Medical Billing Specialist – Home Health Southwoods HealthMedical Billing Specialist – Home HealthBoardman, OhioThe successful candidate will be responsible for submitting claims to third-party payers, resolving edits daily within the EMR and clearinghouse, and handling correspondence regarding billing inquiries. Determine the need for supporting documentation required by specific insurance companies or cases, and copy documents for inclusion with claims.
Medical Billing Specialist One Health OhioMedical Billing SpecialistYoungstown, OHPerforms various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.
NewBilling Specialist Southwoods HealthBilling SpecialistBoardman, OhioThe successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries. Collaboration: Follow up with Coding and Collection Specialists to accurately correct claims; report billing errors or needed policy changes to the supervisor.
NewBilling Specialist The Primary Health NetworkBilling SpecialistSharon, PAField patient phone calls, take patient payments, set up payment plans, review and research patient accounts for purposes of identifying billing trends and maintaining a clean AR aging. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring that every individual has access to high-quality, compassionate and exceptional healthcare.
Ambulance Medical Billing and Coding Associate DocGo IncAmbulance Medical Billing and Coding AssociatePARemote$21–$25 / hourDocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. About Ambulnz by DocGo: Ambulnz by DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services.
NewBilling Supervisor The Primary Health NetworkBilling SupervisorSharon, PAEssential Function: Ensures the activities of the billing operations within the Network are conducted in a manner that is consistent with overall department protocol, and are in compliance with federal, state, and payer regulations, guidelines and requirements. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring inclusive and equitable access to healthcare that is both compassionate and exceptional.
Logistics Billing Clerk The Kenan Advantage Group IncLogistics Billing ClerkNorth Canton, OHThe Specialist is responsible auditing and administering carrier pickup and delivery information in order to accurately complete required in-house and/or external systems that are used to complete established financial settlement processes and procedures between KAG Logistics customers and carriers. All employees of the Company are expected to: Promote positive work habits including effective and timely communication, teamwork and respect for co-workers.
Automotive Billing Clerk / Administrative Toyota of North CantonAutomotive Billing Clerk / AdministrativeNorth Canton, OhioDay-to-day work will include assisting the accounting team with posting wholesales, dealer trades, and retail deals. Toyota of North Canton has an immediate opportunity for an Automotive Billing Clerk / Administrative Clerk.
NewEnrollment and Billing Representative Highmark IncEnrollment and Billing RepresentativePADuties include verifying enrollment status, making changes to records, addressing enrollment questions or concerns, resolving membership and billing issues, and accessing/updating enrollment and billing databases. Communicate effectively with internal and external contacts to promptly resolve discrepancies in membership and billing information and to promptly provide accurate responses to written, telephone and online inquiries.
NewMedical Biller – Outpatient Behavioral Health Facility COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES INCMedical Biller – Outpatient Behavioral Health FacilityAustintown, OH$15 / hourThe Medical Biller will be responsible for supporting the billing process by submitting claims, verifying client information, following up on outstanding balances, and assisting with accurate and timely reimbursement. Collaborate with clinical and administrative staff to ensure accurate documentation for billing purposes.
Hospital Registration Specialist Edgewood Surgical CenterHospital Registration SpecialistTransfer, PAFull timeQualifications: Must possess good oral and written skills, must be able to communicate with hospital contacts both on the telephone and directly, and effectively communicate with all age groups, populations, and individuals within the hospital. Establishes and maintains a good rapport and cooperative relationship with medical staff, co-workers, supervisors and others.
OBGYN Registration Specialist West Virginia University MedicineOBGYN Registration SpecialistWVCollects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Obtains demographic/billing/insurance information from patient/family/legal guardian and enters into the registration/billing systems for service and claim processing and scans insurance cards & photo identification.
Adjudication/Reimbursement Specialist - Immediate Opening workatabsoluteAdjudication/Reimbursement Specialist - Immediate OpeningNorth Canton, OhioThis role is essential in ensuring accurate billing and reimbursement for prescriptions by verifying patient and insurance information, resolving claim issues, and maintaining compliance with payer regulations and guidelines. As a Reimbursement Specialist, you will play a vital role in supporting our mission by ensuring accurate, timely billing and exceptional customer service.
Rehabilitation Specialist HealthSource ChiropracticRehabilitation SpecialistBoardman, OhioAccess ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. We are a fast-paced, upbeat chiropractic and progressive rehab clinic helping patients get back to doing what they love through chiropractic care, exercise therapy, and other wellness services.
Patient Access Specialist - PART TIME Ensemble Health PartnersPatient Access Specialist - PART TIMEWarren, OH$17–$18.15 / hourJob Responsibilities: Patient 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.
