Medical Billing Specialist Equitas Health, Inc.Medical Billing SpecialistDayton, OH$23.56–$32.98 / hourPart timeWith 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.
Medical Billing Specialist Equitas HealthMedical Billing SpecialistDayton, OhioWith 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.
PFS Professional Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Professional Medical Billing Specialist (PRN)Riverside, OhioFull timeCorrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
PFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shiftRiverside, OhioFull timeCorrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Practice Manager - Specialty Care Offices- Wilson Health Medical Group Wilson HealthPractice Manager - Specialty Care Offices- Wilson Health Medical GroupSidney, OhioEmployer Direct Care Clinic – free medical care and pharmacy services for eligible employees and dependents •Free onsite employee fitness center •Generous paid time off beginning day one •Medical, Dental, and Vision Insurance (coverage begins day one) •HSA with employer contribution; FSA options available •Company-paid Life Insurance, Long-Term Disability, and Salary Continuation •Voluntary Accident, Critical Illness, Life, and AD&D Insurance •Industry-leading retirement plan with employer contributions starting day one •Tuition Assistance Program Job Summary The Practice Manager oversees daily operations and strategic performance of Specialty Care offices, ensuring high-quality patient care, efficient clinic workflows, engaged staff, and strong financial outcomes. Qualifications •Minimum of five years of experience in a healthcare setting •Minimum of three years of experience in a medical office management role •Associate’s or Bachelor’s degree in Management preferred •Specialty Care experience strongly preferred •Epic EMR experience preferred Mission, Vision & Values •Improve the health and wellness of the community through compassionate, quality care •Be a trusted, nationally recognized leader in innovative community health •Live the A.S.P.I.R.E.
Denials Management Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemDenials Management Specialist - 40 hrs/wk, 1st shiftRiverside, OhioFull timeThe specialist will work with multiple departments, including but not limited to, patient access, provider clinics, clinical departments, managed care, billing, coding, and compliance to resolve any outstanding issues which is preventing payments for covered services. The denials management specialist will assist in identifying denials trends, research payer policies, understand coding guidelines, and provide assistance in finding resolution to prevent identified denial trends.
HIM Coder Neuropsychiatric HospitalsHIM CoderHuber Heights, OhioFull timeOur hospitals provide patient-centered care through an interdisciplinary, multi-specialty approach, ensuring our patients receive the specialized support they need when they need it most. We dare to do things differently, bringing together compassionate care, specialized expertise, and an interdisciplinary approach to meet the unique needs of those we serve.
Billing Denials Representative CompuNetBilling Denials RepresentativeMoraine, OHLocated at our Core Lab (Moraine, OH)Full-time Day ShiftPosition Summary:Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data entry, third party billing and follow up; review denials and resubmit claims; answer incoming as well as place outgoing calls to both patients and clients while maintaining positive internal and external working relationships with patients, clients and third party payers. Working knowledge of Medicare and other third-party claims processing, ICD-10 and HCPCS/CPT coding, and medical terminology highly desirable.
Patient Care Coordinator Upperline HealthPatient Care CoordinatorDayton, OhioUpperline Health providers coordinate patients’ care among a team of specialists – physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients’ immediate and long-term health needs.â¯â¯. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Medical Billing Specialist CFSMedical Billing SpecialistDayton, OH$36,000–$46,000 / yearThe ideal Medical Billing Specialist is detail-oriented, self-motivated, and committed to delivering accurate, timely billing results. The Medical Billing Specialist independently manages assigned projects and follows them through to completion.
Patient Accounts - Billing Specialist - Full Time Wilson HealthPatient Accounts - Billing Specialist - Full TimeSidney, OhioWorks closely with Central Scheduling/Registration, Case Management and Medical Records regarding Denials for No Authorizations and/or Medical Necessity to secure appropriate documentation and/or diagnosis to submit a corrected claim or appeal . Wilson Health is looking for a direct hire Billing Specialist for our Patient Accounting Department located in Sidney, Ohio (North Dayton, Ohio) area.
