Collection Specialist
UB Greensfelder LLP
Billing specialist job in Cleveland, OH
Job Description
UB Greensfelder has an opening for a full-time Collection Specialist for our Cleveland location. The Collection Specialist is responsible for the collection of an assigned portfolio of accounts receivable invoices. The Collection Specialist will work closely with partners, attorneys, and external clients to facilitate the collection of the receivables according to firm guidelines. With minimal oversight, the Collection Specialist will assume overall responsibility for management of the collectible A/R for clients assigned. This is a non-exempt position reporting to the Credit and Collections Manager.
UB Greensfelder LLP is an AM Law 200, super-regional firm law firm focused on exceeding client expectations and delivering superior, customized legal solutions. Created in 2024 through the merger of Ulmer & Berne LLP and Greensfelder, Hemker & Gale, P.C., the firm's 275 lawyers advise regional, national, and global businesses on a wide range of legal matters across more than 25 specialized practice and industry groups. UB Greensfelder has nine primary office locations, including Chicago; Cincinnati; Cleveland; Columbus, Ohio; Florida; New York; Southern Illinois; St. Louis; and Washington, DC.
Position Responsibilities Include:
Manage the collection process for an assigned portfolio following firm and client guidelines ensuring client and attorney preferences are appropriately considered.
Establish effective business relationships with internal and external clients.
Work with attorneys to develop collection/payment plans on past due accounts.
Work with attorneys to resolve disputed receivables.
Directly contact clients regarding past due balances.
Consistently resolve client payment issues informing Collections Manager of serious nonpayment issues.
Provide feedback to management on possible areas of improvement and make recommendations to implement improved processes.
Use and create business reports as tool to manage daily work and update department manager and the firm as needed.
Respond to information requests from internal and external clients.
Backup Credit and Collection Manager as required.
Other duties as assigned.
Qualified Applicants Will Have:
Bachelor's degree or equivalent related experience in business, accounting, or finance with a minimum of two years collection experience in a professional services environment.
Law firm experience and working within the Aderant system is highly preferred, but not necessary to apply.
A commitment to providing superior service to the firm's attorneys, advisors, and staff while maintaining an atmosphere of teamwork and continuous improvement.
Strong, professional communication verbally and through email.
Ability to organize time, prioritize workload effectively, and work independently.
High degree of initiative and problem-solving skills with confidence to make independent decisions within prescribed parameters.
Ability to apply complex mathematical concepts to compute, reconcile balances, verify numerical data, and prepare various billing and collection reports.
High proficiency with Microsoft Office applications (Excel, Word, Outlook). Experience in legal collections and use of third-party billing sites such as TyMetrix, Legal eXchange and Serengeti a plus.
Ability to manage multiple priorities in a fast-paced, deadline-driven environment.
Strong initiative to proactively increase value to the position; willingness and ability to assume new tasks and responsibilities.
General accounting knowledge.
UB Greensfelder provides top-quality, sophisticated legal services, serving business clients ranging from small entrepreneurs to international companies. Our work environment is business casual and we offer a competitive compensation and benefits package, which includes medical/dental/vision, 401(k) with employer contribution, short and long-term disability plans, life insurance, well-being initiatives, and paid parental leave programs. If you desire to work in a truly people-focused environment for a firm that values its employees, then UB Greensfelder is the firm for you.
UB Greensfelder recognizes the importance of forming inclusive teams of attorneys and staff to foster an environment where creative solutions are made for our clients, and all have the opportunity to thrive and succeed. We encourage candidates from a variety of backgrounds to apply to be a part of our team.
$28k-38k yearly est. 5d ago
Collections Specialist
Airliquidehr
Billing specialist job in Independence, OH
R10069038 Collections Specialist (Evergreen) (Open)
Airgas is Hiring for a Collections Specialist in Independence, OH !
At Airgas, we RESPECT, HONOR and VALUE diversity. We are invested in cultivating a dynamic and inclusive culture.
We are looking for you!
Strong passion for fostering an environment of Diversity, Inclusion and Respect.
Experience with developing, contributing, and supporting Airgas' commitment to a World Class Service, exceeding customer expectations and building brand loyalty.
Schedule: Hybrid (Upon training completion)
Pay - 22 an hour
Excellent Benefits: Airgas offers a full benefits package that includes: Medical, Dental, Vision, Life, AD&D, Short Term and Long Term Disability Insurance, Vacation, Sick, Paid Holidays, 401(k) Retirement Plan with company match, Tuition Assistance and much more! Benefits Start after 30 days of employment
Recruiter: Natasha Walker/ ************************* / ************
Manage and reconcile an account portfolio, prioritizing efforts to maximize collections while identifying accounts at risk of delinquency.