Associate Specialist, Patient Access Ensemble Health PartnersAssociate Specialist, Patient AccessBoardman, OH$17–$18.15 / hourResponsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a 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 Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNYoungstown, OH$17–$18.15 / hourJob Responsibilities: Patient 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.
Front Desk/Clerical Specialist Alliance Family Health Center IncFront Desk/Clerical SpecialistAlliance, OHWill provide successful services and/or interactions with the following age groups and will demonstrate the use of appropriate interventions, communication and skills to match the age and/or abilities of the patient where applicable: Pediatric. 1. Greet customers, visitors, and Colleagues immediately with a smile, warm greeting, and introduction, calling them by name if possible.
Bookkeeper/support specialist FAVORITE OFFICE AUTOMATION LLCBookkeeper/support specialistNew Castle, PAYou will play a key role in maintaining accurate financial data to support our operations and decision-making. Good with spreadsheets, experienced in Microsoft Excel, QuickBooks, and basic accounting systems.
Insurance Collections / Follow-Up Specialist Southwoods HealthInsurance Collections / Follow-Up SpecialistBoardman, OhioDocumentation: Accurately note all contacts with insurance companies and patients within the patient's account; provide and send any necessary supporting documentation required for claim resolution. Compliance: Ensure all processes within the assigned physician practice maintain compliance with regulatory agencies, including OSHA, ODH, BOP, and TJC.
Administrative Specialist 3 - Human Resources (25 hours/week) Youngstown State UniversityAdministrative Specialist 3 - Human Resources (25 hours/week)Youngstown, OHFurther facilitates business functions of administrator's office; plays a key role in office automation by performing business functions at the request of, or in the absence of, the supervisor's direct and/or indirect behest; duties may include, but are not limited to: responds to correspondence; researches and prepares data for budget inclusion; assists in writing budget justification; monitors spending and maintains fiscal records; monitors budgets and independently makes transfers as needed; reviews and summarizes fiscal, operational and/or personnel reports; performs personnel functions such as screening job applicants and/or participating in interviews; communicates decisions, directives and/or assignments; participates on committees; organizes conferences. Duties include but are not limited to: prepares drafts and signs simple correspondence; researches responses to inquiries; compiles data; prepares reports; gathers statistics and compiles in report form; performs research and writes reports to present straightforward information; sets up office procedures; coordinates daily work flow of office; revises content of manuals and notebooks; requisitions equipment and supplies; screens problems and obtains files and records to support same for referral and resolves only those which do not involve interpretation or judgment of applicability of policies and procedures.
Adjudication Pharmacy Technician Young at Heart PharmacyAdjudication Pharmacy TechnicianNorth Canton, OHResponsibilities: • Perform Billing duties as needed • Understand the pharmacy front-end process and perform point of sale functions (adjudication) • Contact payors and/or other outside agencies to verify information and resolve common, non-clinical problems • Run weekly billing reports • Obtain accurate billing and resident information, and rebill and resolve unpaid claims through adjudication • Re-bill and reconcile all incorrectly billed, non-clinical third-party denials • Identify and resolve and process denied claims in a timely manner • Document all communication concerning denied claims and any resolution communicated to facility or physicians • Obtain Prior Authorizations and non-covered forms • Obtain Part B documentation • Assist with billing DME supplies on line (Medicaid) • Resolve Hospice denials and communicate to Hospice nurses any denied claims • Adhere to and demonstrate mastery of current operating procedures • Use DocuTrack skills to locate specific documents and fax documents to facilities and/or for audit purposes • Stay in line with End of Month processes and deadlines • Ensure customer requests are handled quickly and professionally • Communicate effectively with customers to resolve billing inquiries • Communicate effectively with third party payors to resolve denied claims • Complete and verify pricing requests for customers • Direct specific inquiries to the appropriate team/individual • Maintain a positive, pleasant demeanor with all customers • Utilize robust problem-solving and people skills, patience, and telephone etiquette • Document customer issues using CPAS form and communicate to management • Work with Billing/Collection Managers on special projects as needed • Other duties as assigned. Qualifications: • Active pharmacy technician license from the Ohio State Board of Pharmacy preferred • Previous pharmacy experience extremely valuable and desired • At least 1 year of billing experience • Proficient in Microsoft word and Excel.
Hierarchical Condition Category (HCC) Coding Specialist Highmark IncHierarchical Condition Category (HCC) Coding SpecialistPAThis job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals.
Patient Services Specialist Cencora IncPatient Services SpecialistPARemote$43,700–$62,480 / yearEducation: This position requires broad training in fields such as Medical Office Administration, SocialWork, Medical Records/Billing, Benefit Verification, Patient Financial Services, Pharmacy, Nursing, or similar vocations generally obtained through completion of a 2-year Associate Degree, technical vocational training, or equivalent combination of experience and education. Provides integrated services to the health system and its component parts to increase prescription capture rate, ensure timely delivery of infusion medications to be infused in the hospital setting, improve patient outcomes and reduce readmissions.