Nurse Practitioner PriMEDNurse PractitionerDayton, OhioThe Nurse Practitioner (APP/NP) positively impacts the quality of patient care and the overall functioning of the organization through the application of advanced nursing knowledge and skills to improve the overall health of patients. Nurse Practitioner Education, Experience, and Qualifications: A Master’s degree in the profession of nursing from a National League of Nursing accredited college or university, with a minimum of one year of experience, preferably in a Family Practice Office environment.
PFS Call Center Representative (PRN) Blanchard Valley Health SystemPFS Call Center Representative (PRN)Riverside, OhioPart timeRegularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications. Collects patient payments made over the counter, over the phone, and by mail daily; properly records all payment types (e.g., cash, check, debit, credit) and transactions into the computer system.
PFS Call Center Representative - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Call Center Representative - 40 hrs/wk, 1st shiftRiverside, OhioFull timeRegularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications. Collects patient payments made over the counter, over the phone, and by mail daily; properly records all payment types (e.g., cash, check, debit, credit) and transactions into the computer system.
PFS Credit Balance Representative - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Credit Balance Representative - 40 hrs/wk, 1st shiftRiverside, OhioFull timeAfter review, if a refund is appropriate to either the patient or insurance company, a payment transfer is necessary, or a reversal or correction of contractual allowance or an administrative adjustment is warranted, the representative is responsible to correct the postings and/or refund the overpayment to the correct payer(s). Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications.
PFS Credit Balance Representative - 40 hrs/wk. Blanchard Valley Health SystemPFS Credit Balance Representative - 40 hrs/wk.Riverside, OhioFull timeAfter review, if a refund is appropriate to either the patient or insurance company, a payment transfer is necessary, or a reversal or correction of contractual allowance or an administrative adjustment is warranted, the representative is responsible to correct the postings and/or refund the overpayment to the correct payer(s). Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications.
Analytics Modernization Lead GuidehouseAnalytics Modernization LeadBeavercreek, OH$92,000–$153,000 / yearThe Analytics Modernization Lead will work closely with biostatisticians, epidemiologists, data scientists, and informaticists to ensure legacy analytic assets are modernized while preserving scientific integrity, analytical equivalence, and operational continuity. What You Will Do: Guidehouse is seeking an Analytics Modernization Lead to lead the modernization of analytic, surveillance, research, and reporting workflows through the adoption of modern statistical computing, automation, and open-source technologies.
Wound Care Nurse - RN- PRN Project RestorixWound Care Nurse - RN- PRNWilmington, OHWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcomesImplement physician orders accurately within appropriate time framesEducate and counsel patients and their families on wound care processes and issues. Qualifications: Associate degree in nursing, Bachelor of Science in Nursing required for Magnet HospitalsValid Registered Nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients (Will train)Prior experience with billing and coding preferred.
NewCertified Pharmacy Technician Specialist - Pharmacy - Springfield Regional Medical Center Mercy HealthCertified Pharmacy Technician Specialist - Pharmacy - Springfield Regional Medical CenterSpringfield, OHA Certified Pharmacy Technician Specialist will also spend a majority of their time on leading a specialized activity within the department which may include, but are not limited to some of the following specialist job functions: Patient Medication History Technician Specialist, Patient Medication Assistance Technician Specialist, Chemotherapy Intravenous (IV) Compounding Technician Specialist, Sterile IV Preparation Oversight Specialist, Research Technician Specialist, Surgery Technician Specialist, Pharmacy Inventory Specialist. Completion of ASHP/ACPE American Society of Health-Systems Pharmacists / Accreditation Council for Pharmacy Education, tech training program - or - pharmacy technician training via Armed Forces/Veterans Affairs - or respective state department approved career tech high school program (preferred).
Wound Care Nurse Lpn-Lvn - PRN Project RestorixWound Care Nurse Lpn-Lvn - PRNWilmington, OHWhat You'll Do: Provide patient care based on scientific principles/nursing theory and evidence-based practiceImplement physician orders accurately within appropriate time framesRecognize change in the patient's condition and intervene appropriatelyPrioritize nursing actions including reflecting patient needs, acuity, and desired outcome. Qualifications: Valid LPN nursing license requiredValid CPR certification from the American Heart Association requiredPrior experience working with wound care patients preferred (Will train)Experience with billing and coding preferred.