Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistFairborn, 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.
Associate Specialist, Patient Access Ensemble Health PartnersAssociate Specialist, Patient AccessFairborn, OhioResponsible 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.
Senior Patient Access Specialist -3rd Shift Ensemble Health PartnersSenior Patient Access Specialist -3rd ShiftFairfield, 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 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.
Claims - No-Fault Litigation Specialist I - IV Cincinnati Financial CorporationClaims - No-Fault Litigation Specialist I - IVFairfield, OH$60,000–$95,000 / yearShare your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. The No-Fault Unit is currently seeking a litigation specialist to handle and supervise auto med pay and PIP features of Casualty claims.
Specialist - Patient Acct Rep I Lindner Center of HopeSpecialist - Patient Acct Rep IMason, OhioRep I - Specialist, Patient Acct FTE: 1.0 (40 hours) Shift: Days Req: 1813 About Us: The Lindner Center of Hope is a nonprofit, comprehensive mental health center and global leader offering state-of-the-science diagnosis and treatment of the most pervasive mental illnesses of our time. At Lindner Center of Hope, you’ll have the opportunity for a consistently rewarding career, working for an organization that shares your desire and ability to make a demonstrable difference in the lives of people living with mental illness.
NewMedical 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.
NewOperations Escalation Specialist LexisNexisOperations Escalation SpecialistDayton, OhioOur company has been a long-time leader in deploying AI and advanced technologies to the legal market to improve productivity and transform the overall business and practice of law, deploying ethical and powerful generative AI solutions with a flexible, multi-model approach that prioritizes using the best model from today’s top model creators for each individual legal use case. LexisNexis Legal & Professional, which serves customers in more than 150 countries with 11,800 employees worldwide, is part of RELX (http://www.relx.com), a global provider of information-based analytics and decision tools for professional and business customers.
DRG Clinical Auditor Principal Elevance HealthDRG Clinical Auditor PrincipalMason, OhioSpecializes 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 Clinical 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.
NewAccounting/Contracting Specialist Applied OptimizationAccounting/Contracting SpecialistFairborn, OhioManage all accounting functions with attention to detail, due diligence, and accuracy for the company including budgeting, forecasting, accounts payable, accounts receivable, billing, inventory, general ledger, payroll and tax records, cost proposals, government property, special projects, and contract profitability for a service-based company. Responsive recruiter Applied Optimization (AO) Job Description Job Title: Contracts/Accounting Specialist Reports to: President FLSA Status: Full-Time (Exempt) Department: G&A Position Objective: · Manage contracts administration for all phases of contract lifecycle, from pre-proposal to contract closeout.
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.
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.
Medical Claims Coordinator/Processor Tailored ManagementMedical Claims Coordinator/ProcessorMASON, OH$22.55 / hourUtilize 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.
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.
Team Lead Access Specialist- Main Campus- Full Time Dayton Children's HospitalTeam Lead Access Specialist- Main Campus- Full TimeDayton, OHAssist supervisor and manager in optimizing processes for registration, pre-registration, pre-service estimate and point of service collections, and optimal patient experiences. Assist supervisor and manager in developing methods that aid process improvement and efficiencies resulting in accurate pre-registration, registration and denial prevention.
Front Desk Receptionist Gameday Men's Health - CentervilleFront Desk ReceptionistCenterville, OH$20–$24 / hourFull timeADMINISTRATIVE / BILLING • Own billing including process payments, resolve declined payments same day • Maintain accurate patient records across our scheduling and patient management systems • Manage patient intake forms and data accuracy • Support vendor coordination and day-to-day operational needs. PATIENT-FACING • Greet patients and manage check-in/check-out • Answer phones and respond to texts and emails same day • Schedule, confirm, and manage all appointments • Field new patient inquiries and manage the lead pipeline • Run patient retention touchpoints per the retention cadence |.
Collections Specialist Element Materials TechnologyCollections SpecialistFairfield, Ohio$20–$25 / hourFrom early R&D, through complex regulatory approvals and into production, our global laboratory network of scientists, engineers, and technologists support customers to achieve assurance over product quality, sustainable outcomes, and market access. Skills / Qualifications: Minimum 3 years of experience in multi-site / location collections role (or 1 year experience and college degree, preferably with accounting or accounting related major) .
Dental Office Manager I4DentallabDental Office ManagerTrenton, OHA dental office manager in Trenton, Ohio oversees daily practice operations, team leadership, billing, and patient care coordination. Position OverviewWe are seeking an experienced, motivated Dental Office Manager to lead the daily operations of our private practice in Trenton, OH.
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.
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.
Claims - HQ Work Comp Specialist I Cincinnati Financial CorporationClaims - HQ Work Comp Specialist IFairfield, OH$45,000–$65,000 / yearShare your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges, and develop your skills, then Cincinnati may be the place for you.