Account Representative jobs at Licking Memorial Hos - 490 jobs
Billing Specialist - Hospital Billing
Licking Memorial Health Systems 4.6
Account representative job at Licking Memorial Hos
Billing Specialist Hospital Billing Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.
When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission - dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community.
Position Summary
Arranges the efficient and orderly resolution of all patient accounts. Ensures accurate and complete payment by insurance companies and patients, as well as accurate account adjustments pursuant to the Health Systems policy while maintaining a consistent professional conduct.
Responsibilities
* Bill patient accounts, timely and accurate.
* Enter accurate billing information and prepare accurate paper or electronic claims.
* Correct claims and determine billing status.
* Perform timely follow-up of patient accounts.
* Prepare accurate reports of billing activity.
* Contact insurance carriers to expedite accurate payment of claims.
* Review remittances to ensure proper & accurate payments.
* Balance cash / checks
* Review and resolve credit balance accounts
* Complete applications for applicable Health Systems charity care programs.
* Perform other duties as requested.
Requirements
* Read, write, and follow verbal or written directions.
* Analytical ability to detect and resolve problems.
* Interpersonal / Communication skills in difficult situations.
* Nine months experience in healthcare billing collections field.
* Ability to operate various office machines including a Personal Computer, fax, copier, etc.
* LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.
Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.
$26k-32k yearly est. 31d ago
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Supervisor Patient Care
Akron Children's Hospital 4.8
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. 13d ago
Supervisor Patient Care
Akron Children's Hospital 4.8
Akron, OH jobs
PRN Night shift 7pm-7:30am 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.
On Call
FTE: 0.001000
Status: Onsite
$57k-69k yearly est. 5h ago
Representative II, Customer Service Operations
Cardinal Health 4.4
Columbus, OH jobs
**_What Customer Service Operations contributes to Cardinal Health_**
Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.
Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.
**_Job Summary_**
The Representative II, Customer Service Operations processes orders for distribution centers and other internal customers in accordance to scheduling, demand planning and inventory. The Representative II, Customer Service Operations administers orders in internal systems and responds to customer questions, clearly communicating delays, issues and resolutions. This job also processes non-routine orders, such as product samples, and ensures that special requirements are included in an order.
**_Responsibilities_**
+ Processes routine customer orders according to established demand plans, schedules and lead times using SAP and other internal systems. Enters all necessary order information, reviews order contents, and ensures that orders are closed once completed.
+ Responds to inquiries from internal customers, such as Distribution Centers, regarding order tracking information as well as on-hold, back order and high priority statuses.
+ Identifies and communicates resolutions to order delays, missing information, and product availability based on customer profiles.
+ Uses dashboards and reporting from internal systems to identify causes of order issues, such as lack of inventory or invalid measures or requirements in the order. Creates visuals and conducts analyses as necessary to understand and communicate order data and issues.
+ Coordinates with a variety of internal stakeholders, including Planners and externally-facing Customer Service Representatives, regarding customer issues.
+ For international shipping and in cases of special order requirements, coordinates with Quality and Global Trade teams in order to ensure compliance of orders.
+ Processes orders for product samples and trials, coordinating with Marketing teams as necessary to understand the purpose and requirements of the samples.
**_Qualifications_**
+ High school diploma, GED or equivalent, or equivalent work experience, preferred
+ 2-4 years' experience in high volume call center preferred where communication and active listening skills have been utilized
+ Previous experience working in a remote/work from home setting is preferred
+ Prior experience working with Microsoft Office is preferred
+ Prior experience working with order placement systems and tools preferred
+ Customer service experience in prior healthcare industry preferred
+ Root cause analysis experience preferred
+ Familiarity with call-center phone systems preferred
+ Excellent Phone Skills with a focus on quality
+ Previous experience being able to achieve daily call center metrics including but not limited to average handle time, adherence, average speed to answer, QA
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**Anticipated hourly range:** $15.75 per hour - $18.50 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 03/13/2026 *if interested in opportunity, please submit application as soon as possible.
_The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity._
\#LI-DP1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$15.8-18.5 hourly 2d ago
Billings Clerk
All Pro Recruiting LLC 4.4
Cleveland, OH jobs
Purpose: This position is responsible for all phases of client billing, which may include: performing edits, billing, write-offs, and time transfers. Essential Job Functions: 1. Print and distribute pre-bills monthly to billing attorneys. 2. Edit invoices monthly in a timely manner based on comments received from billing attorneys.
3. Invoice and bill clients in the accounting system each month in a timely manner. This includes clients that are billed electronically.
4. Perform client and matter changes within the accounting system.
5. Process write-offs within the accounting system in accordance with company policy.
6. Work with clients and attorneys in a timely manner to answer inquiries and provide analysis of billings.
7. Perform other tasks as assigned.
Required Qualifications: Knowledge, Skills, Abilities and Personal Characteristics
1. High attention to detail; organized.
2. Developed knowledge of basic billing knowledge.
3. Effective interpersonal skills; strong oral and written communication skills.
4. High degree of initiative and independent judgment.
5. Computer skills: accounting system (3E experience preferred), word processing, and spreadsheet capabilities.
$32k-44k yearly est. 2d ago
Clinic Service Rep
BJC Healthcare 4.6
Saint Louis, MO jobs
Additional Information About the Role
BJC is looking to hire a Clinic Service Rep!
Apply today!
Additional Preferred Requirements
Hybrid Role with Day time hours
Monday - Friday with no weekends and holidays
Job Duties - Processing referrals, schedule office visits and testing, Track and update referrals, review and respond to EPIC tasks
This individual will also cover for medical assistance clinics responsibilities (M, Tues, Wed) and have communication with patients and medical staff.
Daily Pay!
Overview
Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.
The Heart and Vascular Administration department supports the structure for the Heart and Vascular Program and drives the strategic goals and priorities.
Preferred Qualifications
Role Purpose
Provides clerical support in an ambulatory patient care setting encompassing hospital mission, vision and values.
Responsibilities
Coordinates patient referral procedure by management of work queues, in baskets and faxes, as well as initiates the pre-authorization process. Runs eligibility in software to confirm insurance coverage.Provides clerical support including, but not limited to, scanning documents, preparing charts, managing e-correspondence and general inquiries.Schedules and coordinates patient appointments with the department and other areas (radiology, procedure area, other testing) at the time of check out.Effectively interacts and communicates with patients and families to assist them and direct them to access available resources such as financial assistance, social work, and more.
Minimum Requirements
Education
High School Diploma or GED
Experience
Supervisor Experience
No Experience
Benefits and Legal Statement
BJC Total Rewards
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
Disability insurance* paid for by BJC
Annual 4% BJC Automatic Retirement Contribution
401(k) plan with BJC match
Tuition Assistance available on first day
BJC Institute for Learning and Development
Health Care and Dependent Care Flexible Spending Accounts
Paid Time Off benefit combines vacation, sick days, holidays and personal time
Adoption assistance
To learn more, go to our Benefits Summary.
* Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
$30k-34k yearly est. 2d ago
Billing Specialist
Spooner Medical Administrators, Inc. 2.7
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. 3d ago
Medicare Sales Representative - Base Salary + Commission Opportunities (MustReside in Ohio)
Caresource 4.9
Lima, OH jobs
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we're looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a job; it's an opportunity to connect with your community, educate seniors about their healthcare options, and help them navigate the Medicare landscape.
Why CareSource?
Competitive Compensation:Enjoy a guaranteed base salary along with generous commissions based on your sales performance. Your hard work pays off!
Sign-On Bonus:We value your expertise and offer a sign-on bonus to welcome you to our team.
Qualified Leads:Benefit from a steady stream of qualified leads to help you succeed in your role.
Flexible Work Environment:This mobile position allows you to travel within your assigned territory, attend community events, and engage with clients on your schedule.
What You'll Do:
Empower the Community:Develop educational and enrollment opportunities with local agencies, senior resources, and community organizations to ensure seniors have access to the best Medicare Advantage products.
Engage & Educate:Conduct presentations and marketing activities that inform and inspire, all while adhering to state and federal regulations.
Build Relationships:Foster strategic partnerships with key stakeholders to drive enrollment and sales success.
Be a Resource:Serve as a subject matter expert on CareSource's Medicare Advantage offerings, guiding beneficiaries through their choices during the enrollment process.
Achieve Goals:Meet and exceed monthly sales targets while maintaining a focus on customer satisfaction and compliance.
What We're Looking For:
Education:High School diploma or GED required; an Associate's Degree in business, healthcare, or a related field is preferred.
Experience:At least one year of experience in Medicare or Medicaid sales, or other commercial insurance sales is required.
Skills:Proficiency in CRM systems, Microsoft Office Suite, and excellent communication skills are essential. Bilingual candidates are preferred!
Licensure & Certification:
Current, unrestricted Insurance License in Accident and Health within your assigned territory is required, or the ability to obtain it within 30 days of hire.
Medicare Fraud, Waste, and Abuse (MFWA) certification required within 30 days of hire.
Working Conditions:
This role requires regular travel to various locations within your territory, and you should be comfortable working flexible hours, including evenings and weekends as needed.
At CareSource, we are committed to creating a diverse and inclusive workplace. We provide reasonable accommodations to qualified individuals with disabilities or medical conditions, ensuring everyone has the opportunity to thrive.
Ready to Make a Difference?If you're passionate about helping others and want to be part of a team that values your contributions, we'd love to hear from you! Apply today and take the first step toward a rewarding career with CareSource.
Compensation Range:
$47,400.00 - $76,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#LI-ST1
$47.4k-76k yearly 2d ago
Medicare Sales Representative - Base Salary + Commission Opportunities (MustReside in Ohio)
Caresource 4.9
Dayton, OH jobs
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we're looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a job; it's an opportunity to connect with your community, educate seniors about their healthcare options, and help them navigate the Medicare landscape.
Why CareSource?
Competitive Compensation:Enjoy a guaranteed base salary along with generous commissions based on your sales performance. Your hard work pays off!
Sign-On Bonus:We value your expertise and offer a sign-on bonus to welcome you to our team.
Qualified Leads:Benefit from a steady stream of qualified leads to help you succeed in your role.
Flexible Work Environment:This mobile position allows you to travel within your assigned territory, attend community events, and engage with clients on your schedule.
What You'll Do:
Empower the Community:Develop educational and enrollment opportunities with local agencies, senior resources, and community organizations to ensure seniors have access to the best Medicare Advantage products.
Engage & Educate:Conduct presentations and marketing activities that inform and inspire, all while adhering to state and federal regulations.
Build Relationships:Foster strategic partnerships with key stakeholders to drive enrollment and sales success.
Be a Resource:Serve as a subject matter expert on CareSource's Medicare Advantage offerings, guiding beneficiaries through their choices during the enrollment process.
Achieve Goals:Meet and exceed monthly sales targets while maintaining a focus on customer satisfaction and compliance.
What We're Looking For:
Education:High School diploma or GED required; an Associate's Degree in business, healthcare, or a related field is preferred.
Experience:At least one year of experience in Medicare or Medicaid sales, or other commercial insurance sales is required.
Skills:Proficiency in CRM systems, Microsoft Office Suite, and excellent communication skills are essential. Bilingual candidates are preferred!
Licensure & Certification:
Current, unrestricted Insurance License in Accident and Health within your assigned territory is required, or the ability to obtain it within 30 days of hire.
Medicare Fraud, Waste, and Abuse (MFWA) certification required within 30 days of hire.
Working Conditions:
This role requires regular travel to various locations within your territory, and you should be comfortable working flexible hours, including evenings and weekends as needed.
At CareSource, we are committed to creating a diverse and inclusive workplace. We provide reasonable accommodations to qualified individuals with disabilities or medical conditions, ensuring everyone has the opportunity to thrive.
Ready to Make a Difference?If you're passionate about helping others and want to be part of a team that values your contributions, we'd love to hear from you! Apply today and take the first step toward a rewarding career with CareSource.
Compensation Range:
$47,400.00 - $76,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#LI-ST1
$47.4k-76k yearly 2d ago
Medicare Sales Representative - Base Salary + Commission Opportunities (MustReside in Ohio)
Caresource 4.9
Ironton, OH jobs
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we're looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a job; it's an opportunity to connect with your community, educate seniors about their healthcare options, and help them navigate the Medicare landscape.
Why CareSource?
Competitive Compensation:Enjoy a guaranteed base salary along with generous commissions based on your sales performance. Your hard work pays off!
Sign-On Bonus:We value your expertise and offer a sign-on bonus to welcome you to our team.
Qualified Leads:Benefit from a steady stream of qualified leads to help you succeed in your role.
Flexible Work Environment:This mobile position allows you to travel within your assigned territory, attend community events, and engage with clients on your schedule.
What You'll Do:
Empower the Community:Develop educational and enrollment opportunities with local agencies, senior resources, and community organizations to ensure seniors have access to the best Medicare Advantage products.
Engage & Educate:Conduct presentations and marketing activities that inform and inspire, all while adhering to state and federal regulations.
Build Relationships:Foster strategic partnerships with key stakeholders to drive enrollment and sales success.
Be a Resource:Serve as a subject matter expert on CareSource's Medicare Advantage offerings, guiding beneficiaries through their choices during the enrollment process.
Achieve Goals:Meet and exceed monthly sales targets while maintaining a focus on customer satisfaction and compliance.
What We're Looking For:
Education:High School diploma or GED required; an Associate's Degree in business, healthcare, or a related field is preferred.
Experience:At least one year of experience in Medicare or Medicaid sales, or other commercial insurance sales is required.
Skills:Proficiency in CRM systems, Microsoft Office Suite, and excellent communication skills are essential. Bilingual candidates are preferred!
Licensure & Certification:
Current, unrestricted Insurance License in Accident and Health within your assigned territory is required, or the ability to obtain it within 30 days of hire.
Medicare Fraud, Waste, and Abuse (MFWA) certification required within 30 days of hire.
Working Conditions:
This role requires regular travel to various locations within your territory, and you should be comfortable working flexible hours, including evenings and weekends as needed.
At CareSource, we are committed to creating a diverse and inclusive workplace. We provide reasonable accommodations to qualified individuals with disabilities or medical conditions, ensuring everyone has the opportunity to thrive.
Ready to Make a Difference?If you're passionate about helping others and want to be part of a team that values your contributions, we'd love to hear from you! Apply today and take the first step toward a rewarding career with CareSource.
Compensation Range:
$47,400.00 - $76,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#LI-ST1
$47.4k-76k yearly 2d ago
Medicare Sales Representative - Base Salary + Commission Opportunities (MustReside in Ohio)
Caresource 4.9
Athens, OH jobs
Are you ready to make a meaningful impact in the lives of Medicare beneficiaries? At CareSource, we're looking for passionate individuals to join our team as a Medicare Sales Representative II. This is more than just a job; it's an opportunity to connect with your community, educate seniors about their healthcare options, and help them navigate the Medicare landscape.
Why CareSource?
Competitive Compensation:Enjoy a guaranteed base salary along with generous commissions based on your sales performance. Your hard work pays off!
Sign-On Bonus:We value your expertise and offer a sign-on bonus to welcome you to our team.
Qualified Leads:Benefit from a steady stream of qualified leads to help you succeed in your role.
Flexible Work Environment:This mobile position allows you to travel within your assigned territory, attend community events, and engage with clients on your schedule.
What You'll Do:
Empower the Community:Develop educational and enrollment opportunities with local agencies, senior resources, and community organizations to ensure seniors have access to the best Medicare Advantage products.
Engage & Educate:Conduct presentations and marketing activities that inform and inspire, all while adhering to state and federal regulations.
Build Relationships:Foster strategic partnerships with key stakeholders to drive enrollment and sales success.
Be a Resource:Serve as a subject matter expert on CareSource's Medicare Advantage offerings, guiding beneficiaries through their choices during the enrollment process.
Achieve Goals:Meet and exceed monthly sales targets while maintaining a focus on customer satisfaction and compliance.
What We're Looking For:
Education:High School diploma or GED required; an Associate's Degree in business, healthcare, or a related field is preferred.
Experience:At least one year of experience in Medicare or Medicaid sales, or other commercial insurance sales is required.
Skills:Proficiency in CRM systems, Microsoft Office Suite, and excellent communication skills are essential. Bilingual candidates are preferred!
Licensure & Certification:
Current, unrestricted Insurance License in Accident and Health within your assigned territory is required, or the ability to obtain it within 30 days of hire.
Medicare Fraud, Waste, and Abuse (MFWA) certification required within 30 days of hire.
Working Conditions:
This role requires regular travel to various locations within your territory, and you should be comfortable working flexible hours, including evenings and weekends as needed.
At CareSource, we are committed to creating a diverse and inclusive workplace. We provide reasonable accommodations to qualified individuals with disabilities or medical conditions, ensuring everyone has the opportunity to thrive.
Ready to Make a Difference?If you're passionate about helping others and want to be part of a team that values your contributions, we'd love to hear from you! Apply today and take the first step toward a rewarding career with CareSource.
Compensation Range:
$47,400.00 - $76,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#LI-ST1
$47.4k-76k yearly 2d ago
Account Service Representative (Columbus, Ohio)
Sonic Healthcare USA 4.4
Columbus, OH jobs
We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members!
JOB DESCRIPTION
Position: Account Service Representative (ASR) - Columbus, Ohio
Position Summary: Account Service Representatives are positions assigned to the Sales Department in Toledo, OH. Each representative is tasked with territory management of an existing territory. In order to fully service their territory, each ASR will be provided a list of accounts specific to their territory. Managing such accounts shall consist of assessment of service needs, financial assessment, and overall growth of each account.
Principle Responsibilities:
Territory management of a specific territory. To comply with all policies and procedures of the company. Follow up on a timely basis to all client and employee requests. Insure proper documentation and materials are accurately completed. Perform financial assessments of existing accounts. Develop Organic Growth within assigned territory. Communicate effectively and professionally with internal and external employees.
Scope: It is imperative that each ASR manage their time appropriately and efficiently. Much of their time will be spent building relationships and communicating client's issues to the operations department. It is the responsibility of each ASR to manage the financial relationship as well as service aspects of each client within the assigned territory.
Education: College degree in Business Management and or Marketing preferred but not required.
Experience: Previous outside service management in the medical field of 2 years preferred but not required.
Skills: The ability to communicate effectively orally and written. All ASR's are to manage their time efficiently and complete their pending paperwork accurately and timely.
Scheduled Weekly Hours:
40
Work Shift:
Job Category:
Sales
Company:
Sonic Healthcare USA, Inc
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive.
Position Summary
The AccountRepresentative position is a highly competitive field sales role. AccountRepresentatives develop successful strategies to source and qualify new accounts and work with existing accounts to execute productive blood drives to meet monthly territory blood collection needs. This position is critical to ensuring a stable public blood supply.
Total Rewards Package
Benefits
Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others.
Responsibilities
Meets and exceeds monthly collection goals and booking targets with an emphasis on accuracy, productivity, cost-effectiveness, blood inventory needs, efficient operations, and customer service
Actively prospects and networks to continually add new, productive blood drive opportunities
Identifies and evaluates the key motivators within each organization to elicit the commitment and follow through needed to ensure optimal participation at blood drives
Manages blood drive details and outcomes by scheduling resources; ensuring appropriateness of blood drive site; communicating internally all details regarding the blood drive; coordinating with organization logistics and needs for the blood drive; forecasting production of the drive; clearly defining expectations of the group; providing tools, timelines, and training to the group; scheduling communication touch points; and managing successful outcomes
Appraises existing accounts to identify opportunity for improvement, creates a strategy, and pursues a conversation with account leadership
On-site recruits as needed or required; may include evening or weekend hours
Develops and maintains relationships with account points of contact, account leaders and key accounts
Works with marketing/communications to identify blood drive strategies and prepares content needed to support defined strategies
Works collaboratively with other departments as needed to ensure successful blood drives and provides excellent internal customer service
Keeps account records up to date which includes titles and contact information for key points of contact
Identifies, documents, and provides feedback on issues regarding customer needs/requirements, customer issues/concerns and satisfaction, potential expansion opportunities, competitor activities/strategies, and similar information.
All other duties as assigned
Performs other duties as assigned
Complies with all policies and standards
Qualifications
Education
Bachelor's Degree preferred
Associate's Degree with relevant sales and/or event management experience considered preferred
Experience
1-3 years of direct business to business sales experience preferred
Knowledge, Skills and Abilities
Proven track record of sales success
Thrives in a self-motivated and self-directed work environment
Must have excellent analytical, planning, strategic and decision-making skills
Ability to be resourceful, flexible, adaptable; possess excellent problem-solving skills
Demonstrates poise and willingness to confidently engage and interact with a wide variety of audiences
Must possess excellent time management and organization skills, and able to manage detailed information
Skilled in persuasive communication, being able to be direct in a respectful manner
Excellent ability to communicate, encompassing written, verbal, and presentation skills
Ability to prepare information needed for meeting agendas, educational and motivational presentations, blood drive promotion, trainings, and analytical reports; and the ability to communicate and deliver that information effectively
Licenses and Certifications
A current valid driver's license and good driving record required
#LI-Hybrid
#LI-AB1
Versiti is a fusion of donors, scientific curiosity, and precision medicine that recognize the gifts of blood and life are precious. We are home to the world-renowned Blood Research Institute, we enable life saving gifts from our donors, and provide the science behind the medicine through our diagnostic laboratories. Versiti brings together outstanding minds with unparalleled experience in transfusion medicine, transplantation, stem cells and cellular therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge results in improved patient outcomes, higher quality services and reduced cost of care for hospitals, blood centers, hospital systems, research and educational institutions, and other health care providers. At Versiti, we are passionate about improving the lives of patients and helping our healthcare partners thrive.
Position Summary
The AccountRepresentative position is a highly competitive field sales role. AccountRepresentatives develop successful strategies to source and qualify new accounts and work with existing accounts to execute productive blood drives to meet monthly territory blood collection needs. This position is critical to ensuring a stable public blood supply.
Total Rewards Package
Benefits
Versiti provides a comprehensive benefits package based on your job classification. Full-time regular employes are eligible for Medical, Dental, and Vision Plans, Paid Time Off (PTO) and Holidays, Short- and Long-term disability, life insurance, 7% match dollar for dollar 401(k), voluntary programs, discount programs, others.
Responsibilities
Meets and exceeds monthly collection goals and booking targets with an emphasis on accuracy, productivity, cost-effectiveness, blood inventory needs, efficient operations, and customer service
Actively prospects and networks to continually add new, productive blood drive opportunities
Identifies and evaluates the key motivators within each organization to elicit the commitment and follow through needed to ensure optimal participation at blood drives
Manages blood drive details and outcomes by scheduling resources; ensuring appropriateness of blood drive site; communicating internally all details regarding the blood drive; coordinating with organization logistics and needs for the blood drive; forecasting production of the drive; clearly defining expectations of the group; providing tools, timelines, and training to the group; scheduling communication touch points; and managing successful outcomes
Appraises existing accounts to identify opportunity for improvement, creates a strategy, and pursues a conversation with account leadership
On-site recruits as needed or required; may include evening or weekend hours
Develops and maintains relationships with account points of contact, account leaders and key accounts
Works with marketing/communications to identify blood drive strategies and prepares content needed to support defined strategies
Works collaboratively with other departments as needed to ensure successful blood drives and provides excellent internal customer service
Keeps account records up to date which includes titles and contact information for key points of contact
Identifies, documents, and provides feedback on issues regarding customer needs/requirements, customer issues/concerns and satisfaction, potential expansion opportunities, competitor activities/strategies, and similar information.
All other duties as assigned
Performs other duties as assigned
Complies with all policies and standards
Qualifications
Education
Bachelor's Degree preferred
Associate's Degree with relevant sales and/or event management experience considered preferred
Experience
1-3 years of direct business to business sales experience preferred
Knowledge, Skills and Abilities
Proven track record of sales success
Thrives in a self-motivated and self-directed work environment
Must have excellent analytical, planning, strategic and decision-making skills
Ability to be resourceful, flexible, adaptable; possess excellent problem-solving skills
Demonstrates poise and willingness to confidently engage and interact with a wide variety of audiences
Must possess excellent time management and organization skills, and able to manage detailed information
Skilled in persuasive communication, being able to be direct in a respectful manner
Excellent ability to communicate, encompassing written, verbal, and presentation skills
Ability to prepare information needed for meeting agendas, educational and motivational presentations, blood drive promotion, trainings, and analytical reports; and the ability to communicate and deliver that information effectively
Licenses and Certifications
A current valid driver's license and good driving record required
#LI-Hybrid
#LI-AB1
Not ready to apply? Connect with us for general consideration.
$29k-37k yearly est. Auto-Apply 14d ago
Billing Denials Representative
Compunet Clinical Laboratories 4.1
Moraine, OH jobs
Located at our Core Lab (Moraine, OH) Full-time Day Shift Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data entry, third party billing and follow up; review denials and resubmit claims; answer incoming as well as place outgoing calls to both patients and clients while maintaining positive internal and external working relationships with patients, clients and third party payers.
Responsibilities:
Maintain organized workflow for efficient account processing and seamless task handover during absences.
Adhere to departmental processes, consulting supervisors when needed.
Demonstrate strong customer service skills to enhance department and organizational reputation.
Foster teamwork and meet or exceed work standards.
Possess working knowledge of compliance regulations and apply them effectively.
Follow company policies and maintain accurate statistical data.
Accurately perform order entry and resolve missing information.
Utilize translation tools for entering codes into billing systems.
Communicate effectively with internal and external stakeholders.
Apply payment details accurately and handle overpayments or refunds.
Review Explanation of Benefits from various payers.
Investigate un-adjudicated claims and resolve outstanding accounts.
Process Medicare denials and monitor payer rejections.
Handle fast-paced, high call volume environments with strong multitasking skills.
Focus on positive customer impact and utilize effective verbal and written communication.
Research collection accounts and correct system errors.
Perform additional duties and projects as assigned.
Qualifications:
High school graduate or equivalent required.
Minimum of 1 year billing experience working denials.
Working knowledge of Medicare and other third-party claims processing, ICD-10 and HCPCS/CPT coding, and medical terminology highly desirable.
Safety & Physical Demands:
Visual acuity and hand-finger dexterity for extended computer work.
Ability to sit at computer workstation for prolonged periods.
Sound reasoning ability and independent judgment.
Capacity to work within specified deadlines.
Excellent communication and interpersonal skills.
Ability to remain calm in stressful situations.
Adherence to safety, ergonomic and health policies.
Compliance with PPE requirements in lab or biohazard areas.
Completion of required safety training and health evaluations promptly.
Proactive approach to identifying and addressing safety hazards, promoting safety awareness.
$29k-36k yearly est. 60d+ ago
Reimbursement And Billing Coordinator
Toledo Clinic 4.6
Toledo, OH jobs
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
- Bachelors Degree
$39k-45k yearly est. Auto-Apply 7d ago
REIMBURSEMENT AND BILLING COORDINATOR
Toledo Clinic Inc. 4.6
Toledo, OH jobs
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
* Bachelors Degree
$39k-45k yearly est. 9d ago
PSC Billing Coordinator
Highland District Hospital 4.1
Hillsboro, OH jobs
The Highland District Hospital Billing Coordinator for Professional Services Corporation (PSC) reports directly to the Physician Office Director and is responsible for billing management of the physician offices that are a part of PSC. The Billing Coordinator is responsible for billing operations to ensure office operational excellence, billing operational excellence and customer service excellence. The Billing Coordinator works collaboratively with the outsourced billing vendor as well as the Physician Office Director, Vice President, Finance, and other HDH personnel.
Qualifications
Coordinates and supervises daily corporate billing operations, including HDH/PSC employee billing work activities and effectiveness of daily billing operations. Actively promotes teamwork for overall PSC billing efficiency.
Monitors and coordinates with outsourced billing vendor the effectiveness of overall billing operations, including:
individual office daily balancing and claim verification,
coordination of credentialing and recredentialing,
accounts receivable aging, days in Accounts Receivable (A/R),
credit balance reports,
collection agency reports,
refund activity,
productivity reports, and
other reports necessary to effectively manage A/R for PSC Corporation.
Monitors and maintains daily audits to assure timely billing of daily services from all PSC offices, as well as effectiveness of outsourced billing vendor.
Proactively reviews insurance carrier bulletins for new information to disseminate and train HDH/PSC staff, so HDH/PSC knowledge is always current.
Demonstrates responsibility and accountability for continuous improvement, and practices quality service as evidenced through quality results and patient satisfaction surveys.
Demonstrates responsibility and accountability for enhancing positive relations with patients, families, co-workers, providers, administration, and outsourced billing vendor.
Maintains high ethical standards. Provides direction to HDH/PSC front desk employees and outsourced billing vendor. Possesses comprehensive and current knowledge of administrative office practice, and the application to quality patient care. Possesses good verbal and written communication skills. Shares knowledge with others. Displays a willingness to listen and be flexible. Respects the confidential nature of information concerning corporate and Hospital matters.
Keeps Vice President, Finance informed of PSC billing activity.
Meets monthly with accounting and outsourced billing company to review and resolve any discrepancies identified during monthly bank reconciliations.
Proactively engages HDH/PSC staff, outsourced billing vendor, insurance carriers, patients, etc. to resolve billing issues in a timely manner.
Demonstrates effective leadership techniques as evidenced by high productivity and morale of employees and providers through consistently meeting objectives.
Mentors and serves as a role model for staff through complying with HDH/PSC policies and procedures, as well as Behavior Based Standards.
Acts as liaison between physicians, staff, administration, patients, families, and outsourced billing vendor.
Treats all customers with respect and responds in a timely and courteous manner to customer (providers, fellow employees, patients, families, visitors, and outsourced billing vendor staff) complaints.
Demonstrates positive problem-solving approach in resolving concerns or issues with staff, other departments, outsourced billing vendor or providers as indicated by positive responses of contacts.
Demonstrates organizational skill in providing administrative services and consistently implements appropriate action to guide staff in meeting office needs.
Manages assigned projects and prepares reports, accordingly.
Honors patient rights to privacy and confidentiality and provides direction to staff in this regard. Demonstrates active knowledge of HIPAA.
Works collaboratively with Director to create, maintain and annually update HDH/PSC policies and procedures. Administers billing policies in a consistent and timely manner.
Actively participates in office audits through assuring compliance of policies, procedures, and protocols by each PSC office.
Uses appropriate resources to develop knowledge base of front desk staff through educational presentations, seminars and developing orientation procedures in correlation with other coordinators. Plans and conducts meetings and discussions with front desk staff as appropriate.
Keeps current in field by reviewing relevant literature, attending workshops and seminars and networking with colleagues as demonstrated by implementing advances in patient care.
Other duties as assigned.
$34k-45k yearly est. 7d ago
Private Pay Collections Specialist
Legacy Health Services 4.6
Parma, OH jobs
Legacy Health Services seeking a diligent and professional Collections Specialist to manage and resolve private pay account balances at the corporate level. This role is essential for maintaining the financial health of our organization and requires a blend of investigative skill, precise documentation, and tactful communication with residents and their families.
If you possess a strong background in A/R and are ready to take ownership of complex accounts, we invite you to apply.
🎯 Core Focus Areas: What You'll Be Doing
As the Private Pay Collections Specialist, you will manage the full cycle of corporate collections for private accounts, focusing on resolution and process integrity:
Account Resolution & Research: Conduct detailed account reviews and comprehensive research (including skip tracing, property searches, and estate filings) to efficiently resolve complex outstanding balances.
Professional Communication: Initiate and manage professional collection calls and correspondence with residents, families, and responsible parties to establish and monitor payment arrangements, promissory notes, or voluntary liens.
Compliance & Strategy: Participate in A/R review meetings, audit facility collection activities for adherence to company policy, and provide updates on collection progress and risk accounts to management.
System Integrity & Documentation: Ensure the timely and accurate documentation of all collection activities, payment processing, and meeting outcomes within company systems.
Facility Support: Provide expert assistance and support to facility Business Office Managers regarding private pay collection best practices.
✅ Essential Qualifications
Experience: 2+ years of demonstrated experience in collections, billing, or accounts receivable, preferably within the healthcare or long-term care industry.
Skills: Proven organizational and time management abilities, coupled with excellent communication and professional negotiation skills.
Technical Proficiency: Competence in the Microsoft Office Suite and experience using A/R or billing software.
Education: High school diploma or equivalent is required. (Associate or Bachelor's degree in Business or Finance preferred.)
Professionalism: High attention to detail and a commitment to handling sensitive
We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, national orientation, age, sexual orientation, marital or veteran status, or non-job-related handicap or disability
$31k-35k yearly est. 11d ago
Billing Specialist - Professional Billing
Licking Memorial Health Systems 4.6
Account representative job at Licking Memorial Hos
Billing Specialist Professional Billing Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.
When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work extends beyond the Hospital doors and into the heart of our community. Our commitment to diversity, equity, and inclusion ensures that every member of our community is served with respect and compassion. Join us in our mission - dedicated to patient safety, utilizing state-of-the-art technology, and with a passionate team of highly trained and compassionate individuals who strive to improve the health of the community.
Position Summary
Arranges the efficient and orderly resolution of all patient accounts. Ensures accurate and complete payment by insurance companies and patients, as well as accurate account adjustments pursuant to the Health Systems policy while maintaining a consistent professional conduct.
Responsibilities
* Bill patient accounts, timely and accurate.
* Enter accurate billing information and prepare accurate paper or electronic claims.
* Correct claims and determine billing status.
* Perform timely follow-up of patient accounts.
* Prepare accurate reports of billing activity.
* Contact insurance carriers to expedite accurate payment of claims.
* Review remittances to ensure proper & accurate payments.
* Balance cash / checks
* Review and resolve credit balance accounts
* Complete applications for applicable Health Systems charity care programs.
* Perform other duties as requested.
Requirements
* Read, write, and follow verbal or written directions.
* Analytical ability to detect and resolve problems.
* Interpersonal / Communication skills in difficult situations.
* Nine months experience in healthcare billing collections field.
* Ability to operate various office machines including a Personal Computer, fax, copier, etc.
* LMH is accredited by DNV and TJC, and as such, may require specific annual education related to specialty certifications and standards.
Licking Memorial Health Systems is an equal opportunity employer and maintains compliance with all state, federal, and local regulations. Licking Memorial Health Systems does not discriminate against applicants because of race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors protected by law.