Billing Specialist
Location: Southwoods Executive Centre – Boardman, Ohio
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.
Apply Today: www.southwoodshealth.com #SWH
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