NewMedical Billing Specialist CareforthMedical Billing SpecialistOhioRemote$40,560–$56,784 / yearPart timePosition Summary: Reporting to the Director of Healthcare Revenue Cycle Management, the Billing Specialist will handle all functions related to the collection of necessary claim documentation, claim submission, collections, and follow through on outstanding claims and cash applications. What You Will Bring: 3-5 years in medical billing field; Knowledge/experience working with billing and payment cycles for medical accounts and analyzing accounts receivable reports is strongly desired.
Senior Billing Specialist Ensemble Health PartnersSenior 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.
Physician Billing Associate Specialist Ensemble Health PartnersPhysician Billing Associate SpecialistOhioRemoteEnsemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. 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.
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.
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).
Certified Pharmacy Technician - Billing AnewHealthCertified Pharmacy Technician - BillingOhioRemoteEstablished in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. Pharmacy Technicians in our Patient Care Center of Excellence may hold multiple duties to ensure ExactCare’s patients receive quality care out of their pharmacy services.
Medical Biller (Remote) Ohio Shared Information ServicesMedical Biller (Remote)OhioRemoteIf you’re an experienced medical biller who enjoys payment posting and wants to make a meaningful impact in community healthcare, we’d love for you to join our team! This is an excellent opportunity for someone who thrives in a remote environment, enjoys working with data and payer information, and is passionate about supporting community health organizations.
NewMedical 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.
Patient Access Associate Specialist Ensemble Health PartnersPatient Access Associate SpecialistMt Orab, OhioPatient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Insurance 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.
Epic Application Analyst Ensemble Health PartnersEpic Application AnalystOhioRemotePerformance Monitoring/Improvement/Innovation: Works collaboratively with revenue cycle leadership and Epic IT leadership to develop best practice processes and Epic functionality. 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.
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.
Central Auth Coord - HHH Ohio LivingCentral Auth Coord - HHHOhioCompletes all necessary items required to finalize pending authorizations; subsequently updates primary workflow software with relevant changes to authorization status, frequency and dates. Systematically reviews Retrospective Post Payment Medical Record Reviews for takeback adjustments and clears entries over 90 days old that have not been adjusted or resubmitted by entering payment amount on ADR log.
NewRefund Specialist I US Acute Care SolutionsRefund Specialist IOhioRemoteThe Refund Specialist I is responsible for thoroughly researching patient accounts to identify and resolve overpayments, ensuring accurate refund processing or correction of posting discrepancies within the Athena Billing System. ESSENTIAL JOB FUNCTIONS: Investigate all requested refunds and credit balances by reviewing patient accounts for unapplied payments causing overpayments.
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.
Offsite Invoice Payment Specialist [Data Entry/Remote] Job On Remote Online USAOffsite Invoice Payment Specialist [Data Entry/Remote]OhioRemoteHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. The Offsite Invoice Payment Specialist operates and maintains a personal computer in a work-at-home environment, accurately entering data to pay utility invoices and prepare customized reports.
NewCustomer 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.
Clinical Reviewer - Medical Coder & QA Ohio LivingClinical Reviewer - Medical Coder & QAOhioCurrent 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.
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.