Medical Billing Specialist

Boardman, Ohio

8 days ago

Job Description

Medical 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 Medical 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

Numbers & Facts

Location	Boardman, Ohio
Website	https://www.southwoodshealth.com/careers/

Skills

Billingunmatched
Check Processingunmatched
Claims Managementunmatched
Communication Skillsunmatched
Computer Skillsunmatched
Credit and Collectionsunmatched
Data Qualityunmatched
Detail Orientedunmatched
Documentationunmatched
Electronic Medical Recordsunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Insurance Documentationunmatched
MEDITECHunmatched
Mail Processingunmatched
Maintain Complianceunmatched
Medical Billingunmatched
Medical Terminologyunmatched
OSHAunmatched
Patient Careunmatched
Patient Confidentialityunmatched
Problem Solving Skillsunmatched
Regulationsunmatched
Regulatory Complianceunmatched
Standards of Careunmatched
Systems Administration/Managementunmatched
Third-Party Payerunmatched

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