Regional Billing Specialist PACSRegional Billing SpecialistOhioUnbilled Claims Management: Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are successfully released. • Contractual Expertise: Maintain comprehensive working knowledge of payer contracts and rules; ensure all billing aligns strictly with specific contract provisions.
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.
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).
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.
Patient Access Associate Specialist - PRN Ensemble Health PartnersPatient Access Associate Specialist - PRNWillard, 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.
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 SpecialistOhioEnsemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. The 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.
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.
NewCentral Authorization Coordinator - Communities Ohio LivingCentral Authorization Coordinator - CommunitiesOhioVerifies and accurately interprets patient benefits via online portals and communicates information back to the referring life plan community within one hour via the Outpatient Patient Benefit Disclosure for all therapy services. 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.
NewAcute 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.
Manager, Accounts Receivable Ensemble Health PartnersManager, Accounts ReceivableOhioObtains or generates reports to analyze trends in unpaid claims and denial activity; works with appropriate departments to resolve recurring issues and correct the underlying causes for errors; Provides relevant guidance to department Supervisors to resolve internal and external issues. They will empower staff to develop methods of process improvement, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on those assessments and maintaining achieved improvements.
Office Assistant - Physical Therapy -Willard Mercy HealthOffice Assistant - Physical Therapy -WillardWillard, OHProvides clerical support for the daily operations of the Rehabilitation and Wellness Department, including scheduling, registration, filing, and data entry/charge entry, insurance verification under the general direction of the Director of Rehab & Wellness Center Assists with the intake process of new patients into the department and receives scheduled patients for daily appointments. Responsible for obtaining authenticated Physician orders, verifying demographic information, insurance information and eligibility and medical necessity for Physical Therapy, Occupational Therapy and Audiology patients.
Customer Service Tech Associate - Mansfield, OH StarTek IncCustomer Service Tech Associate - Mansfield, OHMansfield, OHIn 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. Weve partnered with global brands for over 3 decades now -working with them across their consumer value chain and providing new age customer experience solutions and insights that are helping them define and reach their target audiences with greater efficiency and better value for every dollar spent.
Revenue Integrity Analyst Ensemble Health PartnersRevenue Integrity AnalystOhioRemoteThe Revenue Integrity Analyst plays a pivotal role in ensuring financial health for acute and non-acute organization by meticulously managing the charge master, regulation code changes, work queues, charge capture, charge reconciliation, reporting, and analytical trending. Valuing Differences - Works effectively with individuals of diverse cultures, interpersonal styles, abilities, motivations, or backgrounds; seeks out and uses unique abilities, insights, and ideas.
Office Assistant Part-time - Physical Therapy -Willard Bon Secours Mercy Health IncOffice Assistant Part-time - Physical Therapy -WillardWillard, OHProvides clerical support for the daily operations of the Rehabilitation and Wellness Department, including scheduling, registration, filing, and data entry/charge entry, insurance verification under the general direction of the Director of Rehab & Wellness Center Assists with the intake process of new patients into the department and receives scheduled patients for daily appointments. Responsible for obtaining authenticated Physician orders, verifying demographic information, insurance information and eligibility and medical necessity for Physical Therapy, Occupational Therapy and Audiology patients.
Office Assistant - Physical Therapy -Willard Bon Secours Mercy Health IncOffice Assistant - Physical Therapy -WillardWillard, OHProvides clerical support for the daily operations of the Rehabilitation and Wellness Department, including scheduling, registration, filing, and data entry/charge entry, insurance verification under the general direction of the Director of Rehab & Wellness Center Assists with the intake process of new patients into the department and receives scheduled patients for daily appointments. Responsible for obtaining authenticated Physician orders, verifying demographic information, insurance information and eligibility and medical necessity for Physical Therapy, Occupational Therapy and Audiology patients.
Professional Coding Auditor-Educator WVU MedicineProfessional Coding Auditor-EducatorOhioExtensive 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.