Insurance Verification & Patient Financial Specialist Southwoods HealthInsurance Verification & Patient Financial SpecialistBoardman, OhioIn this role, you'll work behind the scenes to ensure patients are financially prepared before their procedures by verifying insurance coverage, reviewing benefits, and helping them understand their expected out-of-pocket costs. You'll have the opportunity to make a real difference by helping patients navigate complex insurance information with confidence and clarity.
Aviation Parts Specialist PSA Airlines, IncAviation Parts SpecialistNorth Canton, OHJoin our team to enjoy comprehensive benefits, including travel privileges on the American Airlines global network, so you can explore new destinations and create unforgettable memories with family and friends. The employee is frequently required to sit; stand; walk; climb up and down stairs; bend/stoop; occasionally push/pull and lift weight up to 50 lbs.
Global Fleet Specialist Diebold Nixdorf IncGlobal Fleet SpecialistNorth Canton, OHBrightest minds + technology and innovation + business transformation The people of Diebold Nixdorf are 23,000+ teammates of diverse talents and expertise in more than 130 countries, harnessing future technologies to deliver personalized, secure consumer experiences that connect people to commerce. As Global Fleet Specialist, you play an important role in enabling Diebold Nixdorf's global operations by helping ensure our vehicle fleet is reliable, efficient, safe, and ready to support our teams in the field.
Physician Assistant or Nurse Practitioner One Health OhioPhysician Assistant or Nurse PractitionerWarren, OHIdeal Candidates Will Have: Licensed as a Physician Assistant(PA) within the state of Ohio, and have National Commission on Certificate of Physician Assistants (NCCPA) or a licensed as a Nurse Practitioner (NP) within the state of Ohio, and have a nursing degree (APRN degree) with completion of an accredited Masters program. Physical Requirements: Ability to sit or stand for extended periods and perform tasks requiring finger dexterity.
Customer Administration Specialist The Kenan Advantage Group IncCustomer Administration SpecialistNorth Canton, OHAs a Customer Administration Specialist, you'll play a critical role in translating complex customer agreements into accurate system data that drives billing, pricing, and operations. Calculate, document, and implement required Tariff/Rate increases as outlined in Customer Agreements or based on guidance provided by Sales and/or Pricing.
Revenue Invoicing Specialist (Energy) The Kenan Advantage Group IncRevenue Invoicing Specialist (Energy)North Canton, OHAll employees of the Company are expected to: Promote positive work habits including effective and timely communication, teamwork and respect for co-workers. Contribute to providing the highest quality of products and services to customers.
SALES REPRESENTATIVE - TPA Aultman Alliance Community HospitalSALES REPRESENTATIVE - TPACANTON, OHAct as account representative for self-insured and state fund employers, advising clients regarding allowance or denial of claims, return to restricted duty, lump sum settlements, extent of disability, allowance or denial of additional conditions, treatment issues, independent medical exams, permanent partial disability objections, and hearing strategies. The Account Representative will also file motions, appeals, objections, lump sum settlement applications, and any other relevant correspondence with the Bureau of Workers Compensation and the Industrial Commission of Ohio, act as a liaison between the Customer and the Manager, and generate administrative billing.
Psychiatric Nurse Practitioner (PMHNP) NewVista Behavioral HealthPsychiatric Nurse Practitioner (PMHNP)Canton, OhioAt New Vista, our passionate and highly trained team of professionals inspires hope and delivers holistic care to those in need of behavioral health services in a contemporary and healing environment – one that is conducive to providing the life skills needed to regain stability and independence. Participate as needed in probate, guardianship, forced medication, and other legal hearings as needed for patient care purposes, as well as provide second opinions as needed or requested by providers, courts, or patients.
Medical Equipment Customer Service Representative Rotech Healthcare Inc.Medical Equipment Customer Service RepresentativeGirard, OhioWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
Medical Assistant - Alliance Advanced Optima DermatologyMedical Assistant - Alliance AdvancedAlliance, OHPosition Details: The LPN/LVN is a licensed practical/vocational nurse, The LPN is provided with the education and skills of focused assessments, medication administration, patient education, and general nursing education. Accurately obtains vital signs, elicits information about the patient''s basic health status, administers relevant nursing care within scope of practice and as directed, and documents as appropriate in the electronic health record.
MEDICAL ASSISTANT - CARDIOLOGY & ELECTROPHYSIOLOGY Independence Health SystemMEDICAL ASSISTANT - CARDIOLOGY & ELECTROPHYSIOLOGYNew Castle, PAFull Time: $2,000 SIGN-ON BONUS The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements.