Reimbursement specialist full time jobs - 209 jobs
Specialist Record Review
Versiti 4.3
Dayton, OH
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
Under the direction of the Manager of Record Review and/or the Record Review Team Lead, the Record Review Specialist is responsible for reviewing records and/or reports associated with donor qualification, blood donation, and lot release to ensure all processes are performed in accordance with standard operating procedures (SOPs) and are within regulatory guidelines. The Record Review Specialist verifies that associated quality control and maintenance are performed and within parameters for all processes. The Record Review Specialist ensures that review and lot release occurs within established turn-around times.
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
Reviews records and/or reports to ensure compliance with SOPs and within regulatory guidelines before lot release (release of blood components for labeling).
Reviews daily, weekly, and monthly quality control and maintenance records of equipment, supply, and storage for the applicable collection date before lot release.
Perform data entry of blood donation record into system if applicable.
Initiates the appropriate deviation reporting forms and communicates with the appropriate management of unacceptable conditions for lot release.
Organizes and correlates in an established manner all paperwork associated in the record review process for record retention purposes.
Responsible for independent and/or collaborative decision making regarding critical steps in donor qualification, determining viability of product, and product release.
Serves as the internal and external point-of-contact for complex questions/concerns related to Record Review/Lot Release.
Contacts donors via phone, letter, or email to verify donation information.
Participates in meetings and communicates effectively to foster a team environment.
Assists in the development and achievement of departmental goals and objectives in support of the vision and mission of Versiti.
Assists in the implementation of federal requirements, blood center directives, and SOPs.
Seeks to participate in process improvement projects.
Completes projects/tasks according to established project plans.
Other duties as assigned.
Performs other duties as assigned
Complies with all policies and standards
Qualifications
Education
High School Diploma required
equivalent required
In lieu of academic degree, equivalent combination of education and/or commensurate experience (2+ years) in healthcare or blood banking required
Experience
1-3 years Minimum 1-year health care, laboratory, or blood banking experience required
1-3 years Minimum 1-year donor qualification or record review experience preferred
Knowledge, Skills and Abilities
Demonstrate service excellence skills with ability to use tact and care in all situations according to people's individual differences. required
Ability to apply judgment to detailed but very structured written or oral instructions. required
Able to organize work to provide productive work flow. required
Be able and available to work a flexible schedule as required based on volume, timing of blood collections and other departmental variables. required
Ability to write complex reports and correspondences. required
Ability to speak effectively with donors, volunteers and employees of the organization utilizing instructive or persuasive skills. required
Ability to work independently with minimum supervision, multi-task, and work with confidential information. required
Demonstrated knowledge of current Good Manufacturing Practices, Food and Drug Administration (FDA) regulations, and AABB standards related to blood center operations and collection requirements. required
Possess the following: * Professional demeanor * Projection of appropriate professional image * Analytical skills * High level of organizational and detail-oriented skills * Excellent communication and customer service skills. required
Tools and Technology
Personal Computer (desk top, lap top, tablet) required
General office equipment (computer, printer, fax, copy machine) required
Microsoft Suite (Word, Excel, PowerPoint) required
Telephone required
Not ready to apply? Connect with us for general consideration.
$25k-33k yearly est. Auto-Apply 6d ago
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Health Information Specialist I - Temp Position (12/1/2025 - 6/1/2026))
Datavant
Columbus, OH
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**Position Highlights** :
+ Temporary Full-Time: Monday-Friday 8:00AM-4:30 PM EST
+ Location: This role will be performed at one location (Remote)
+ Comfortable working in a high-volume production environment.
+ Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status.
+ Documenting information in multiple platforms using two computer monitors.
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ Must meet productivity expectations as outlined at specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Experience in a healthcare environment.
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$15-18.3 hourly 60d+ ago
Reliability Specialist
Marathon Petroleum Corporation 4.1
Cadiz, OH
An exciting career awaits you At MPC, we're committed to being a great place to work - one that welcomes new ideas, encourages diverse perspectives, develops our people, and fosters a collaborative team environment. The Reliability Specialist position is responsible for leading targeted strategic and tactical reliability initiatives and enhancements, specifically focused on vibration and condition monitoring services. Acting as a reliability advocate closely aligned with Operations, the position is empowered to work independently to address complex equipment challenges. This role involves developing and implementing long-term reliability programs and initiatives in collaboration with various Operations, Maintenance, and Engineering teams.
Other NG&NGLs Locations will be considered.
Key Responsibilities
* Creates and maintains a culture of safe, reliable, and compliant operations.
* Technical authority for complex vibration analysis and multi-disciplinary diagnostics (e.g., vibration, oil analysis, thermography) on critical equipment, resolving high-impact issues (e.g., LOPC, bad actors) with industry-leading expertise.
* Develop and lead long-term reliability strategies to achieve business-wide goals, such as downtime reduction and maintenance cost savings, through advanced condition monitoring and predictive maintenance.
* Lead the development of condition-based maintenance, using data-driven insights to minimize unnecessary interventions and reduce lifecycle costs.
* Supports Project Engineering, Operations, and Maintenance with the installation and commissioning of new equipment in accordance with company standards.
* Partner with peers to integrate vibration and performance data into predictive maintenance models, RCM strategies, and long-term asset management plans.
* Develop asset health indicators for critical equipment, using advanced analytics to prioritize maintenance and capital replacement decisions.
* Must be comfortable working with remote supervision.
* Travel is required and may occasionally include out-of-town nights and weekend travel.
Education and Experience
* High School diploma or GED is required.
* Associate or Bachelor Degree in Engineering or related Mechanical Field Preferred
* ISO Category 2 Vibration Analyst Required, ISO Category 3 Vibration Analyst Preferred
* Must hold a valid Driver License and have an excellent driving record.
* Minimum of 15 years of experience with reciprocating and rotating machinery repair and/or machinery diagnostics.
* Thorough understanding of the mechanical aspects of gas compression equipment and their support systems.
Skills
* Excellent planning and organizational skills. Must be able to prioritize assignments according to business needs.
* Excellent written and oral communications skills - proven ability to produce clear, concise written reports, and discuss and review, and present technical information.
* Experience with reciprocating engine/motor/compressor condition monitoring systems.
* Demonstrated ability to operate and interpret data from vibration analysis equipment.
* Demonstrated ability to investigate and troubleshoot vibration problems, with an understanding of spectral analysis.
* Demonstrated experience in using electronic databases as well as storage and archival of electronic data.
* Strong understanding of Excel, Word, and PowerPoint computer programs along with proprietary analyzer software.
* Self-motivated with the ability to work with minimal supervision.
* Strong organizational skills.
#GP #GPOPS
As an energy industry leader, our career opportunities fuel personal and professional growth.
Location:
Canonsburg, Pennsylvania
Additional locations:
Cadiz, Ohio, Carlsbad, New Mexico, Evans City, Pennsylvania, Kingfisher, Oklahoma, Midland, Texas, Oklahoma City, Oklahoma, San Antonio, Texas
Job Requisition ID:
00020057
Location Address:
4600 Jbarry Ct Ste 500
Education:
High School
Employee Group:
Full time
Employee Subgroup:
Regular
Marathon Petroleum Company LP is an Equal Opportunity Employer and gives consideration for employment to qualified applicants without discrimination on the basis of race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), sexual orientation, gender identity, gender expression, reproductive health decision-making, age, mental or physical disability, medical condition or AIDS/HIV status, ancestry, national origin, genetic information, military, veteran status, marital status, citizenship or any other status protected by applicable federal, state, or local laws. If you would like more information about your EEO rights as an applicant, click here.
If you need a reasonable accommodation for any part of the application process at Marathon Petroleum LP, please contact our Human Resources Department at ***************************************. Please specify the reasonable accommodation you are requesting, along with the job posting number in which you may be interested. A Human Resources representative will review your request and contact you to discuss a reasonable accommodation. Marathon Petroleum offers a total rewards program which includes, but is not limited to, access to health, vision, and dental insurance, paid time off, 401k matching program, paid parental leave, and educational reimbursement. Detailed benefit information is available at ***************************** hired candidate will also be eligible for a discretionary company-sponsored annual bonus program.
Equal Opportunity Employer: Veteran / Disability
We will consider all qualified Applicants for employment, including those with arrest or conviction records, in a manner consistent with the requirements of applicable state and local laws. In reviewing criminal history in connection with a conditional offer of employment, Marathon will consider the key responsibilities of the role.
$85k-110k yearly est. Auto-Apply 12d ago
Billing Specialist - Start this week!
Creative Financial Staffing 4.6
Westerville, OH
Job Title: Billing Specialist Employment Type: Full-Time Salary: $21.00-$25.00 per hour
We are currently seeking a Billing Specialist to join our team in Westerville, OH. This full-time opportunity is ideal for someone who thrives in a fast-paced environment and has experience handling a high volume of transactions. The Billing Specialist will play a key role in maintaining accurate financial records, ensuring timely invoicing, and supporting general data entry functions.
Key Responsibilities:
The Billing Specialist will process a high volume of invoices with precision and efficiency.
Maintain up-to-date billing records and financial documentation.
As a Billing Specialist, you will be responsible for entering data into accounting systems and reconciling discrepancies.
Communicate with internal departments and clients to resolve billing issues.
Utilize QuickBooks to support daily billing operations-QuickBooks experience is preferred for this Billing Specialist role.
Qualifications:
Proven experience in a high-volume billing environment.
Excellent data entry and organizational skills.
Prior experience as a Billing Specialist or in a similar accounting support role is preferred.
Proficiency in QuickBooks or similar accounting software is a plus.
Ability to meet deadlines and manage multiple priorities.
Join us as a Billing Specialist and become an essential part of a supportive, growth-oriented team in Westerville, OH!
#INMAY2025
#ZRCFS
$21-25 hourly 1d ago
B2B Billing & Collections Specialist
Cort Business Services 4.1
Chesterville, OH
CORT is seeking a full-time Accounts Receivable Collections and Support Specialist to work with our national, commercial accounts. The ideal candidate will be skilled at building customer relationships, with experience in commercial collections and customer support.
The primary responsibility of this position is to review and adjust client invoices for accuracy and for keeping over 30 days past due delinquencies within designated percentage guidelines by performing collection procedures on assigned commercial accounts. This responsibility includes the resolution of all billing and collection issues while providing excellent customer service to both internal and external customers.
During the training period, this is an onsite role that reports to the office each day, however, after training, employees will have the option to work a hybrid schedule with 3 days in office and 2 days from home.
Schedule: Monday-Friday 8am to 4:30pm
What We Offer
* Hourly pay rate; weekly pay; paid training; 40 hours/week
* Promote from within culture
* Comprehensive health insurance (medical, dental, vision) available on the first of the month after your hire date
* 401(k) retirement plan with company match
* Paid vacation, sick days, and holidays
* Company-paid disability and life insurance
* Tuition reimbursement
* Employee discounts and perks
Responsibilities
* Review, adjust, reconcile and send monthly invoices to assigned commercial account customers.
* Contact customers, by telephone and email, to determine reasons for overdue payments and secure payment of outstanding invoices. Communicate with districts and escalate collection issues as appropriate to resolve.
* Determine proper payment allocation as required or requested by A/R processing personnel.
* Resolve short payment discrepancies that customers claim when making payment.
* Complete adjustment forms and follow up with Districts to ensure adjustments are completed timely and accurately.
* Based on established policy and on a timely basis, investigate and resolve on-account payments received and other credits/debits that have not been assigned to an invoice.
* Resolve and clear credit balance invoices before such invoices age 60 days.
* Prepare monthly collection reports to be submitted to Management.
Qualifications
* 2-3 years or more of accounting /collection, or customer service experience. Collections experience preferred.
* Commercial collections experience is ideal.
* High school diploma or equivalent.
* Requires knowledge of credit and collections, invoicing, accounts receivable and customer service principles, practices and regulations.
* Basic math and analytical skills
* Must have excellent communication and negotiation skills with an ability to communicate in a respectful and assertive manner. Must be able to communicate clearly and concisely, both orally and in writing, with an emphasis on telephone etiquette.
* Ability to multi-task and prioritize while speaking with customer.
* Demonstrates good active listening skills, telephone skills and professional email communication skills.
* Position requires strong PC skills and a working knowledge of Outlook, Windows, Word and Excel.
* Must possess average keyboarding speed with a high level of accuracy.
About CORT
CORT, a part of Warren Buffett's Berkshire Hathaway, is the nation's leading provider of transition services, including furniture rental for home and office, event furnishings, destination services, apartment locating, touring and other services. With more than 100 offices, showrooms and clearance centers across the United States, operations in the United Kingdom and partners in more than 80 countries around the world, no other furniture rental company can match CORT's breadth of services.
For more information on CORT, visit *********************
Working for CORT
For more information on careers at CORT, visit *************************
This position is subject to a background check for any convictions directly related to its duties and responsibilities. Only job-related convictions will be considered and will not automatically disqualify the candidate. Pursuant to the Fair Chance Hiring Ordinance for participating locations, CORT will consider all qualified applicants to include those who may have criminal history records. Check your city government website for specific fair chance hiring information.
CORT participates in the E-Verify program.
Applicants must be authorized to work for ANY employer in the US. We are unable to sponsor or take over sponsorship of employment Visa at this time.
EEO/AA Employer/Vets/Disability
Applications will be accepted on an ongoing basis; there is no set deadline to apply to this position. When it is determined that new applications will no longer be accepted, due to the positions being filled or a high volume of applicants has been received, this job advertisement will be removed.
$31k-38k yearly est. Auto-Apply 21d ago
Medical Claims Specialist
Healthsource of Ohio 3.7
Loveland, OH
Centerprise Inc. is seeking to hire a Medical Claims Specialist to join our team.
The Medical Claims Specialist performs a variety of billing and administrative tasks including claim submission, claim correction, insurance follow-up and appeals and insurance verification. They will also assist with all other billing and finance duties as needed.
ABOUT THE COMPANY:
Centerprise is a professional services organization providing consulting and Revenue Cycle Management services to Federally Qualified Health Centers (FQHCs). We are located outside Cincinnati, Ohio, and conduct business nationally.
Centerprise is a company on the rise! We are very excited to say that we currently employ 25 staff members, and we are steadily growing! We take great pride in focusing on employee satisfaction. Happy employees; means happy customers!
At Centerprise we offer our clients a wide variety of services, therefore, we require a large range of skill sets within our company. We would love to hear from dynamic individuals who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment.
Centerprise has a small company feel, with larger company resources. Please refer to our website for more information, ***************
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Follow-up: Regularly monitor patient account insurance balances to ensure timely payment and resolve any outstanding issues.
Payer Communication: Contact payers regarding payment status, resolve incorrect payment issues, and ensure proper reimbursement.
Denial Management: Work closely with leadership to address and resolve any denied claims promptly.
Understanding Guidelines: Stay informed about both government and non-government contractual billing and follow-up guidelines, ensuring compliance with individual payer requirements.
Payment Resolution: Address issues related to lack of payment or improper payment by government, non-government, and self-payers, ensuring that all incorrect payment issues are resolved promptly.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty completely. The requirements listed below are representative of the knowledge skill and/or ability required.
Minimum Qualifications:
High School Diploma or Equivalent (GED), associate degree preferred.
Medical billing experience required. FQHC billing experience is a plus.
Proficiency with Microsoft Office Suite. Must be able to use Excel spreadsheets.
Knowledge of Medical Terminology, CPT and ICD-10 Coding, Electronic Billing, and HIPPA
EHR Experience in required. Preferred experience with NextGen or eClinicalWorks
Excellent written and oral communication skills
Pay: $18-$20/hour based on experience
Benefits:
Competitive benefits package, including options to enroll in the following programs: Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Flex Savings Accounts
401 (k) Program with competitive company match
Courtesy Plan, full time staff and their immediate family members are eligible for courtesy treatment at any HealthSource of Ohio office up to $500.00 per family
PTO and Long-Term Sick Bank, full time employees earn up to 25 days per year in first calendar year: 15 days of Paid Time Off (PTO), and 10 days of Long-Term Sick Bank (LTSB)
Credit Union Privileges, Sharefax Credit Union
Quarterly Bonus Incentive Program
Schedule:
Monday to Friday; no evenings, or weekends
After training may be eligible to work a hybrid-remote schedule which will include 2-3 in office days per week.
Work Location: Loveland, OH 45140. Must be able to commute or planning to relocate before starting work.
Centerprise Inc. is an Equal Opportunity/Affirmative Action Employer:
Minority/Female/Disabled/Veteran
$18-20 hourly Auto-Apply 19d ago
Billing Specialist
Red Oak Behavioral Health 3.7
Akron, OH
FULL-TIME
Applicants must be located in Northeast OH.
The Billing Specialist is responsible for ensuring that all providers are enrolled and active w/multiple payers to ensure timely billing of services. The role is responsible for processing, verification, and preparation of all commercial claims for insurance clients. The position maintains records of payments and handles administrative detail and follow-up.
Essential Functions and Duties:
Support the creation and implementation of a streamlined provider credentialing process to ensure appropriate enrollment of clinical staff, ensuring service delivery coincides with efficient and timely billing.
Manage and update provider credentialing tools and processes to ensure there are no lapses in service delivery due to the inability to bill for services.
Daily posting of Insurance payments and electronic remittance adviser (ERA) files (a.k.a. 835 transactions).
Provide insurance verification and prior authorization for clients.
Daily posting of Explanation of Benefits (EOB) and Explanation of Payments (EOP) for non-payments; management of denials and rebill/ Coordination of Benefits (COB) issues.
Weekly compile and transmit claims
Upload EOB into scanning solution (eBridge).
Assists with prior authorization/benefit coordination and rebill claims, as needed.
Assists with weekly submission of Centers for Medicare & Medicaid Services (CMS) claims
Identify and assists in resolution of errors for all Insurance claims
Performs regular review and investigates unpaid claims and other accounts receivable management projects.
Assist clients in accessing and trouble shooting our Payment Hub, an online payment system.
Fixes and Reversal of Payment issues on the Ohio MITS portal
Maintain orderly, current, and up-to-date records of client insurance coverage to ensure accurate client files
Assist other staff with general inquires and requests, as needed
Unique responsibilities as assigned by supervisor or Management
Qualifications:
Associate degree or equivalent education from a two-year college or technical school with major in Medical Billing/Coding and/or Accounts/Receivable, plus 3-5 yrs. billing experience.
Knowledge, Skills and Abilities:
Excellent and proven attention to detail
Strong computer/software management skills
Excellent math skills.
Ability to work well within a team environment
Ability to work with a diverse group of people
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act (ADA) of 1990 and the Americans with Disabilities Amendments Act (ADAA) of 2008.
While performing this job, the employee is regularly required to sit, talk, and hear. This job requires filing, opening, and closing of file cabinets, and the ability to bend and/or stand as necessary. This job is frequently required to use hands; handle, feel and reach with hands and arms; and may occasionally lift and/or move files and other related materials up to 20 pounds.
The position requires regular use of a computer, calculator, and telephone.
Work Environment:
This job operates in a professional office environment and in the community. While performing the duties of this position in the office this role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The employee will occasionally travel by automobile and is exposed to changing weather conditions.
The employee may be required to drive daily to nearby locations for meetings or visits to assigned work sites.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
EEO Statement
Red Oak is proud to be an equal opportunity workplace. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.
$29k-39k yearly est. 53d ago
Insurance and Billing Specialist
Concord Counseling Services 3.5
Westerville, OH
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
•1 or more years of experience working with third party payers preferably in community mental health environment or healthcare setting
•Proficient 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. 12d ago
Reimbursement Specialist Contract Compliance
Intermountain Health 3.9
Columbus, OH
The ReimbursementSpecialist is responsible for performing a variety of complex duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility claims ("Hospital billing") and maintains inventory (work queue lists) at acceptable aging levels by prompt review and follow up of claims. Performs all duties in a manner which promotes teamwork and reflects Intermountain mission, vision and values.
Looking for candidates with:
+ **Knowledge in reading explanation of benefits, understanding ANSI codes/denial codes**
+ **Ability to identify trends in underpayments/overpayments**
+ **Ability to interpret payer contracts for validation of correct reimbursement on Hospital inpatient/outpatient claims**
+ **Knowledge of all Commercial and Government payers**
+ **Experience in using Excel, creating pivot tables**
+ **Epic training is a plus!**
**Essential Functions**
+ Responsible for the accurate and timely submission of reconsiderations and disputes.
+ Responsible for maintaining work queues at acceptable ageing, by updating accounts and tracking trends.
+ Research and resolve a variety of issues relating to payment discrepancies.
+ Identify issues and/or trends and communicate findings to management, including payer, system or registration issues.
+ Maintain basic understanding and knowledge of health insurance plans, policies and procedures.
+ Accurately and thoroughly document findings and actions taken while meeting/exceeding productivity and quality standards
+ Participate and attend meetings and training to develop job knowledge and communicate with other caregivers.
**Skills**
+ Microsoft Office
+ Computer literacy
+ HIPAA regulations
+ Communication (oral and written)
+ Accountability/ability to work independently
+ Contract Interpretation
+ Customer Service
+ Read and interpret EOB's (Explanation of Benefits).
+ Knowledge of medical billing and collections
+ Medical terminology
- Participate and lead special projects, as assigned. Oversee work flow implementation with internal and external partners. Compile and coordinate materials and feedback on special projects. Trains and mentors new associates to the department. Serves as a subject matter expert and resource to answer questions within the department.
**Minimum Qualifications**
- High School Diploma or equivalent, required
-Must obtain CSPR or CRCR credentials with 1 yrs of hire date ( provided through employer)
Minimum of three (3) years of experience in revenue cycle insurance follow up or denial management, required-
Extensive knowledge of managed care contract interpretation, required
- Associate's Degree, preferred
- At least three (3) years of work experience in a complex invoice/billing/reconciliation environment, preferred
Knowledge of revenue and ICD 10 coding practices
**"Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings."**
**We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington.**
**Physical Requirements**
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
**Location:**
Peaks Regional Office
**Work City:**
Broomfield
**Work State:**
Colorado
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$24.00 - $36.54
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
$27k-31k yearly est. 54d ago
Billing Specialist
Event Risk Inc.
Delaware, OH
Job Description
Billing Specialist
Department:
Finance
Reports To:
Corporate Controller
FLSA Class:
Exempt
Hours:
Full-Time
About
Event Risk Inc. is a distinguished US-based, veteran owned company that is a leading security provider for Fortune 500 companies, movie studios, celebrities, and high-net-worth individuals. We are committed to providing the most reliable and comprehensive security solutions to ensure the safety of our people, property and assets.
Position Summary
The Billing Specialist will be responsible for overseeing both accounts payable and accounts receivable functions to ensure accurate, timely financial transactions and reporting. This position plays a critical role in maintaining financial accuracy, improving processes, and supporting the Finance team's daily operations.
Essential Duties
Billing & Accounts Receivable - Primary
Generate and issue client invoices based on contracts and completed work
Communicate with clients regarding billings questions, discrepancies
Maintain accurate billing records and supporting documentation
Partner with Operations and Finance to ensure billing accuracy and timely collections
Ability to manage a high volume of client invoicing accurately and efficiently, ensuring timely billing
Vendor Administration & Accounts Payable - Backup
Assist with onboarding new vendors and verifying required documents (W9s, COIs, Contracts)
Track and update vendor compliance records as needed
Provide backup for vendor payment processing when required
Respond to vendor inquiries regarding payment status and discrepancies
Qualifications
Associate's degree in Accounting, Finance, or a related field; Bachelor's preferred
Proven experience in both accounts payable and receivable roles
Proficiency in QuickBooks, and Microsoft Excel
Strong understanding of accounting principles and best practices
Exceptional attention to detail and organizational skills
Ability to manage multiple tasks and meet deadlines independently
Benefits
Competitive salary.
Comprehensive health, dental, vision and voluntary life insurance (after 30 days).
401(k) retirement plan with employer contribution (after 1 year).
Generous PTO and holiday schedule (after 90 days).
Opportunity for professional development and skill enhancement.
Normal business hours 9am - 5pm, Monday to Friday (possibly more/less), occasional weekend if needed.
$28k-37k yearly est. 5d ago
Billing Specialist
Southwoods Health
Boardman, OH
Schedule: Full-time | Monday-Friday, Day Shift Flexibility: Choose your own 8-hour shift! Work your preferred schedule within our business hours of 6:00 AM to 6:00 PM. No evenings or weekends required.
About the Role:
Southwoods Health is seeking a detail-oriented Billing Specialist to join our billing department at the Southwoods Executive Centre. The successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries.
Essential Duties & Responsibilities:
Claim Management: Resolve daily edits through the EMR or clearinghouse to produce clean claims; submit secondary claims while ensuring primary payment information is accurately captured.
Documentation: Identify and gather necessary supporting documentation required by insurance carriers; ensure all attachments are included with original claim submissions.
Account Processing: Process account checks daily within the EMR and verify the accuracy of all insurance information.
Compliance: Maintain strict adherence to all billing compliance regulations, patient confidentiality laws (HIPAA), and regulatory agency standards (OSHA, ODH, BOP, TJC, etc.).
Collaboration: Follow up with Coding and Collection Specialists to accurately correct claims; report billing errors or needed policy changes to the supervisor.
Administrative: Perform other duties as assigned to maintain the financial health of the practice.
Qualifications:
Education: Completed training or coursework in business office activities, computer skills, and medical terminology.
Experience: Two or more years of experience in medical billing or collections is preferred.
Skills: Strong communication and problem-solving abilities; proficiency in EMR systems (e.g., MEDITECH) and clearinghouse software.
Professionalism: Proven ability to maintain a professional demeanor at all times with strong ethical and moral principles.
Why Southwoods?
At Southwoods, it's not just about the treatment, but how you're treated. We offer a competitive work environment focused on excellence in patient care. #SWH
Apply Today: ************************
$29k-39k yearly est. 14d ago
Medical Billing Specialist
Best Point Education & Behavioral Health
Cincinnati, OH
Employment Type: Full-Time - In Person
Definition and Primary Objective: The Medical Billing Specialist ensures individuals have the financial resources to access and maintain services. This role works directly with individuals, families, and third-party payers to determine eligibility, benefits, and payment options. The Specialist helps remove financial barriers, explains insurance coverage and limits, and assists with financial assistance programs and paperwork. They proactively identify financial issues and collaborate with Intake and Finance Departments to mitigate roadblocks preventing or disrupting service delivery.
Qualifications
Education: Associate degree in healthcare, billing, accounting, or related field preferred; equivalent experience with high school diploma considered.
Experience: Knowledge of public and private health insurance required; experience with electronic medical records preferred.
Skills: Excellent phone etiquette, customer service, and proficiency with Microsoft Office.
Key Responsibilities
Direct Service
Work with clients to resolve financial issues and provide exceptional customer service.
Notify clients of insurance lapses and non-covered services.
Secure benefits and financial assistance; assist with paperwork.
Provide financial counseling and connect clients with community resources.
Oversee eligibility for sliding scale, grant-funded services, and scholarships.
Manage inquiries regarding financial aid, billing disputes, prior authorizations, and payment plans.
Fiscal
Meet productivity, financial, and operational performance indicators.
Minimize lapses in insurance and payment disruptions.
Collect co-payments and document payments accurately.
Understand Medicaid and third-party payor regulations.
Administration/Quality Assurance
Utilize software to manage financial assistance data and run eligibility reports.
Ensure accurate and timely documentation.
Stay informed on funding changes and insurance coverage updates.
Verify insurance coverage and update billing systems.
Internal and External Collaboration
Collaborate with Finance, Intake, and program staff to ensure continuity of care.
Build relationships with external partners to maximize financial assistance.
Assist with timely processing of behavioral health claims.
Compensation and Benefits:
$20-$25/hr
Full benefits package includes:
Health, Dental, and Vision insurance
Retirement Plan
Tuition Assistance
Paid Time Off and Holidays
Work Environment
Exposed to a combination of office, school, and behavioral health treatment environments. Regular interaction with children and adolescents experiencing behavioral and emotional challenges is expected.
Physical Demands
While performing this role, the employee is regularly required to sit, stand, walk, bend, and lift items up to 20 pounds. Reasonable accommodations may be made for individuals with disabilities.
Our Culture
Best Point Education & Behavioral Health is Greater Cincinnati's leading nonprofit specializing in education, behavioral health, therapeutic services, and autism support for vulnerable and at-risk youth, their families, and caregivers.
We are committed to fostering an inclusive, respectful, and equitable workplace. Our team leads with compassion, tolerance, and professionalism in every interaction. All employees are expected to uphold these values in their daily work.
Best Point is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, veteran status, disability, or any other protected category.
$20-25 hourly Auto-Apply 22d ago
Medical Billing Representative
CHC Addiction Services 4.2
Akron, OH
CHC is a non-profit social service agency in the Akron area whose mission is to treat, inspire, support and empower individuals and families impacted by the disease of addiction. CHC has been a critical part of Ohio's efforts to treat and prevent substance use disorders since 1974.
We are currently looking for a full time Medical Billing Representative to work in our busy addiction treatment center, Monday through Friday. The Billing Representative's duties include:
Intake admissions
Work claim denials
Process corrected claims
Work with payers to resolve unpaid claims and ensure reimbursement of highest allowable revenue per contract
Follow-through on claim status
Problem solving
Account reconciliation
Minimum Requirements: High School Diploma or equivalent, at least 2 years in similar position. Must have strong computer skills with knowledge of modern office practices, procedures and equipment and be detail oriented. Must have experience in all facets of Medicare, Medicaid and insurance billing (electronic). Why you would love it here
Medical, dental and vision benefits for employees working 30+ hours weekly!
32 paid days off per year! (holidays, vacation, personal and sick days!)
Referral Bonuses!
403b, with company match after one year!
Professional licensure fee reimbursement!
Company Sponsored Training Opportunities - based on position
Employee Assistance Program (including Health Management, Family Support and Financial Advice/Assistance)!
CHC is an Equal Opportunity Employer and Provider of Services.
We are a non-smoking facility.
$29k-36k yearly est. 4d ago
Billing Specialist
EMT Ambulance 3.6
North Canton, OH
Full time (in person) billing position. Monday through Friday from 8am to 4pm. Responsible for billing claims to the appropriate payor and following up on unpaid claims
Essential Duties & Responsibilities:
Verifies insurance eligibility
Enters pertinent data elements into the billing system , and submits claims to the proper payor
Follows up with payors on unpaid claims, and takes action to correct issues delaying payment
Requests authorizations required for claims processing
Demonstrates excellent communication skills when communicating with patients, payors and facilities
Completes special assignments and projects with minimal supervision and consistently meets the department's performance, production and quality standards
Demonstrates knowledge and compliance with insurance local state and federal regulations related to ambulance billing
Processes correspondence with adherence to the Health Insurance Portability and Accountability Act (HIPAA) guidelines
Maintain knowledge of functional area and company policies and procedures
Qualifications:
Minimum High School Diploma or equivalency
Experience in medical billing preferred, but not required
Healthcare, medical terminology and third party payer knowledge preferred
Excellent interpersonal, verbal and written communications skills
Ability to multitask in a fast paced dynamic environment
Maintain a positive and professional attitude at all times
Strong skills with MS office and windows applications
Proficient personal computer skills
Typing of at least 40 WPM.
Ability to maintain the highest level of confidentiality
Ability to work in a team fostered environment
$31k-42k yearly est. 10d ago
Billing Specialist - 499464
Utoledo Current Employee
Toledo, OH
Title: Billing Specialist
Department Org: Patient Financial Services - 108870
Employee Classification: B5 - Unclass Full Time AFSCME HSC
Bargaining Unit: AFSCME HSC
Primary Location: HSC H
Shift: 1
Start Time: 800am End Time: 430pm
Posted Salary: Starting at $21.21
Float: False
Rotate: False
On Call: False
Travel: False
Weekend/Holiday: False
Job Description:
To ensure the financial stability and lawfulness of the University of Toledo Medical Center by submitting timely and accurate billings for hospital services in compliance with Federal, State, local and private regulations. Follow up on all accounts until paid in full or until the account balance becomes private pay. To provide knowledge and professional customer service to patients, guarantors and third party payers by assisting with questions and concerns relating to patient account billing.
Minimum Qualifications:
1. Associates Degree in business or related field required; or 5-10 years hospital billing experience in lieu of degree. (PFS employee's currently holding a billing specialist position at UTMC will be grandfathered).
2. Two years medical billing experience in a healthcare setting required.
3. Demonstrated knowledge of medical terminology as would normally be obtained through successful completion of a medical terminology course.
4. Superior verbal and written communication skills. Utilizes effective communication to provide excellent customer service.
5. Knowledge of UB04 Billing Form.
6. Demonstrated knowledge in ICD-9, ICD-10 and CPT-4 coding.
7. Ability to quickly learn to bill specific financial classes/payers.
8. Actively participates in performance improvement activities as it relates to job duties.
9. Strong interpersonal/client relation skills and the ability to work effectively with a wide range of customers in a diverse environment.
10. Working knowledge and understanding of the laws governing billing and collection practices required.
11. Must have prior experience with Excel, and Word.
12. Ability to work independently, prioritize and complete tasks within established timeframes.
Preferred Qualifications:
1. Knowledge of revenue cycle procedures.
2. Experience with a variety of hospital patient accounting, billing, and contract management systems preferred.
3. EPIC knowledge/experience preferred.
Conditions of Employment:
To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. Pre-employment health screening requirements for the University of Toledo Health Science Campus Medical Center will include drug and other required health screenings for the position.
Equal Employment Opportunity Statement:
The University of Toledo is an equal opportunity employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation.
The University is dedicated to attracting and retaining the best and brightest talent and fostering a culture of respect.
The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact HR Compliance at ************************ or ************ between the hours of 8:30 a.m. and 5 p.m. or apply online for an accommodation request.
Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus.
$21.2 hourly 60d+ ago
Billing Specialist
Southwest Ohio ENT Specialists
Dayton, OH
Full-time Description
The Billing Specialist is responsible for Accounts Receivable Management, working all denied claims, seeks full payment from the specific insurance carriers they are responsible for. In addition, prepares appeals for incomplete or non-payments with proper documentation along with researching, analyzing and reconciling billing and reimbursement practices.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Works in our practice management systems Collection Module and/or Aging Reports to identify aged/denied claims and pull necessary information to investigate claims.
Actively follow-up on outstanding claim balances by checking claims on the carrier's website or by calling the insurance companies and other payers as needed.
Prepare appeals paperwork for all payers by gathering supporting documentation as needed.
Recognize and appropriately report problems or negative patterns in support of maximization of billing and collections.
Work claims hitting edits in TriZetto Provider Solutions (Clearinghouse).
Avoid and/or resolve errors which may lead to undo write-offs or insurance rejections.
Identify accounts requiring charge or payment corrections.
Credentialing new physicians, nurse practitioners, audiologists and SLP's for the insurance carriers they are responsible for.
Run collection reports per physician call to collection outstanding balance prior to next visit or communicate to the scheduler to cancel appointment.
Respond to emails from Patient Services team regarding patients in collections then calling the patient to collect outstanding balance.
Phone work as scheduled to include incoming calls requesting account information and making outgoing calls for account investigation.
Review weekly statements sending letters or emails to patients to collect payment prior to sending to collections.
Provide backup phone coverage and other office responsibilities as a member of the Billing Team.
Handle other duties and special projects as assigned.
Requirements
EDUCATION, EXPERIENCE & KNOWLEDGE REQUIREMENTS
Education
High School Diploma or equivalent
Experience
Minimum 3-5 years medical billing experience.
Knowledge & Skills
Proficiency in using computers and ability to learn various software.
Superior organizational and problem-solving skills, and attention to detail
Familiarity with medical billing systems, ICD-10, CPT, medical coding, and basic medical terminology.
Ability to work well in a team environment.
Strong communication (verbal and written) skills.
Salary Description $16-$20/hr
$16-20 hourly 17d ago
Billing Specialist
McKinley Hall 4.0
Springfield, OH
Join Our Team as a Billing Specialist! Are you a detail-oriented individual with a knack for numbers and a passion for healthcare? We are looking for a dynamic Billing Specialist to join our Finance division! In this full-time role, you'll manage the complete billing process, ensuring accuracy and compliance while working closely with clients, insurance providers, our electronic health record and our dedicated team. Responsibilities: • Assist with all billing operations from start to finish, ensuring confidentiality and precision.
Work with insurance companies to submit and reconcile payments.
• Handle client payment collections, verify statements, and resolve discrepancies with ease. • Collaborate with various departments to address billing issues and streamline processes. • Stay updated on insurance billing procedures and changes to provide top-notch service! Qualifications:
• High school diploma or equivalent and at least three years of experience in handling insurance claims in a healthcare setting.
• Strong computer skills, analytical mindset, and excellent teamwork abilities.
Why Join Us?
Be part of a supportive and innovative team dedicated to improving healthcare services. Competitive salary, opportunities for professional growth, and a chance to make a real difference in the community await you! If you're ready to take your career to the next level and thrive in a rewarding environment, we want to hear from you!
$29k-36k yearly est. 60d+ ago
Billing Specialist
Genacross
Toledo, OH
Job Description
Billing Specialist
Full Time
** Pay rate between $18-19/hour **
Pay rate based on experience
Genacross Lutheran Services, a faith-based nonprofit organization, for over 160 years, has provided compassionate care and support to individuals, families, and communities in need. Genacross Team Members put our mission into action every day, using their skills, talents, and passion, to serve the needs of our community with exceptional care, innovation, and support.
The Billing Specialist is responsible for support to Ministries through the financial reporting, billing and collections programs. They are also responsible for billing and collections of accounts receivable for Genacross and its subsidiary ministries.
What will I do as a Billing Specialist with Genacross?
Maintains current knowledge of governmental regulations relating to Medicaid and Medicare billing as well as current trends, practices, and procedures through participation in Associations, seminars, networks and other professional development opportunities.
Participates in monthly accounts receivable reviews with Director of Revenue Cycle and facility Executive Director to identify accounts that are in arrears, begins collection process and necessary follow-up thru the attorney/litigation process as directed by the Director of Revenue Cycle.
Responsible for posting all resident ancillary charges at month end.
Ties census and generate all Private Statements to responsible parties by established deadline dates.
Ties census, generates and submits accurate Hospice, Medicaid, Medicare, and Managed Care by established deadline dates.
Ties census information and processes month-end closing of accounts receivable system by established deadline dates.
Ties out monthly billing reports for soft close.
Ties out monthly billing reports and accounts receivable aging report for General Ledger for final month end.
Maintains contact necessary team members regarding Medicaid eligibility and as well as notification of discharge/death of resident from our facility. Also, may interact directly with Job & Family Services caseworkers as needed.
Responsible for working with facility admission and social worker staff regarding resident information as it pertains to the billing function.
Deals with Residents/Family members regarding questions related to resident's accounts receivable account with the facility.
Maximizes the stewardship of all resources.
Assist resident and/or responsible party with understanding their statements.
Relays to Executive Director any care concerns that are raised during conversations with resident and/or responsible party.
Prepares Bad Debt Write-Off forms with clear explanation of collection efforts made and why this account needs to be written off.
Billing Specialist Requirements:
Associate's degree in Accounting or related field preferred
Three to five years' experience in the billing/collections area, preferably in the long-term healthcare industry.
Strong familiarity with Microsoft Office products including, but not limited to, Word, Excel, and Outlook. Ability to learn new software application as required by the position.
Possesses strong organizational skills.
Requires strong oral and written communication skills including the ability to interact with residents, family members and county caseworkers.
Excellent interpersonal skills.
Understands directions, communicates and responds to inquiries promptly.
Genacross strives to improve the lives of everyone, including our Team Members, who daily enrich the lives of our residents, patients, clients & colleagues.
We offer exceptional Team Member Benefits:
Health, vision and dental insurance
Life insurance
401K plan with 4% employer contribution
Short-term disability
Paid time off (PTO)
Health savings account
Employee assistance program
Tuition reimbursement
Employee discounts
Join Genacross: A faith-inspired career starts here.
$18-19 hourly 15d ago
Billing Specialist
University of Toledo 4.0
Toledo, OH
Title: Billing Specialist Department Org: Patient Financial Services - 108870 Employee Classification: B5 - Unclass Full Time AFSCME HSC Bargaining Unit: AFSCME HSC Shift: 1 Start Time: 800am End Time: 430pm Posted Salary: Starting at $21.21
Float: False
Rotate: False
On Call: False
Travel: False
Weekend/Holiday: False
Job Description:
To ensure the financial stability and lawfulness of the University of Toledo Medical Center by submitting timely and accurate billings for hospital services in compliance with Federal, State, local and private regulations. Follow up on all accounts until paid in full or until the account balance becomes private pay. To provide knowledge and professional customer service to patients, guarantors and third party payers by assisting with questions and concerns relating to patient account billing.
Minimum Qualifications:
1. Associates Degree in business or related field required; or 5-10 years hospital billing experience in lieu of degree. (PFS employee's currently holding a billing specialist position at UTMC will be grandfathered).
2. Two years medical billing experience in a healthcare setting required.
3. Demonstrated knowledge of medical terminology as would normally be obtained through successful completion of a medical terminology course.
4. Superior verbal and written communication skills. Utilizes effective communication to provide excellent customer service.
5. Knowledge of UB04 Billing Form.
6. Demonstrated knowledge in ICD-9, ICD-10 and CPT-4 coding.
7. Ability to quickly learn to bill specific financial classes/payers.
8. Actively participates in performance improvement activities as it relates to job duties.
9. Strong interpersonal/client relation skills and the ability to work effectively with a wide range of customers in a diverse environment.
10. Working knowledge and understanding of the laws governing billing and collection practices required.
11. Must have prior experience with Excel, and Word.
12. Ability to work independently, prioritize and complete tasks within established timeframes.
Preferred Qualifications:
1. Knowledge of revenue cycle procedures.
2. Experience with a variety of hospital patient accounting, billing, and contract management systems preferred.
3. EPIC knowledge/experience preferred.
Conditions of Employment:
To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. Pre-employment health screening requirements for the University of Toledo Health Science Campus Medical Center will include drug and other required health screenings for the position.
Equal Employment Opportunity Statement:
The University of Toledo is an equal opportunity employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation.
The University is dedicated to attracting and retaining the best and brightest talent and fostering a culture of respect.
The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact HR Compliance at ************************ or ************ between the hours of 8:30 a.m. and 5 p.m. or apply online for an accommodation request.
Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus.
Advertised: 28 Jun 2025 Eastern Daylight Time
Applications close:
$21.2 hourly 36d ago
Billing Denials Representative
Compunet Clinical Laboratories 4.1
Moraine, OH
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.