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.
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.
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.
Billing Coordinator WilmerHaleBilling CoordinatorMiamisburg, OHFull timeOur lawyers work at the intersection of government, technology and business, and we remain committed to our guiding principles of providing quality, excellent legal and client services; developing diversity among our lawyers and staff and cultivating an environment that promotes an ambitious spirit, collaboration and collegiality by drawing on the extraordinary talents and dynamic experience of our lawyers. Review Outside Counsel Guidelines Finance Summary and make required edits to client and matter maintenance records in Elite 3E as directed to ensure adherence to Outside Counsel Guidelines (OCGs) and any negotiated rate agreements.
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.
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.
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).
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.
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.
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.
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.
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.
Staff Accountant Client ChallengeStaff AccountantDayton, OhioPOSITION SUMMARY: We are seeking a highly organized, proactive, and detail-oriented Staff Accountant to support the firm’s internal accounting operations, with primary responsibility for accounts payable administration, vendor management, expense processing, cash application and general ledger support. As a Staff Accountant, you will be responsible for: Accounts Payable & Vendor Management Manage the firm’s accounts payable process, including invoice review, approval workflow management and accurate coding of expenditures.
Epic Denials Management Operator DeloitteEpic Denials Management OperatorDayton, OH$70,000–$90,000 / yearJoin Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes.
Epic Denials Management Coordinator DeloitteEpic Denials Management CoordinatorDayton, OH$50,000–$60,000 / yearJoin Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes.
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.
MDS Coordinator Trotwood Health & RehabMDS CoordinatorDayton, OhioTo facilitate timely receipt of validation reports, will transmit as frequently(daily) as necessary to obtain timely validation of MDS acceptance into the Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) System data base. Provides a schedule of ARDs and assessment types weekly and as needed to the interdisciplinary team (IDT) in order to facilitate the timely completion of MDS sections and CAAs (Care Area Assessments) by each discipline.