Patient Service Representative quantum-healthPatient Service RepresentativeMarengo, OH$19Environment: 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.
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.
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.
Patient Billing Representative Five Star SolutionsPatient Billing RepresentativeColombus, OhioRemoteJoin us as a Patient Billing Specialist, where you’ll support patients with payment processing, billing education, insurance verification, and claims-related inquiries. Educate patients on billing concepts including coordination of benefits, deductibles, coinsurance, copays, timely filing, and claim denials.
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).
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.
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.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistOH$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
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.
NewClinical Support Associate (PRN) Blanchard Valley Health SystemClinical Support Associate (PRN)OhioPart timeRequired QualificationsHigh school graduate or GED equivalentComputer literacy required (Word, Excel)Positive service-oriented interpersonal communication and organization skillsPreferred QualificationsAssociate Degree in Business Administration/Systems. Physical DemandsThis position requires a full range of body motion with intermittent walking, lifting, bending, climbing, squatting, kneeling, twisting, sitting and standing.
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.
Accounts 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.
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.