Medical Billing Specialist Integrated Resources, IncMedical Billing SpecialistMASON, OHMedical Billing, cash application and collection (collection is not calling demanding payment; it’s researching why a claim didn’t get paid and taking steps necessary to correct the info). Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.
Prior Authorization Specialist Riverhills NeurosciencePrior Authorization SpecialistCincinnati, OH$18–$22 / hourFull timeYour responsibilities include:Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirementsCoordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determinationFacilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patientsEnsure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin proceduresMonitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheetInitiate patient education on available assistance programsBackground and Experience:1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practicePain Management experience is a plusExperience with an Electronic Medical Record (EMR) and practice management systemKnowledge of Medicare/Medicaid and major insurance carrier's guidelinesWorking knowledge of ICD-9-10 medical coding and billing and medical terminologySuperior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendorsIf you're eager to contribute to a world-class healthcare team, apply today. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.
Medical Claims Coordinator/Processor AVA ConsultingMedical Claims Coordinator/ProcessorMason, OHMedical Billing, cash application and collection (collection is not calling demanding payment; it's researching why a claim didn't get paid and taking steps necessary to correct the info). Utilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action.
Office/Administration - Medical Claims Coordinator/Processor MindlanceOffice/Administration - Medical Claims Coordinator/ProcessorMASON, OHUtilize a practice EHR system and clearing house to review and submit claims to multiple medical insurance carriers Review open/unpaid claim balances and take required action. " Partner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system.
PBM Billing Specialist Senior Elevance HealthPBM Billing Specialist SeniorMason, OH$19.22–$34.90 / hourWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Billing Specialist Cort Business Services CorpBilling SpecialistWest Chester Township, OHCORT, a part of Warren Buffett's Berkshire Hathaway, is the nation's leading provider of transition services, including furniture rental for home and office, event furnishings, destination services, apartment locating, touring and other services. With more than 100 offices, showrooms and clearance centers across the United States, operations in the United Kingdom and partners in more than 80 countries around the world, no other furniture rental company can match CORT's breadth of services.
Account Specialist II TriHealth IncAccount Specialist IIBlue Ash, OHJob Overview: This position''s principal purpose is to expedite positive cash flow, maximize reimbursement, and reduce/eliminate financial loss to department customers by efficient billing, follow-up and collections of patient accounts. Through cross training and experiences, develops and maintains comprehensive knowledge and understanding of billing and follow-up procedures for all BWC and non-BWC payers.
Medical Biller II TriHealth IncMedical Biller IINorwood, OHJob Overview: The level II Medical Biller''s general responsibilities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Responsible also for providing excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
Referral & Insurance Specialist - Kenwood Cardiology Mercy HealthReferral & Insurance Specialist - Kenwood CardiologyCincinnati, OHMercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.
NewRevenue Cycle Specialist NorthKey Community CareRevenue Cycle SpecialistCovington, KY$17.15–$18.05 / hourWith multiple convenient locations throughout the Northern Kentucky region (Kenton, Boone, Campbell, Grant, Carroll, Gallatin, Pendleton, and Owen counties), NorthKey offers a wide array of mental health, substance use, and developmental disabilities services unparalleled in the region. Since 1966, NorthKey Community Care (NorthKey) has provided effective and efficient mental health, substance use, and developmental disabilities services to the Northern Kentucky region with the commitment to providing the right service, at the right time, and in the right place.
Medical Biller I TriHealth IncMedical Biller INorwood, OHAs a Medical Biller I, youll play a key role in ensuring accurate claims, timely reimbursement, and exceptional service for patients and payers - all while building your expertise with industry‑leading systems and ongoing learning opportunities. Job Overview: The entry level Medical Billers general responsibilities include ensuring timely claim submission, follow up with no response from payers, payer rejections, correspondence, and contract variances and appealing denials based on HB or PB requirements.
Referral & Insurance Specialist - Kenwood Cardiology Bon Secours Mercy Health IncReferral & Insurance Specialist - Kenwood CardiologyCincinnati, OHMercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.
Medical Records Specialist Gastro HealthMedical Records SpecialistCincinnati, OHGastro Health is the one of the largest gastroenterology multi-specialty groups in the United States, with over 130+ locations throughout the country. Our team is composed of the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals.
TCHP Coding Educator The Christ HospitalTCHP Coding EducatorNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.
TCHP Coder Associate - CBO Department Phys Div Coding - Full Time - Days The Christ Hospital Health NetworkTCHP Coder Associate - CBO Department Phys Div Coding - Full Time - DaysNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Requires a working knowledge of Medicare regulations on charging and billing practices (UB92 and 1500/HCFA), knowledge of CPT and HCPCS coding, and the ability to read/analyze itemized billing statements, medical records, & lab reports.
TCHP Coder Associate The Christ HospitalTCHP Coder AssociateNorwood, OHKNOWLEDGE AND SKILLS: Requires a working knowledge of Medicare regulations on charging and billing practices (UB92 and 1500/HCFA), knowledge of CPT and HCPCS coding, and the ability to read/analyze itemized billing statements, medical records, & lab reports. Demonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc.
Key Account Billing Specialist SilcoKey Account Billing SpecialistCincinnati, OhioThis includes monitoring outstanding balances, collecting payments, resolving billing issues, reconciling accounts, and partnering with internal teams to ensure accurate financial records and excellent customer service. As the market leader in the Midwest, Silco is a growing, family-owned company with over 500 employees working from our headquarters in Cincinnati and branches in Dayton, Columbus, Toledo, Akron, Cleveland and Louisville.
DRG Coding Auditor Principal Elevance Health IncDRG Coding Auditor PrincipalMason, OH$122,240–$183,360 / yearSpecializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.
Home Health Billing & Collection Specialist Interim HealthCareHome Health Billing & Collection SpecialistCincinnati, OHFull timeMaintains a positive relationship working cooperatively with nursing homes, health information department, accounts payable department and other providers to maintain quality service, quick response time and ensure accurate payments. As a Home Health Billing and Collection Specialist, you will: Initiate and maintain complete and accurate patient billing records along with maintaining confidentiality of Interim Healthcare patient billing records to ensure regulatory compliance with state and federal laws.
Health Insurance Specialist CVS Health CorpHealth Insurance SpecialistCincinnati, OH$21.10–$40.90 / hourRole Description: The purpose of the Patient Relations Analyst (PRA) at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance coverage options available to them in order to increase patient access to care and retention. Patient Relations Analysts are daily key players, particularly during Medicare's Open Enrollment, ensuring that our patients are informed of all their options surrounding Medicare.