NewClinical Laboratory Processing and Billing Coordinator- Immediate Response Lab- Full Time- Days The Christ Hospital Health NetworkClinical Laboratory Processing and Billing Coordinator- Immediate Response Lab- Full Time- DaysMonfort Heights, OHThe specialist displays a commitment to customer service while completing assignments and engaging with customers in a polite, attentive, and conscientious manner and responds thoughtfully to inquiries regarding specimen collection and handling, laboratory intake processes, and test results. Recognizes and addresses any abnormal or unusual patient results, investigates inconsistent findings, and communicates significant patient data or results to the relevant individuals.
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 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.
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.
Customer Service Representative – Utility Billing Five Star SolutionsCustomer Service Representative – Utility BillingColombus, OhioRemote14 - $14 an hour Starting pay - $14/hr plus shift differential(extra $1/hr nights & wkds) Working hours between- 8:00am-10:00pm (EST); Work Days - M-F Paid Training - typically 1 week in length from 9:00am-6:00pm Mon-Fri (EST) Status - Full Time 40 hours, Benefit eligible 1st of month after 60 days Five Star Solutions values diversity and is committed to cultivating a professional, diverse workforce by hiring the best people available and providing the best service possible to our customers. In this role, you will assist customers with questions regarding their gas bills, payments, account information, and general account-related concerns.
NewBilling Manager Kent Morris OrthodonticsBilling Manager9573 Montgomery Road, OHFull timeHybrid position involving billing manager responsibilities and treatment coordinator responsibilities. FT position in busy orthodontic office.
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.
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.
NewFinancial 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.
Refund 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.
Hospice Ancillary Specialist Alternate Solutions Health NetworkHospice Ancillary SpecialistOhioRemoteThe role requires someone who is comfortable working with Medicare and Medicaid billing, reviewing invoices and reimbursement information, resolving discrepancies, and following outstanding payments through completion. While direct hospice billing experience is preferred, the most important requirement is a solid background in Medicare and Medicaid billing and the ability to understand and manage detailed billing and invoicing processes.
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.
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.