Resolve customer account issues, including past due invoices, and negotiate payment settlements as necessary. Assist in resolving non-payment issues.
Collaborate with Cash Applications, Dispute Management, and Special Handling teams to resolve unpaid cash, non-payment issues, and customer disputes. Initiate reviews and recommendations regarding final demand notices and outside collections with Field Sales and Collection management.
Maintain professional relationships with branch managers, account managers, and area sales managers. Inform regional managers of issues when appropriate.
________________________Are you a MATCH?
Demonstrated excellence in oral and written communication and interpersonal skills. Ability to adapt communication style to various customer situations.
Positive attitude and willingness to learn, coupled with the ability to collaborate effectively within a team.
Customer-focused behavior, including building positive relationships and understanding customer needs.
Ability to handle challenging situations diplomatically and professionally.
Strong analytical and problem-solving skills, with the ability to make independent decisions and escalate issues when necessary.
Proficiency in Google Suite applications and/or Microsoft Office (Word, Excel). SAP experience preferred.
High School Diploma/GED required.
Associate's/Bachelor's degree preferred.
________________________
Benefits
We care about and support all Airgas associates. This is evident not only through our competitive compensation but also through a comprehensive benefits package that includes medical, dental, and vision plans, vacation, sick time, floating holidays, and paid holidays for full-time employees.
We provide a progressive parental leave package for our eligible Airgas parents, offering generous paid time off for the birth or placement of children.
Additionally, we offer our employees a 401k plan with company matching funds, tuition reimbursement, discounted college tuition for employees' dependents, and an Airgas Scholarship Program.
_________________________
Your DIFFERENCES enhance our PERFORMANCE
At Airgas, we are committed to building a workplace that embraces the diversity of our employees, our customers, patients, community stakeholders and cultures across the world.
We welcome and consider applications from all qualified applicants, regardless of their race, gender, sexual orientation, religion, disability or any other protected characteristic. We strongly believe a diverse organization opens up opportunities for people to express their talent, both individually and collectively and it helps foster our ability to innovate by living our fundamentals, acting for our success and creating an engaging environment in a changing world.
_________________________
About Airgas
Airgas, an Air Liquide company, is a leading U.S. supplier of industrial, medical and specialty gases, as well as hardgoods and related products; one of the largest U.S. suppliers of safety products; and a leading U.S. supplier of ammonia products and process chemicals. Through the passion and diversity of its 18,000 associates, Airgas fosters a culture of safety, customer success, sustainability and innovation. Airgas associates are empowered to share ideas, take initiative and make decisions.
Airgas is a subsidiary of Air Liquide, a world leader in gases, technologies and services for industry and healthcare. Present in 60 countries with approximately 66,500 employees, Air Liquide serves more than 4 million customers and patients.
Join us for a stimulating experience: At Airgas, you matter and so does the work you do. As a member of our team, you play an important role in the success of your team, making sure our products are created sustainably and delivered safely and efficiently. In turn, you'll find a welcoming workplace where you're valued for who you are and where you can fill your potential while growing a fulfilling career - whatever path you choose.
_________________________
Equal Employment Opportunity Information
We are an equal opportunity employer. We welcome all qualified applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.
Airgas, an Air Liquide Company is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974 and Section 503 of the Rehabilitation Act of 1973.
Airgas does not discriminate against qualified applicants with disabilities, and is committed to providing reasonable accommodations to the known disabilities of such individuals so as to ensure equal access to benefits and privileges of employment. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact us by email at us-accommodationrequest@airgas.com.
_________________________
California Privacy Notice
$28k-38k yearly est. Auto-Apply 8d ago
Collections Specialist
EMT Ambulance 3.6
Billing specialist job in North Canton, OH
Job Description: The Collections Specialist reports to the Billing Manager and is responsible for making outgoing calls to collect balances due as well as receiving incoming calls to answer billing questions.
The Collections Specialist's role is to provide support to the Billing Department by taking incoming phone calls and answering billing questions, or taking payments by phone. Outgoing calls can also be made to work on aging patient balances. Accuracy and confidentiality are extremely important in this role.
This is an in person, hourly role.
Minimum Requirements: HS Diploma, Good Attitude, Understanding of HIPAA,
Critical Skills: Communication (both written and verbal), Confidentiality, Attention to Detail, De-escalation skills, Strong Math skills
Education & Experience: HS Diploma or GED required; Previous Collections Experience preferred, Posting Experience preferred
$28k-37k yearly est. 11d ago
Accounts Receivable Coordinator
LHH Us 4.3
Billing specialist job in Northfield, OH
Schedule: Monday-Friday, 8:00 AM-5:00 PM (one late evening per month) Employment Type: Contract-to-Hire About the Role We are seeking an entry-level Accounts Receivable Coordinator to join our client's team. This isan excellent opportunity for candidates with an Accounting degree who are eager to learn and grow in a dynamic environment. We are willing to train and provide mentorship for the right individual.
Responsibilities
Manage business-to-business collections with professionalism and accuracy
Perform account reconciliations to ensure financial integrity
Collaborate with internal teams to resolve discrepancies and maintain positive client relationships
Qualifications
Bachelor's degree in Accounting
Strong proficiency in Microsoft Excel (formulas, pivot tables, VLOOKUPs)
Excellent communication skills-both written and verbal
Detail-oriented with strong organizational skills
Ability to work onsite and commit to one late evening per month
Pay Details: $20.00 per hour
Search managed by: Jessica Robbins
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
$20 hourly 1d ago
Billing Specialist
Red Oak Behavioral Health 3.7
Billing specialist job in Akron, OH
FULL-TIME
Applicants must be located in Northeast OH.
The BillingSpecialist is responsible for ensuring that all providers are enrolled and active w/multiple payers to ensure timely billing of services. The role is responsible for processing, verification, and preparation of all commercial claims for insurance clients. The position maintains records of payments and handles administrative detail and follow-up.
Essential Functions and Duties:
Support the creation and implementation of a streamlined provider credentialing process to ensure appropriate enrollment of clinical staff, ensuring service delivery coincides with efficient and timely billing.
Manage and update provider credentialing tools and processes to ensure there are no lapses in service delivery due to the inability to bill for services.
Daily posting of Insurance payments and electronic remittance adviser (ERA) files (a.k.a. 835 transactions).
Provide insurance verification and prior authorization for clients.
Daily posting of Explanation of Benefits (EOB) and Explanation of Payments (EOP) for non-payments; management of denials and rebill/ Coordination of Benefits (COB) issues.
Weekly compile and transmit claims
Upload EOB into scanning solution (eBridge).
Assists with prior authorization/benefit coordination and rebill claims, as needed.
Assists with weekly submission of Centers for Medicare & Medicaid Services (CMS) claims
Identify and assists in resolution of errors for all Insurance claims
Performs regular review and investigates unpaid claims and other accounts receivable management projects.
Assist clients in accessing and trouble shooting our Payment Hub, an online payment system.
Fixes and Reversal of Payment issues on the Ohio MITS portal
Maintain orderly, current, and up-to-date records of client insurance coverage to ensure accurate client files
Assist other staff with general inquires and requests, as needed
Unique responsibilities as assigned by supervisor or Management
Qualifications:
Associate degree or equivalent education from a two-year college or technical school with major in Medical Billing/Coding and/or Accounts/Receivable, plus 3-5 yrs. billing experience.
Knowledge, Skills and Abilities:
Excellent and proven attention to detail
Strong computer/software management skills
Excellent math skills.
Ability to work well within a team environment
Ability to work with a diverse group of people
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act (ADA) of 1990 and the Americans with Disabilities Amendments Act (ADAA) of 2008.
While performing this job, the employee is regularly required to sit, talk, and hear. This job requires filing, opening, and closing of file cabinets, and the ability to bend and/or stand as necessary. This job is frequently required to use hands; handle, feel and reach with hands and arms; and may occasionally lift and/or move files and other related materials up to 20 pounds.
The position requires regular use of a computer, calculator, and telephone.
Work Environment:
This job operates in a professional office environment and in the community. While performing the duties of this position in the office this role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The employee will occasionally travel by automobile and is exposed to changing weather conditions.
The employee may be required to drive daily to nearby locations for meetings or visits to assigned work sites.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
EEO Statement
Red Oak is proud to be an equal opportunity workplace. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
How much does a billing specialist earn in Lakewood, OH?
The average billing specialist in Lakewood, OH earns between $26,000 and $45,000 annually. This compares to the national average billing specialist range of $27,000 to $45,000.
Average billing specialist salary in Lakewood, OH
$34,000
What are the biggest employers of Billing Specialists in Lakewood, OH?
The biggest employers of Billing Specialists in Lakewood, OH are: