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Debt Collector jobs at King's Daughters Medical Center - 127 jobs

  • AR Collector

    King's Daughters Medical Center 4.6company rating

    Debt collector job at King's Daughters Medical Center

    * The Accounts Receivable Collector is responsible for, but not limited to insurance billing, follow-up, cash posting, customer service and patient collections. * DUTIES AND ESSENTIAL FUNCTIONS * Uses EPIC and other technology/tools to research, collect and resolve accounts receivables. * Takes action following established workflows; uses transactions in Epic to ensure accounts receivable is appropriately stated. * Notes actions taken and is thoughtful about next steps to collect * Engages with the rest of the Revenue Cycle team. Communicates department specific or payer specific issues. * Escalates claim edit trends, escalates denial trends and takes action to prevent revenue loss. * Produces favorable results; meets both productivity and work quality expectations. * Seeks out industry, payer, and regulatory updates. * EDUCATION/LICENSE/CERTIFICATION/OTHER REQUIREMENTS * Minimum requirement: * High school diploma or general education degree (GED) * Ability to read and interpret health insurance policies, payer remittance information and correspondence * Proficient in basic computer skills * Preferred qualifications: * Healthcare billing experience * Associates Degree * Proficient in intermediate computer skills * WORKING ENVIRONMENT * Works indoors in an office/clinic setting * The noise level is usually moderate * PHYSICAL DEMANDS * Constantly required to maintain a stationary position behind a computer. * Frequently required to move about inside the department. * Constantly required to communicate telephonically and face to face with colleagues and customers. * Constantly required to operate a computer and telephone. * Constantly required to lift and/or move up to 10 pounds. * Frequently required to lift and/or move up to 25 pounds. * Occasionally required to lift and/or move up to 50 pounds * Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and depth perception
    $25k-29k yearly est. 7d ago
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  • Supervisor Patient Care

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    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. 5d ago
  • Billing Specialist

    Spooner Medical Administrators, Inc. 2.7company rating

    Westlake, OH jobs

    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 Billing Specialist 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. 5d ago
  • Insurance and Billing Specialist

    Concord Counseling Services 3.5company rating

    Westerville, OH jobs

    Full-time Description Concord Counseling Services is one of the most highly acclaimed, behavioral health non-profit centers in Central Ohio. Based in Westerville and founded in 1972, Concord is dedicated to healing people in mind and spirit with programs and services that change lives. Why Choose Concord? Concord is fully accredited by the national Commission on Accreditation of Rehabilitation Facilities signifying quality & excellence, person-centered care, continuous improvement, accountability and trustworthiness. You will work alongside professionals who demonstrate our agency values of inclusion, teamwork, commitment and integrity. At Concord you will find collaboration, mentorship, a commitment to your professional growth, and a culture that supports you bringing your whole authentic self to work every day. Your Job Opportunity The Insurance & Billing Specialist position serves as a key role in improving the overall effectiveness of revenue cycle collections for client services. •Reviews and corrects third-party claim denials and follows up to maximize cash flow •Verifies client eligibility and estimated copays / deductibles authorizations at intake and insurance updates •Sets up client insurance within the electronic medical records (EMR) system upon intake and updates •Credentials new staff with payers including Medicaid, Medicare, and commercial insurance •Responsible for creating and mailing itemized patient statements and answers clients billing questions. •Monitor work flow and recommend process/procedural improvements as needed. •Maintains compliance with federal, state and local regulations, HIPAA and the Corporate Responsibility Program •Troubleshoots system insurance issues that end users may have. •Assist with EMR infrastructure as it pertains to claim submission & payment data entry Requirements Qualifications Required for Success for the Insurance and Billing Specialist •5 years of experience working with third party payers preferably in community mental health environment or healthcare setting •3 years of experience with Excel and an electronic medical records system (EMR). •Experience in claim processing and follow-up in a healthcare practice environment preferred. •Knowledge of Medicare and Medicaid regulations and other insurance guidelines •Understanding credentialing of direct service staff with third party payers •An understanding of healthcare billing to minimize the error rate in claim submission What We Offer You •Comprehensive Health Benefits: medical, dental, vision, and prescription drug coverage for peace of mind. Flexible spending and health savings accounts available. •Retirement Security: Contribute to a 401(k) plan and watch your savings grow for a secured future. •Protection Against Uncertainties: Concord paid life insurance and long-term disability ensuring financial security during unexpected challenges. •Work-Life Balance: Enjoy ample vacation, sick and self-care time and observe 9 agency holidays to rejuvenate and spend quality time with loved ones. If you are ready to serve with your heart, apply now at ********************************************* Counseling Services is an Equal Opportunity Employer.
    $29k-35k yearly est. 4d ago
  • Billing & Coding Analyst

    The Healthcare Connection 4.1company rating

    Ohio jobs

    Career Opportunity: Billing & Coding Analyst Reports to: Chief Financial Officer Organization: The HealthCare Connection (THCC) Location: Cincinnati, OH - Lincoln Heights About The HealthCare Connection: Founded in 1967, The HealthCare Connection was Ohio's first Federally Qualified Health Center (FQHC). Our mission is to provide quality, culturally sensitive and accessible primary healthcare services. THCC is proudly recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of recognition attainable for quality care. We boast two primary care locations and 6 school-based health centers providing quality value-based care for over 20,000 patients. We provide services in Primary Care, Infectious Disease, Substance Use, Integrated Behavioral Health, Dental Services, Women's Health, and Pharmacy. Benefits: Health Insurance and Rewards Program Dental, and Vision Insurance Free Life & Short-Term Disability Insurance 403(b) Retirement Plan with employer match Comprehensive Paid Time Off (PTO) 10 Paid Holidays Position Summary: The Billing & Coding Analyst is responsible for accurate coding, charge review, risk‑adjustment support, and claims coordination within an FQHC environment. This role facilitates communication and workflows with the third‑party billing company, ensures compliance with FQHC billing requirements, supports providers with documentation improvement, and participates in revenue cycle special projects. Key Responsibilities: • Perform coding review of encounters to ensure accurate CPT, HCPCS, and ICD‑10 coding in compliance with payer and FQHC rules. • Ensure accurate capture of risk‑adjusting diagnoses (HCC) and communicate documentation needs to providers. • Conduct ongoing coding audits and maintain documentation of findings, trends, and corrective action steps. • Collaborate with the third‑party billing company to resolve coding‑related denials, edits, and claim rejections. • Assist in monitoring A/R trends, denial rates, and vendor performance metrics. • Review charge data for completeness, accuracy, and compliance prior to submission. • Support month‑end close activities including coding reconciliation and reporting. • Participate in special projects such as workflow redesign, EHR template optimization, payer audits, and regulatory updates. • Provide coding and documentation guidance to providers and clinical departments. • Develop and host coding and documentation training sessions for providers and clinical staff to improve coding accuracy, documentation quality, risk-adjustment capture, and compliance. • Ensure adherence to HRSA, UDS, Medicaid/Medicare, HIPAA, and other regulatory requirements. Qualifications: • High school diploma required; associate degree in health information, billing, or related field preferred. • Certified coder required (CPC, CCS, or equivalent). • Experience or training in risk‑adjustment coding; CRC preferred or willingness to obtain within 12 months. • Minimum 2 years of medical billing and coding experience; FQHC experience strongly preferred. • Knowledge of CPT, HCPCS, ICD‑10, PPS/GFQHC billing rules, Medicaid, Medicare, and commercial payer requirements. • Strong communication skills, attention to detail, and ability to collaborate with clinical, administrative, and external teams. • Proficiency with EHR and billing software systems. Preferred: • Risk‑adjustment coding certification (CRC). • Experience coordinating with external billing vendors. • Experience with NextGen and EPIC. Equal Employment Opportunity/Drug-Free Workplace: The HealthCare Connection is focused on creating a community that promotes dignity and respect for employees, patients and other community members. THCC is an Equal Opportunity Employer and a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, military status or other characteristics protected by law and will not be discriminated against based on disability. THCC will only employ those who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of a background check and a drug screen.
    $36k-49k yearly est. 5d ago
  • Drug Screen Collector

    Meridian Healthcare 3.7company rating

    Youngstown, OH jobs

    COMPETENCIES: Demonstrates competence in waived testing Urine Collection Breath Alcohol Analysis Pregnancy Testing Saliva Collection Demonstrates competence in Narcan administration Demonstrates knowledge about behaviors and treatment of individuals with substance use, dependence, and other addictive behaviors Demonstrates knowledge about medication assisted therapy Understands the benefits and limitations of toxicological testing procedures RESPONSIBILITIES: Monitors and collects various urine drug screens under chain of custody procedure. Collects specimens of hair and saliva for drug collection and processing. Performs Breath Alcohol Analysis as a trained B.A.T. (Breath Alcohol Technician). Performs criminal background checks according to procedure. Maintains records and logs of all specimen tests obtained and processed. Responsible to photocopy and mail, in a timely manner, results of drug screens and saliva testing as requested by companies, with proper release of information. Orders supplies, maintains inventories and stocks of Lab Prep area. Maintains a clean work environment. Assists the Medical Department as directed. Participates in Bloodborne Pathogen Exposure/Chemical Hygiene Training. Participates in staff development program according to Agency policies and procedures Reports all unusual incidents and accidents according to Agency procedures. Participates in Agency health and safety practices and drills. Attends all scheduled staff meetings, supervision meetings and committee meetings as designated. Upholds all Agency policies, procedures and regulations; and supports the overall mission and philosophy of the Agency. Maintains harmonious relations within and outside the Agency in conducting Agency business. Maintains professional appearance at all times with regard to appropriate office attire. Any exceptions or special circumstance require prior approval of supervisor. Other duties as assigned by the President/CEO, CMO, Administrator, and/or Medical Manager. Requirements High School diploma required.
    $28k-34k yearly est. 60d+ ago
  • Medical Billing Specialist

    Orthocincy 4.0company rating

    Edgewood, KY jobs

    General Job Summary: Promotes the Companies mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence, and appealing denial. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine coordination of benefits via phone, email, or online portal. Analyze EOB's and construct appropriate, timely responses to insurance carriers based on claim adjudication. Collaborates with manager, coordinator, and director to report denial trends to ensure proper claim resolution. Experience with variety of billing issues involving payers (Medicare, Medicaid, private insurance, worker's compensation) including forms, coding compliance and reimbursement guidelines Thorough knowledge of medical terminology, managed care financial agreements; CPT, HCPCS, and ICD-10 codes. Handle billing calls and answer telephone calls as needed. Review credit balance accounts. Demonstrates superior interpersonal relationship skills necessary for developing and maintaining positive professional relationships with patients, peers, providers, clinical departments, the management team, and payer organizations through telephone, electronic and written correspondence. Ensure compliance with all guidelines set by government programs, and the Companies policies, such as federal regulations, HIPPA, and the No Surprises Act. Takes initiative in performing additional tasks that may be necessary or in the best interest of the practice. Requirements Education/Experience: High School Diploma or equivalent. Associate's Degree in Coding/Billing or minimum of two years medical billing experience is preferred. Collections or medical billing experience with an understanding of HCPCS, ICD-10 and medical terminology is preferred. Other Requirements: Must be customer service oriented with a team environment focus. Schedules may change as department needs change, including overtime and weekends. Performance Requirements: Knowledge: Knowledge and application of the Companies Mission, Vision and Values. Medical billing terminology required. CPT and ICD-10 coding knowledge preferred. Knowledge of medical billing/collection practices. Knowledge of medical terminology and anatomy. Knowledge of insurance filing and payment posting techniques. Knowledge of basic medical coding and third-party operating procedures and practices. Knowledge of electronic health records and practice management systems. Knowledge of current professional billing and reimbursement procedures preferred. Skills: Skilled in attention to detail. Skilled in organizing. Skilled in grammar, spelling, and punctuation. Skilled in communicating effectively with providers, staff, patients and vendors. Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages. Abilities: Ability to problem-solve and the ability to interpret and make decisions based on established guidelines. Ability to work on a team while maintaining positive and professional relationships. Ability to multitask and handle stressful or difficult situations with professionalism. Ability to analyze situations and respond in a calm and professional manner. Equipment Operated: Standard office equipment. Work Environment: Medical office environment. Mental/Physical Requirements: Involves sitting and viewing a computer monitor approximately 90 percent of the day. Must be able to use appropriate body mechanics techniques when making necessary patient transfers and helping patients with walking, etc. Must be able to remain focused and attentive without distractions (i.e. personal devices). Must be able to lift up to 30 pounds.
    $31k-40k yearly est. 38d ago
  • Billing & Coding Analyst

    The Healthcare Connection 4.1company rating

    Lincoln Heights, OH jobs

    Career Opportunity: Billing & Coding Analyst Reports to: Chief Financial Officer Founded in 1967, The HealthCare Connection was Ohio's first Federally Qualified Health Center (FQHC). Our mission is to provide quality, culturally sensitive and accessible primary healthcare services. THCC is proudly recognized as a Level 3 Patient Centered Medical Home (PCMH), the highest level of recognition attainable for quality care. We boast two primary care locations and 6 school-based health centers providing quality value-based care for over 20,000 patients. We provide services in Primary Care, Infectious Disease, Substance Use, Integrated Behavioral Health, Dental Services, Women's Health, and Pharmacy. Benefits: * Health Insurance and Rewards Program * Dental, and Vision Insurance * Free Life & Short-Term Disability Insurance * 403(b) Retirement Plan with employer match * Comprehensive Paid Time Off (PTO) * 10 Paid Holidays Position Summary: The Billing & Coding Analyst is responsible for accurate coding, charge review, risk‑adjustment support, and claims coordination within an FQHC environment. This role facilitates communication and workflows with the third‑party billing company, ensures compliance with FQHC billing requirements, supports providers with documentation improvement, and participates in revenue cycle special projects. Key Responsibilities: * Perform coding review of encounters to ensure accurate CPT, HCPCS, and ICD‑10 coding in compliance with payer and FQHC rules. * Ensure accurate capture of risk‑adjusting diagnoses (HCC) and communicate documentation needs to providers. * Conduct ongoing coding audits and maintain documentation of findings, trends, and corrective action steps. * Collaborate with the third‑party billing company to resolve coding‑related denials, edits, and claim rejections. * Assist in monitoring A/R trends, denial rates, and vendor performance metrics. * Review charge data for completeness, accuracy, and compliance prior to submission. * Support month‑end close activities including coding reconciliation and reporting. * Participate in special projects such as workflow redesign, EHR template optimization, payer audits, and regulatory updates. * Provide coding and documentation guidance to providers and clinical departments. * Develop and host coding and documentation training sessions for providers and clinical staff to improve coding accuracy, documentation quality, risk-adjustment capture, and compliance. * Ensure adherence to HRSA, UDS, Medicaid/Medicare, HIPAA, and other regulatory requirements. Qualifications: * High school diploma required; associate degree in health information, billing, or related field preferred. * Certified coder required (CPC, CCS, or equivalent). * Experience or training in risk‑adjustment coding; CRC preferred or willingness to obtain within 12 months. * Minimum 2 years of medical billing and coding experience; FQHC experience strongly preferred. * Knowledge of CPT, HCPCS, ICD‑10, PPS/GFQHC billing rules, Medicaid, Medicare, and commercial payer requirements. * Strong communication skills, attention to detail, and ability to collaborate with clinical, administrative, and external teams. * Proficiency with EHR and billing software systems. Preferred: * Risk‑adjustment coding certification (CRC). * Experience coordinating with external billing vendors. * Experience with NextGen and EPIC. Equal Employment Opportunity/Drug-Free Workplace: The HealthCare Connection is focused on creating a community that promotes dignity and respect for employees, patients and other community members. THCC is an Equal Opportunity Employer and a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, military status or other characteristics protected by law and will not be discriminated against based on disability. THCC will only employ those who are legally authorized to work in the United States. Any offer of employment is conditioned upon the successful completion of a background check and a drug screen.
    $36k-48k yearly est. 4d ago
  • Medical Billing Specialist

    Health Partners of Western Ohio 4.2company rating

    Lima, OH jobs

    Medical Billing Specialist Admin Building Fulltime In Person (Monday - Friday 8:00 am - 4:30 pm) SUMMARY: With knowledge of the FQHC billing requirements, the Medical Billing Specialist will prepare, submit, and follow up on all patient statements and insurance claims to third party payers for all patients who receive care from both medical and dental providers. ESSENTIAL FUNCTIONS AND BASIC DUTIES: •Reviews all claims before submission to insurance companies. •Maintains file system for billed claim records and back up for audit purposes •Verifies coverage and follows up on submitted claims. •Requests corrected diagnosis for reimbursement purposes from providers. •Responds knowledgeably to inquiries from patients, providers, insurance companies regarding covered charges, remittance advices, and billing questions •Works with Medicaid, Medicare, and insurance companies for submission of claims, to verify coverage, to determine status of claims, and to resolve issues and problems with the claims. •Reviews incoming correspondence and materials. •Maintains a variety of files, logs, and registers. • Operates office equipment •Reviews insurance information in computer registration to determine accuracy and make changes as needed. •Opens mail and processes all patient payments, insurance reimbursements, and reconciles daily report with checks received. •Maintains updated knowledge of FQHC billing rules, CPT, CDT, and ICD-10 coding. •Maintains patient confidentiality according to health center policy and HIPAA regulations. •Performs miscellaneous job-related duties as assigned. QUALIFICATIONS EDUCATION/CERTIFICATION: High School Degree or GED Required. REQUIRED KNOWLEDGE: Successful completion of in-house training. EXPERIENCE REQUIRED: Experience with healthcare billing SKILLS/ABILITIES: •Understanding of different types of insurance (Medicaid, Medicare, Commercial, etc.) •Computer experience, skill and typing ability sufficient to operate the practice management. •Knowledge of basic medical terminology. WHAT WE OFFER: Paid Time Off (PTO) - Accrued per pay Insurance (Medical, Dental, Vision, Life and Disability) Paid Holidays - 7 paid holidays 403b Retirement with up to 8% match (starts at 3% and increases with time of service at HPWO) Annual Reviews and Increases Employee Assistance Program Referral Bonus - Earn more by expanding our team Training Opportunities Eligible to apply for the Emerging Leaders Program after 1 year of service
    $32k-37k yearly est. 42d ago
  • Medical Billing Specialist

    One Health Ohio 4.3company rating

    Youngstown, OH jobs

    Join Our Team as a Medical Billing Specialist! Why Work With Us? At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter! Do you have prior billing experience in dental or medical settings? Are you looking for a role that blends your billing expertise with a clinical touch? If so, we could be the perfect next step in your career journey. Benefits Include: * Affordable Health, Vision, Dental, and Life Insurance * 401(K) with dollar-for-dollar matching (up to 4%) * Generous Paid Time Off (PTO) * Paid Holidays Essential Job Functions: * Prepares and submits clean claims to various insurance companies either electronically or by paper. * Answers questions from patients, clerical staff, and insurance companies. * Identifies and resolves patient billing complaints. * Prepares, reviews, and sends patient statements. * Evaluates patient's financial status and establishes budget payment plans. * Follows and reports the status of delinquent accounts. * Reviews accounts for possible assignment and make recommendations to the Director of Billing and Reimbursement, also prepares information for the collection agency * Performs daily backups on the office computer system. * Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers. * Processes payments from insurance companies and prepares a daily deposit. * Participates in educational activities and attends monthly staff meetings. * Conducts self in accordance with employee handbook. * Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. * Ensures accurate billing and coding as per regulations. * Works with administrator in training providers in coding and EMR system. Education and Experience: * Minimum of 2 years experience medical billing (Preferred) * Certified Biller (Required) * Certified Coder (Preferred) Physical Requirements * Sitting in a normal seated position for extended periods of time * Reaching by extending hand(s) or arm(s) in any direction * Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard * Communication skills using the spoken word * Ability to see within normal parameters * Ability to hear within normal range * Ability to move about NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employee is able to work at any OHO locations deemed necessary by OHO.
    $32k-42k yearly est. 26d ago
  • Insurance Collections Specialist

    Gastro Health 4.5company rating

    Cincinnati, OH jobs

    Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance No weekends or evenings - Monday thru Friday Paid holidays and paid time off Rapidily growing team with opportunities for advancement Competitive compensation Benefits package Duties you will be responsible for: Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution Maintains active communications with insurance carriers and third-party carriers until account is paid. Negotiates payment of current and past due accounts by direct telephone and written correspondence. Updates patient account information Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. Manage all assigned worklist on a daily basis for assigned insurances. Utilize collection techniques to resolve accounts according to company's policies and procedures. Report any coding related denial to the Coding Specialist. Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. Conducts necessary research to ensure proper reimbursement of claims. Assist with special projects assigned by Billing Manager or Supervisor Minimum Requirements High school diploma or GED equivalent. At least 2 years' experience in insurance collections. Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS) Knowledge with letters of appeal. Intermediate experience with Microsoft Excel and Office products is required. Experience with HMO, PPO, and Medicare insurances. Must be able to read, interpret, and apply regulations, policies and procedures We offer a comprehensive benefits package to our eligible employees: Medical Dental Vision Spending Accounts Life / AD&D Disability Accident Critical Illness Hospital Indemnity Legal Identity Theft Pet 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees Additionally, Gastro Health participates in a program called Tickets at Work that provides discounts on concerts, travel, movies, and more. Interested in learning more? Click here to learn more about the location. Gastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. We are always looking for individuals that share our mission to provide outstanding medical care and an exceptional healthcare experience. We offer a comprehensive benefits package to our eligible employees. Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We thank you for your interest in joining our growing Gastro Health team!
    $28k-34k yearly est. Auto-Apply 60d+ ago
  • Collections Specialist

    Trilogy Health Services 4.6company rating

    Louisville, KY jobs

    JOIN TEAM TRILOGY Performs functions related to accounts receivable, billing, collections and revenue support to meet company goals. Analyzes accounts receivable aging and individual accounts. Schedule Options 1st shift (8-4:30) Duties and Responsibilities 1. Research accounts as needed for collection activities. 2. Prepares and reviews paperwork for attorney, write-off, and/or cut off processes. 3. Initiate collections calls for aged accounts and customer service to residents, guarantors, and facility customers. 4. Works with billing associates to review accounts and correct account billings as needed. 5. Works with Business Office Managers and/or Executive Directors of each facility or customer to help resolve past due balances. 6. Checks for Medicaid eligibility. 7. Analyzes accounts receivable aging and individual accounts. 8. Assists with special projects as needed. 9. Maintain goals for DSO and cash collected. POSITION OVERVIEW * High School diploma or equivalent. Experience * Three (3) to five (5) years' billing and/or collections experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred. * Minimum one (1) year multi-facility experience preferred. * Framework/Sage experience preferred. * Exemplary computer skills that include knowledge of the Microsoft Office Suite of products. #pharmacy LOCATION US-KY-Louisville Synchrony Home Office 2701 Chestnut Station Court Louisville KY LIFE AT TRILOGY Careers close to home and your heart Since our founding in 1997, we've been making long-term care better for our residents and more rewarding for our team members. We're a Fortune Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work. If you're looking for a place that embraces you for who you are, helps you achieve your full potential, and makes working hard feel less like hard work, then look no further than Trilogy. ABOUT TRILOGY HEALTH SERVICES As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. * High School diploma or equivalent. Experience * Three (3) to five (5) years' billing and/or collections experience. Healthcare, senior living industry, pharmacy or long-term care environment preferred. * Minimum one (1) year multi-facility experience preferred. * Framework/Sage experience preferred. * Exemplary computer skills that include knowledge of the Microsoft Office Suite of products. #pharmacy Performs functions related to accounts receivable, billing, collections and revenue support to meet company goals. Analyzes accounts receivable aging and individual accounts. Schedule Options 1st shift (8-4:30) Duties and Responsibilities 1. Research accounts as needed for collection activities. 2. Prepares and reviews paperwork for attorney, write-off, and/or cut off processes. 3. Initiate collections calls for aged accounts and customer service to residents, guarantors, and facility customers. 4. Works with billing associates to review accounts and correct account billings as needed. 5. Works with Business Office Managers and/or Executive Directors of each facility or customer to help resolve past due balances. 6. Checks for Medicaid eligibility. 7. Analyzes accounts receivable aging and individual accounts. 8. Assists with special projects as needed. 9. Maintain goals for DSO and cash collected.
    $25k-31k yearly est. Auto-Apply 34d ago
  • AP/AR Coordinator/Receptionist $20-24 8a-4:30p (Full Time)

    Arrow Senior Living 3.6company rating

    North Royalton, OH jobs

    After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. Its home-like environment is not just for the residents but for the team members as well. From day one you embrace the core values, and you see how they impact residents quality of life. Arrow is a great company to grow with-it promotes within and the employee appreciation, incentives, and benefits are just a bonus on top of making residents and team members smile. I have become lifelong friends with this team, and I can happily say I love my job and enjoy coming to work. -Arrow Team Member Position- Operations Coordinator Position Type- Full Time Location: North Royalton, Ohio Our starting wage for Operations Coordinators is: $20.00-$24.00 per hour! Shift Schedule- Monday-Friday 8am-4:30pm Come join our team at Vitalia Active Adult Community at North Royalton located at 8239 York Rd. North Royalton, Ohio 44133! We are looking for someone (like you): Be the First Face of the community. As the first encounter a visitor has with the community, you will serve as the welcoming host, providing exceptional customer service during every interaction. Be the Go-To Guide: Answer, or help find the answer, to any questions received by residents, vendors, guests, or employees, whether in person, telephone, or by email. Be an Exceptional Assistant. Assist the administrative team in completing any tasks assigned and ensure that phone calls and emails are answered in a timely and professional manner. Be an Accurate Accountant. You are detail-oriented and conscientious, tracking resident occupancy, ensuring accurate resident billing, and correctly applying payments and credits to resident accounts. What are we looking for? You must be at least eighteen (18) years of age. You shall have a high school diploma, or equivalent. You shall be able to read, write, understand, and communicate in English at a minimum of 12th grade proficiency. You shall have experience in handling bookkeeping and knowledge of basic accounting with an ability to adhere to the companys accounting policies. You shall be proficient at Microsoft Word, Excel, Outlook, and Google Docs. You will possess clear verbal and written communication skills, with attention to detail. You will be able to follow written and verbal directions and apply practical solving skills if needed. You will have a positive and energetic attitude. You must be professional in appearance and conduct. You must have the ability to frequently lift and/or move items up to 25 pounds. You must be criminally cleared. Be in good health and physically and mentally capable of performing assigned tasks. Good physical health shall be verified by a health screening performed by a physician not more than six (6) months prior to or seven (7) days following employment. Must test free from pulmonary tuberculosis at time of health screening. This position is active and requires standing, walking, bending, kneeling, and stooping most of the day. Sedentary periods of one to three hours are also required. This position requires employee to be able to retrieve items from storage, including overhead bins or cabinets. Employment Benefits (We value our benefits): Company Match 401(k) with 100% match up to the first 3% and fully vested upon enrollment. Medical, Dental, Vision insurance (1st of the month following 60 days of employment-Full Time) Disability insurance (Full Time) Employee assistance program Weekly Employee Recognition Program Life insurance (Full Time) Paid time off (Full Time employees accrue up to 115 hours each year and Part Time accrue up to 30 hours each year) Tuition Reimbursement (after 90 days for FT AND PT employees) Employee Referral Program (FT, PT, and PRN) Complimentary meal each shift (FT, PT, and PRN) Daily Pay Option Direct Deposit Did we mention that we PROMOTE FROM WITHIN? Do you want to see how much fun we are at Vitalia North Royalton? Please visit us via Facebook: ********************************************* Or, take a look at our website: **************************** Have questions? Want to speak to someone directly? Reach out by calling/texting your own recruiter, Tasha Wilburn:************. Click here to hear about Arrow's Core Values! About the company Arrow Senior Living manages a collection of senior living communities that offer varying levels of care including independent living, assisted living, and memory care in 34 properties currently in 6 states (Missouri, Kansas, Iowa, Illinois, Ohio, Arkansas) and employs nearly 2,200 employees! Arrow Senior Living YouTube-Click Here Arrow Senior Living serves and employs individuals of all faiths, regardless of race, color, gender, sexual orientation, national origin, age, or handicap, except as limited by state and federal law. Keywords: coordinator, senior living, nursing home, retirement community, accounting, bookkeeping, front desk, receptionist RequiredPreferredJob Industries Healthcare
    $20-24 hourly 8d ago
  • Billing Specialist

    Nuehealth 3.6company rating

    Amherst, OH jobs

    The Billing Specialist 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. 60d+ ago
  • Biller

    Fisher-Titus Health 4.3company rating

    Norwalk, OH jobs

    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.
    $25k-33k yearly est. 21d ago
  • Billing Specialist

    Associates In Dermatology 3.7company rating

    Louisville, KY jobs

    Essential Functions Summary: This dermatology office based Billing Specialist will be tasked with consistently and accurately assigning the appropriate designated codes to each patient record by reviewing the information provided in the medical record. Position Requirements: Fields billing coding questions. Assess accounts for bad debt. Reviews account history for cancellations and no show history. Assists patients with locked accounts Distributes itemized statements as requested Assists in distribution of mail Sends certified letters to patients as required. Processes credit card statements. Balances credit card machine nightly. Completes all other assigned tasks to ensure efficient department function and work flow. Escalates any billing/coding issues to Client Service Director and Coding Education Manager Accurate understanding and application of client manual information to daily assignments. Maintain acceptable levels of attendance and punctuality as specified in company and departmental policies. Meet routine deadlines and work schedules as well as timely and accurate completion of special projects and any other duties as assigned. Understand, support, enforce and comply with company policies, procedures and Standards of Business Ethics and Conduct. Display a positive attitude as well as professional, polite, considerate and courteous conduct and treatment of others in the course of duties. Qualifications Qualifications: Must possess a high school diploma or GED. Must have worked 1 year medical billing experience (preferable in dermatology) Must be able to work independently and to maintain mental focus for long periods of time. Physical Requirements: Must possess strong English oral and written communication skills in order to communicate effectively with other billing/office staff and management. Eyesight must be sufficient to be able to read medical charts and computer monitors. Must possess manual dexterity sufficient to utilize reference materials and to manipulate pages in Medical Chart and to type on keyboards. Environmental Conditions: Typical conditions of office environment. During initial phases of training, stress levels may exceed normal levels as new skills are learned and new information is assimilated.
    $30k-37k yearly est. 3d ago
  • REIMBURSEMENT AND BILLING COORDINATOR

    Toledo Clinic 4.6company rating

    Toledo, OH jobs

    Job Description Creates and maintains fee schedule files. Develop, test, and implement eCW applications. Monitor payor reimbursement and compliance. Assist medical offices and Business Services with fee schedules and unit fee pricing. Accountable for the TCI charge master. Support Administration and Credentialing with contracts. Perform fee analysis. Principal Duties & Responsibilities: Example of Essential Duties: Responsible for the update and control of the fee schedule files. Work with the Business Office staff to coordinate Payor issues between the Business Office, Insurance Carrier, and Medical Offices. Maintain the TCI charge master by updating payor rates and monitoring necessary unit fee increases/decreases. Generate payor analysis as requested by Administration/Contracting Committee. Assist offices with any fee schedule issues they may have. Work with IT and eCW testing new applications. Pull contracting information as requested. Communicate with Payors on issues regarding reimbursement Other Essential Duties May Include (but are not limited to): Other duties as assigned. Knowledge, Skills & Abilities: Required: - Extensive knowledge of Excel pertaining to Formulas and Pivot Tables - Working knowledge of a physician based medical office practice. - Knowledge of physician coding and federal/state regulations of patient care. - Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. - Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed. - Demonstrates adaptability to expanded roles. Education: - HS diploma or GED, Medical billing
    $32k-38k yearly est. 1d ago
  • Medical Billing Specialist

    Salem Regional Medical Center 4.2company rating

    Salem, OH jobs

    SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Full Time Medical Billing Specialist Department: Patient Accounting Shift: Days PURPOSE Performs a specific operational responsibility within a functional unit within revenue cycle management including customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation. QUALIFICATIONS High School Diploma or GED required. An Associate's degree may offset one year of the experience requirement. A Bachelor's degree may offset the two-year experience requirement. Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Minimum two years of experience in a patient account or financial environment. Knowledge of patient accounts, which includes customer service, insurance processing, insurance verification and cash application. Knowledge of additional specialized function may be required such as third party payers, Medicare processing, hospital and physician billing and pricing, CPT4/ICD code application. Must have excellent verbal and communication skills. BENEFITS · Competitive wages · Medical/prescription insurance · Dental insurance · Vision insurance · Accident and critical insurance · Employer paid life insurance · 403 (b) retirement with employer matching · Tuition reimbursement · Continuing education reimbursement · Cafeteria discounts · Employee Assistance Program
    $27k-33k yearly est. 60d+ ago
  • SHM Billing Specialist

    Salem Regional Medical Center 4.2company rating

    Salem, OH jobs

    SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Part Time Billing Specialist Department: Salem Home Medical Shift: Days PURPOSE The purpose of your job as Salem Home Health Biller is to perform assigned duties in an efficient manner, in accordance with established procedures, and as directed by your supervisor to assure that a viable service oriented and profitable business operation is maintained at all times. The primary purpose of this position is to obtain as quickly as possible payment-in-full status on all amounts owed by the guarantor for the services rendered to the patient. QUALIFICATIONS High School diploma with clerical studies. 2-4 years billing experience with home medical equipment claims preferred or Postsecondary billing education and/or Certified biller/coder. Working knowledge of Medicare billing regulations relating to HME. Strong interpersonal skills with ability to handle large variety of circumstances and conditions. Ability to work well with co-workers. Knowledge of computers. Must display ability to work with stress created by volume and urgency of the claims generated. Good telephone communication skills. BENEFITS · Competitive wages · Medical/prescription insurance · Dental insurance · Vision insurance · Accident and critical insurance · Employer paid life insurance · 403 (b) retirement with employer matching · Tuition reimbursement · Continuing education reimbursement · Cafeteria discounts · Employee Assistance Program · Shift differential
    $27k-33k yearly est. 36d ago
  • Accounts Receivable Collections Specialist

    Family Allergy & Asthma 3.4company rating

    Louisville, KY jobs

    A/R Collections Specialist (Biologics/Immunotherapy) The AR Collection Specialist is responsible for providing outstanding customer service while collecting outstanding accounts receivable balances. This position includes adhering to collections work standards, reducing the number of aged items, facilitating the resolution of customer billing issues, reducing accounts receivable delinquencies, and meeting and/or exceeding collections standards. REQUIRED EDUCATION/EXPERIENCE: · High school diploma or equivalent qualification required. · 2+ years' experience working in a healthcare Collection Specialist position. · Profound knowledge of collection techniques and billing procedures · Excellent communication skills, both written and oral · Good level of problem-solving and negotiation skills · Strong understanding of billing and collection processes. · Outstanding communication and interpersonal skills. · In-depth knowledge of laws and policies related to debt collection. · Good administrative skills. ESSENTIAL FUNCTIONS · Develop effective repayment plans. · Follow-up with clients on overdue accounts. · Oversee all monthly payments and refunds. · Respond to client account queries in a timely and professional manner. · Consulting and helping clients with billing and credit problems. · Managing payments and refund operations · Developing measures encouraging timely payments · Reporting on collection operations and customer account updates · Facilitate resolution of customer billing problems with bill initiating department for delinquent accounts. · Make outbound collections efforts including making calls in a professional manner and sending emails concerning outstanding balances in accordance with Collections Standards. · Provide reports to stakeholders as assigned. · Review open accounts for collections efforts to reduce the number of aged items and aged balances in assigned portfolio. POSITION RELATIONSHIPS: · Reports directly to the Senior Revenue Cycle Manager · Subject to a 90-day probationary period Requirements Please complete survey to be considered for this position: ************************************** M7SYDhF/102127 Requirements EEOC Compliance Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
    $30k-37k yearly est. 1d ago

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