NewPatient Service Representative quantum-healthPatient Service RepresentativeMarengo, OHEnvironment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more! Tech Savvy:Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
Medical Billing Specialist - Medicaid Managed Care Health Partners of Western OhioMedical Billing Specialist - Medicaid Managed CareOhioWith knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle. Responds knowledgeably to inquiries from patients, providers, insurance companies regarding covered charges, remittance advices, and billing questions.
Medical Billing Specialist - Medicaid Health Partners of Western OhioMedical Billing Specialist - MedicaidOhioWith knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle. Coordinate with internal teams (including Medicare, Managed Medicaid, and third‑party insurance teams) to resolve shared or complex claim issues.
Senior Physician Billing Specialist Ensemble Health PartnersSenior Physician Billing SpecialistOhioRemoteCompensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Billing Supervisor Ensemble Health PartnersBilling SupervisorOhioRemoteThe Supervisor will work with multiple disciplinaries including but not limited to Patient Access, Coding, Follow Up, Denials and any additional Revenue Management departments needed to aid in effort to ensure timely account review related to unbilled workflow. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
NewBilling and Revenue Accountant Aktion AssociatesBilling and Revenue AccountantOhioBilling and Revenue Accountant As an Billing and Revenue Accountant, you will manage more complex invoicing tasks for recurring services, sales, and AR collections. Duties and Responsibilities : Oversee invoicing for sales procurement in the first year and manage recurring annuity, SaaS, ACMS, and maintenance contract invoicing/projections.
Pharmacy Billing Manager CommuniCarePharmacy Billing ManagerOhioManage the pharmacy credentialing process for PBM insurance payers (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care) for each PSG pharmacy location. Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care).
Billing & Collections Manager (BOM) Trilogy Health Services LLCBilling & Collections Manager (BOM)OHThey handle financial tasks such receiving and depositing payments, making collections calls and issuing letters, discussing payment arrangements with account holders, and working with Medicare, Medicaid and insurance companies on eligibility, claims and reimbursements. We're proud to be recognized as one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work.
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. We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology.
Accounts Receivable Specialist Dayton Physicians NetworkAccounts Receivable SpecialistOHEssential Duties and Responsibilities: Reviews all outstanding claims filed to designated payers and/ or patient accounts for which payment or denial has not been received within 28 days of billing; Utilizes reporting capabilities of practice management system to generate reports and data used in working claims in the various aging buckets; Utilizes the capabilities of practice management system to correct and/or appeal as necessary; Utilizes the designated payer websites for effective follow-up and claim rebills; Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections; Attend webinars as well as various teaching seminars sponsored by designated payers; Receives from payment posting all zero pay and denied claims for research, correction and rebill, write-off, or transfer to patient responsibility; Contacts patients with regard to any unpaid claims; maintains accurate documentation within the practice management system of actions taken to resolve outstanding claims; Maintains compliance with FDCPA at all times; Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values; Other duties as assigned. Accounts Receivable Specialist requires knowledge of claims processing in a managed care environment, commercial payer environment along with government payers and knowledge of the Fair Debt Collections Practice Act (FDCPA) and other legal policies regarding collecting debt from patients.
Adjudication/Reimbursement Specialist - Immediate Opening workatabsoluteAdjudication/Reimbursement Specialist - Immediate OpeningOhioThis role is essential in ensuring accurate billing and reimbursement for prescriptions by verifying patient and insurance information, resolving claim issues, and maintaining compliance with payer regulations and guidelines. As a Reimbursement Specialist, you will play a vital role in supporting our mission by ensuring accurate, timely billing and exceptional customer service.
NewInsurance Authorization Specialist Ensemble Health PartnersInsurance Authorization SpecialistOhioRemoteThe Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety and working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
NewAccounts Receivable Clerk - Home Health & Hospice Ohio LivingAccounts Receivable Clerk - Home Health & HospiceOhioMaintain, obtain, retain and apply knowledge regarding the specific billing requirements for Medicare, Medicaid, all other third party commercial insurance funding sources; other federal, state, county, local programs; and, direct billing and collections of amounts due directly from the patients/consumers. Identify and notify supervisor/manager of other potential issues through use of various reports that may indicate the need to make revenue, receivable, payer, or rate corrections to ensure that revenue and receivables are recorded accurately and timely.
Office Coordinator/HR Assistant Ace Wellness CenterOffice Coordinator/HR AssistantOhioTrack and manage employee benefits including time off · Create, develop, and update agency policies · Track and collect employee evaluations · Manage the ADP portal and platform · Track and collect employee write ups and progressive discipline correspondences · Assist in interviewing new candidates and conducting reference checks · Conduct new hire orientation · Onboard new staff members · Other responsibilities directed by the Director of operations or HR officer . Skills & Competencies · Strong organizational and multitasking skills · Excellent customer service and communication abilities · Ability to maintain confidentiality and professionalism · Strong attention to detail · Ability to coordinate multiple schedules and priorities · Proficiency with Microsoft Office (Word, Excel, Outlook) · Ability to work collaboratively with clinical and administrative staff.
Coding Educator Ensemble Health PartnersCoding EducatorOhioRemotePlan, develop, and present educational opportunities for workflow enhancements, clinical documentation improvement, coding and billing regulatory issues, charging processes, and other related revenue cycle trends. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
Acute Coding Appeals Specialist Ensemble Health PartnersAcute Coding Appeals SpecialistOhioRemoteUnder 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.
Customer Service Tech Associate - Mansfield, OH StarTek IncCustomer Service Tech Associate - Mansfield, OHMansfield, OHOur partnerships have always been about more than building emotional connections with customers; they are about using artificial intelligence, omnichannel orchestration and providing CX insights & technologies, that has the power for digital transformation We do this across 46 locations in 13 countries, with over 40,000 employees managing almost half a billion customer interactions every year for over 150 clients in different industries. In a world where customers consistently interact with your brand across multiple channels-including digital and social-we at Startek value our ability to effectively garner those interactions and CX insights, analysing, unlocking, and providing intelligence that drives digital transformation and further revenues for you, our client.
Professional Coding Auditor-Educator WVU MedicineProfessional Coding Auditor-EducatorOhio1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.