Medical AR Specialist Ontario Medical AssociationMedical AR SpecialistDublin, OHQualifications: Two + years' experience in a physician practice business office performing AR follow-up, denial management and reimbursement activities. Proven experience in submitting tiered appeals using precise arguments based on clinical documentation and payer medical policies.
NewPatient Services Specialist American Oncology NetworkPatient Services SpecialistColumbus, Ohio17.25 - $25.84 Position Summary : The Patient Services Specialist (PSS) provides high-quality front-end patient support by managing patient intake, scheduling, medical records, and financial transactions while ensuring accurate documentation and exceptional customer service. Schedule and manage patient appointments, including new patients, follow-ups, treatments, referrals, outside testing, and hospital admissions per physician orders.
NewPayor Credentialing Specialist Trinity Health CorporationPayor Credentialing SpecialistColumbus, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Minimum Qualifications: Education: Must possess a comprehensive knowledge in practice and medical management, as normally obtained through an associate degree in a related field, and 3-5 years of professional office experience, including 2 years of medical billing experience with an understanding of Medicare, Medicaid, Health Maintenance Organization and Commercial insurance plans.
Financial Clearance Specialist Gastro HealthFinancial Clearance SpecialistOH1 year of related experience, or any combination of education or experience that provides the required knowledge, skills and abilities to perform the job. Denial and rejection rate of less than 10% to demonstrate capability to effectively verify patient benefits and obtain required authorizations.
Phlebotomy Registration Specialist Trinity HealthPhlebotomy Registration SpecialistColumbus, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Ability to work a flexible schedule, as needed; must have reliable transportation to travel to various locations, including to but not limited to other offices and sites.
Acute Coding Appeals Specialist Ensemble Health PartnersAcute Coding Appeals SpecialistOHRemote$29.70–$31.80 / hourUnder indirect supervision, the Coding Appeals Specialist is responsible for reviewing and writing appeals for inpatient Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and to address the clinical documentation utilized in the decision-making process to support the validity of the assigned codes. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns.
Remote Physician Coding Specialist II Trinity Health CorporationRemote Physician Coding Specialist IIColumbus, OHRemoteIn accordance with the Mission and Guiding Behaviors; the Physician Coding Specialist II will assign the appropriate surgical and office procedural and diagnostic (CPT - E/M, surgical and ICD) codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). Relationship-based Care: Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system.
Physician Office Specialist OBGYN OhioHealth CorpPhysician Office Specialist OBGYNOHProvides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing documentation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. Primary responsibilities include but are not limited to: answering phones utilizing a computerized system, directing calls appropriately, scheduling patient appointments in the electronic medical record (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned.
Physician Office Specialist OhioHealth CorpPhysician Office SpecialistOHProvides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing documentation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. Primary responsibilities include but are not limited to: answering phones utilizing a computerized system, directing calls appropriately, scheduling patient appointments in the electronic medical record (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned.
Physician Office Specialist - Lancaster OhioHealth CorpPhysician Office Specialist - LancasterCanal Winchester, OHProvides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing documentation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. Primary responsibilities include but are not limited to: answering phones utilizing a computerized system, directing calls appropriately, scheduling patient appointments in the electronic medical record (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned.
NewOffice Specialist - Well-Being Center OhioHealth CorpOffice Specialist - Well-Being CenterColumbus, OHPrimary responsibilities include answering the Well-Being Connection and incoming emails; providing associates, providers, and leaders with appropriate well-being resource information; connecting callers who are in distress with a clinician; and registering, scheduling and checking in appointments for Well-Being Center services. Job Description Summary: Office Specialists at the Well-Being Center support the Employee Assistance Program (EAP), Mindfulness Program, and Provider Well-Being.
Physician Office Specialist - Bing Cancer Center OhioHealth CorpPhysician Office Specialist - Bing Cancer CenterWesterville, OHProvides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing documentation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. Primary responsibilities include but are not limited to: answering phones utilizing a computerized system, directing calls appropriately, scheduling patient appointments in the electronic medical record (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned.
Business Office Coordinator Ohio LivingBusiness Office CoordinatorOhioAlongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, integrity, inclusion, financial stewardship, leadership and care.
Documentation and Reimbursement Specialist Nationwide Children's HospitalDocumentation and Reimbursement SpecialistColumbus, OHCONTINUOUSLY: Audible speech, Computer skills, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Repetitive hand/arm use, Seeing - Far/near, Sitting. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.
Revenue Cycle Optimization Specialist OhioHealth CorpRevenue Cycle Optimization SpecialistOHJob Description Summary: Revenue Cycle Optimization Specialists serve as key liaisons between end users and IT, driving the enhancement of revenue cycle workflows through process improvement, system design, and the implementation of innovative technologies. Provides support to optimize the use of revenue cycle systems through development and refinement of tools, workflows, processes, structures, and best practices to enhance end user satisfaction, staff productivity and financial outcomes.
NewMedical Coder & QA, Clinical Reviewer Ohio LivingMedical Coder & QA, Clinical ReviewerOhioCurrent unencumbered license for the state of Ohio to practice as a Licenses Practical Nurse (LPN) preferred Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical. Responsible to process Home Health Starts of Care (SOC) or Hospice Admission Plans of Care timely working with their assigned Home Health and Hospice office.
Office Specialist OhioHealth CorpOffice SpecialistOHWe work hard, care deeply and reach further to help people uncover their own power to be healthy. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time.
NewRevenue Cycle Representative Ohio State University PhysiciansRevenue Cycle RepresentativeColumbus, Ohio$18.20–$27.29 / hourFull timeWith over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. Duties and Responsibilities include: Reviews, verifies, obtains and corrects patient demographics and insurance information, medical diagnosis, laboratory and other diagnostic services information, hospital service, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of insurance bills, and eligibility of coverage.
NewMedical Coder & QA, Clinical Reviewer Ohio Living Home Health & HospiceMedical Coder & QA, Clinical ReviewerColumbus, OHCurrent unencumbered license for the state of Ohio to practice as a Licenses Practical Nurse (LPN) preferred Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical. Responsible to process Home Health Starts of Care (SOC) or Hospice Admission Plans of Care timely working with their assigned Home Health and Hospice office.
Medical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistOhioRemoteRemain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.