NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorSpringfield, OHRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorSpringfield, OHRemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
NewClinical Documentation Improvement Specialist Grand Lake Health SystemClinical Documentation Improvement SpecialistSt. Marys, OhioFacilitate modifications to clinical documentation through extensive concurrent interaction with physicians, nursing staff, other patient caregivers, and Coding staff to support that appropriate reimbursement, clinical severity of illness, and risk of mortality is captured for the level of service rendered to all patients. Licensure: Must possess a certification; Certified Documentation Expert Inpatient (CDEI), Certified Clinical Documentation Specialist (CCDS), or Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) with coding or clinical documentation integrity experience.
Practice Manager - Specialty Care Offices- Wilson Health Medical Group Wilson HealthPractice Manager - Specialty Care Offices- Wilson Health Medical GroupSidney, OHEmployer 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. 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.
Accounts Representative Grand Lake Health SystemAccounts RepresentativeSt. Marys, OhioPrepare, review, and submit electronic and paper claims to insurance carriers (Medicare, Medicaid, commercial payers). Communicate professionally with patients regarding billing questions and payment arrangements.
Accounts Receivable Specialist Dayton Physicians NetworkAccounts Receivable SpecialistVandalia, OHEssential Duties and Responsibilities: Reviews all outstanding claims filed to designated payers and/ or patient accounts for which payment or denial has not been received within 28 days of billing; Utilizes reporting capabilities of practice management system to generate reports and data used in working claims in the various aging buckets; Utilizes the capabilities of practice management system to correct and/or appeal as necessary; Utilizes the designated payer websites for effective follow-up and claim rebills; Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections; Attend webinars as well as various teaching seminars sponsored by designated payers; Receives from payment posting all zero pay and denied claims for research, correction and rebill, write-off, or transfer to patient responsibility; Contacts patients with regard to any unpaid claims; maintains accurate documentation within the practice management system of actions taken to resolve outstanding claims; Maintains compliance with FDCPA at all times; Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values; Other duties as assigned. Accounts Receivable Specialist requires knowledge of claims processing in a managed care environment, commercial payer environment along with government payers and knowledge of the Fair Debt Collections Practice Act (FDCPA) and other legal policies regarding collecting debt from patients.
PATIENT FINANCIAL ADVOCATE- HYBRID Premier Health PartnersPATIENT FINANCIAL ADVOCATE- HYBRIDOH3-5 years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in healthcare/medical setting or financial institution setting with oversight of functions such as processes credit applications; verify credit references and information; determines lines of credit. Other experience requirements: Overall knowledge of patient registration, third party collections, prior authorization, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts is preferred.
MEDICAL CENTER REPRESENTATIVE Premier Health PartnersMEDICAL CENTER REPRESENTATIVETROY, OHThe Medical Center Representative is responsible for general clerical, receptionist, billing, referrals, patient registration and customer service for the operation of the business office in a medical center. The MCR is responsible for daily scheduling, incoming calls, patient registration, billing/collection functions, and other duties as assigned.