Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNTrotwood, OHOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
BILLING & CODING COMPLIANCE ANALYST Premier Health PartnersBILLING & CODING COMPLIANCE ANALYSTDayton, OHCCS - Certified Coding Specialist An AHIMA credential for advanced-level coders skilled in inpatient and outpatient coding, data quality, and DRG assignment. Definitions: RHIA - Registered Health Information Administrator A credential from AHIMA for professionals who manage health information systems, ensure data integrity, oversee compliance with privacy laws, and often hold leadership roles in HIM departments.
NewMedical 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.
NewPI Medical Coding Reviewer II (CPC, RHIT or RHIA required) CareSourcePI Medical Coding Reviewer II (CPC, RHIT or RHIA required)Dayton, OH$54,500–$87,300 / yearJob Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of medical record audit activities, dispute support as needed, medical records work queues as well as claim reviews for provider pre-payment and post-payment functions. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
NewMedical 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.
LEAD MEDICAL BILLING SPEC-REMOTE Premier Health PartnersLEAD MEDICAL BILLING SPEC-REMOTEOHRemoteEnsure Team Members are completing tasks/job functions timely • Coders receive charges from centers • Coders code charges within 1 day/24 hours of receipt of charge from centers • Coded charges/charge slips to Charge Entry team same day as coding completed • Charge Review team defers any charge not accepted with notes indicating why the charge is deferred b. Faxes, mail, and courier items distributed immediately (utilizing mail boxes at front door rather than interrupting staff at work stations) • Charges received via fax are batched using a Batch cover sheet • Batch is logged into the Extraction Log on the CBO Shred Drive • Batch is delivered to the correct coding staff member's mailbox b.
MEDICAL BILLING SPECIALIST II- Premier Health PartnersMEDICAL BILLING SPECIALIST II-OHThe Medical Billing Specialist works to ensure timely and accurate reimbursement on medical claims for physician services rendered. This position will submit claims utilizing insurance carrier guidelines and will also follow up on submitted claims that are unpaid, rejected, or denied.
Medical Billing Manager Dayton Center for Neurological DisordersMedical Billing ManagerCenterville, OhioEducation/Experience: Required: High School diploma and 5 years of Medical Office Billing experience Preferred: Degree or Certificate in Medical Office Billing Required: Billing/Coding Certification (Preferred Certifications: CPC, CPB,CPMA, CPCO) Language Ability: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Certificates and Licenses: Valid Driver's License Equipment: Multi-line telephone Facsimile machine Copier Postage meter Calculator Computer Printer Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
SUPERVISOR: MEDICAL BILLING Premier Health PartnersSUPERVISOR: MEDICAL BILLINGOHAn effective Senior Team Lead will provide guidance to their team based on management direction, will use their experience and knowledge of the tools the team uses (e.g., EPIC), policies, and guidelines to educate team members, will identify areas for improvement systematically and within their team, and will communicate directly with management the status of resolved and outstanding issues/roadblocks within the team. A Team Lead should actively seek and seize opportunities for improvement, should be willing to take on additional responsibilities, assignments, and projects when needed, should be committed to organizational goals and be willing to put forth extra effort to reach organizational goals.
BILLING QA COMPLIANCE SPEC Premier Health PartnersBILLING QA COMPLIANCE SPECOHGeneral Summary/Responsibilities: Under the general direction of the Supervisor Patient Financial Services this employee is responsible for the review of Inpatient and Outpatient accounts for billing and coding compliance for Patient Financial Services (PFS). The specialist is also responsible for understanding reimbursement aspects of the revenue cycle and will work to ensure Premier Health receives the appropriate reimbursement for charges billed.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerOHRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help 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. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Billing Patient Account Representative CompuNet Clinical Laboratories LLCBilling Patient Account RepresentativeOHPosition 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, cash application, account adjustments/ refunds; 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. Responsibilities: Maintain organized workflow to allow efficient processing of accounts and to enable smooth transition of job duties during absences.
Professional Coding Fee Analyst Dayton Children's HospitalProfessional Coding Fee AnalystOHJob Details: Ensures the accuracy, efficiency, and maximum financial return of Dayton Children''s professional billing claims for reimbursement. Ensures billing compliance; maintains knowledge of CPT and ICD-10 coding guidelines, as well as Medicare/Medicaid billing rules and regulations.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorOH$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorOH$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
MEDICAL CENTER REPRESENTATIVE Premier Health PartnersMEDICAL CENTER REPRESENTATIVEDayton, 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.
NewLicensed Practical Nurse or Medical Assistant TriHealth IncLicensed Practical Nurse or Medical AssistantWilmington, OHJob Overview: This position provides both direct and indirect patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up. Documents all aspects of care accurately, including clinical calls, rooming questions, procedures, orders, prescriptions, pharmacy coordination, and workflow tasks; manages MyChart and patient messages in a timely manner.
Director, Pharmacy Clinical Strategy(Preferred Experience in Medical Drug Management Strategy) CareSourceDirector, Pharmacy Clinical Strategy(Preferred Experience in Medical Drug Management Strategy)Dayton, OH$135,600–$237,400 / yearJob Summary: The Director, Pharmacy Clinical Strategy leads the strategic development of formulary management best practices & industry-leading, market-competitive formulary and medical drug strategies across all CareSource lines of business and markets. Essential Functions: Ensures the efficient operational management of the formulary and medical drug management and clinical policy/criteria development teams with emphasis on execution, outcomes, continual improvement and performance enhancement.
Medical Assistant, Neurology, Full Time, First Shift UC HealthMedical Assistant, Neurology, Full Time, First ShiftDayton, OHReturn routine patient telephone calls such as prescription refills or pre-certification for medication as directed from the Electronic Medical Record with appropriate and timely documentation regarding actions taken. Obtain vital signs, EKG's, laboratory specimens and other necessary information as required for proper evaluation of patient in accordance with the Medical Assistant competencies utilizing universal precautions at all times.
Medical Assistant, Primary Care, Fulltime, First Shift UC HealthMedical Assistant, Primary Care, Fulltime, First ShiftTrenton, OHReturn routine patient telephone calls such as prescription refills or pre-certification for medication as directed from the Electronic Medical Record with appropriate and timely documentation regarding actions taken. Obtain vital signs, EKG's, laboratory specimens and other necessary information as required for proper evaluation of patient in accordance with the Medical Assistant competencies utilizing universal precautions at all times.
Medical Assistant, Primary Care, Full Time, First Shift UC HealthMedical Assistant, Primary Care, Full Time, First ShiftTrenton, OHMembers of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations.
Medical Assistant (MA), Neurology, Full Time, First Shift UC HealthMedical Assistant (MA), Neurology, Full Time, First ShiftDayton, OHReturn routine patient telephone calls such as prescription refills or pre-certification for medication as directed from the Electronic Medical Record with appropriate and timely documentation regarding actions taken. Obtain vital signs, EKG''s, laboratory specimens and other necessary information as required for proper evaluation of patient in accordance with the Medical Assistant competencies utilizing universal precautions at all times.
FLOAT: MEDICAL CENTER REP Premier Health PartnersFLOAT: MEDICAL CENTER REPDayton, OHMedical Receptionists for Premier Health Physician Companies are responsible for patient relations, general clerical, reception, billing and collection functions, referrals, patient registration, and other duties as assigned. Reliable transportation and the ability to effectively manage change will be an essential component of the success in the Medical Center Receptionist Float position.
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.
NewTeam Lead, Program Integrity (Triage) CareSourceTeam Lead, Program Integrity (Triage)Dayton, OH$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: The Team Lead, Program Integrity drives and encourages innovative investigative processes and workflows to reduce turnaround time and produce positive investigative outcomes.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistFairborn, 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.
Patient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNOH$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 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.
Practice Manager II Heart & Vascular Kettering Health NetworkPractice Manager II Heart & VascularKettering, OHEnsures a smooth and efficient operation of the practice to include, but not limited to, hiring and training staff, working with the physicians daily, monitoring and controlling costs, assuring accurate and timely charge capture and edit/error work queue resolution, and overseeing staff productivity. Manages the practice to include front desk procedures, bookkeeping, patient billing, office/clinical supplies, petty cash operation, budget, collections, insurance, and evaluates work process and patient service issues for continuous improvement opportunities.
Clinical Team Lead - RN Otterbein SeniorLifeClinical Team Lead - RNLebanon, OHSpecifically monitors for submission of the admission paperwork, medications being entered in the EMR, messages being sent to the coders when a document is ready for coding, care needs, orders and visit frequencies have been entered on the plans of care, post admission reviews of visit frequencies occur within the benchmarks or justifiable exceptions. In supporting and under the direction of Clinical Director/Clinical Manager, this position supports all patient care services and personnel including nursing, home health aide, medical social work, physical therapy, speech-language pathology and occupational therapy staff and contractors for the Medicare certified home health agency.
Patient Account Representative Dayton Center for Neurological DisordersPatient Account RepresentativeCenterville, OhioThis person will communicate with patients, and coworkers, and practice leadership by answering a busy telephone queue, emails, chat messages, and TEAMs messages to assist with any questions regarding balances, billing, collections and reimbursement. The primary function of this position will be to be the main point of contact for patients that are calling in to the practice to discuss their balances, collect payments over the phone, set up payment plans, etc.
NewPFS Call Center Representative - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Call Center Representative - 40 hrs/wk, 1st shiftDayton, OHRegularly 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.
NewClinical Support Spec I - IS AMBULATORY INFO Kettering HealthClinical Support Spec I - IS AMBULATORY INFOMiamisburg, OHRemoteProvides on-site training and/or support for physicians, providers, clinicians, and staff by traveling to provider offices, hospitals, hospital clinics, community health centers, and various other locations. - Ensure the effective implementation and utilization of electronic health records (EHRs), computerized physician order entry (CPOE) systems, clinical decision-support tools, and other relevant technologies.
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.
PATIENT FINANCIAL ADVOCATE - HYBRID Premier Health PartnersPATIENT FINANCIAL ADVOCATE - HYBRIDDayton, OH3-5 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.
Home Health Account Executive-Dayton UnitedHealth Group IncHome Health Account Executive-DaytonKettering, OHClinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Front Desk Receptionist US Foot and Ankle Specialists CareersFront Desk ReceptionistDayton, OhioThis role is responsible for a wide range of tasks, including patient service, appointment scheduling, data entry, electronic health record (EHR) management, and patient education. Facilitate patient flow by notifying providers of arrivals, monitoring delays, and communicating updates to patients and staff.
NewSoftware Administrator - On Site Goodwill Easter Seals Miami ValleySoftware Administrator - On SiteDayton, OHConstruct system configuration changes, including (but not limited to): Flow, assignment rules, approval processes, fields, page layouts, record types, apps, actions, custom settings, mobile administration, dashboards, reports, activities, procedures, modifiers, fee matrices, and payers. The employee must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job and/or apply for the position, absent undue hardship.
Front Desk Receptionist US Foot & Ankle SpecialistsFront Desk ReceptionistDayton, OHPart timeThis role is responsible for a wide range of tasks, including patient service, appointment scheduling, data entry, electronic health record (EHR) management, and patient education. Facilitate patient flow by notifying providers of arrivals, monitoring delays, and communicating updates to patients and staff.
NewOracle Developer National Fuel Gas CoOracle DeveloperDayton, OH$80,000–$105,000 / yearPREFERRED QUALIFICATIONS: Candidates who specialize in one or more of the following areas: HCM Focus: Experience supporting Oracle Fusion HCM modules (Core HR, Payroll, Talent, Benefits, Security). This job posting contains a pay range, which represents the range of pay that National Fuel believes, in good faith, at the time of this posting that it might be willing to pay for the posted job.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical Care AG & Co KGaADialysis Clinical Manager Registered Nurse - RNTrotwood, OHOther: Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
PHYSICIAN ADVISOR Premier Health PartnersPHYSICIAN ADVISORDayton, OHThe Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that documentation accurately reflects the clinical complexity, severity of illness, and quality outcomes of Premier Health's patient population. The Physician Advisor - CDI, Coding & Quality serves as a key clinical leader supporting Premier Health's goals to advance documentation accuracy, revenue integrity, and quality performance across the health system.
Staff Physician University of Dayton, OhioStaff PhysicianDayton, OhioUse your superb medical skills to empower the next generation of leaders: Join a vibrant, mission-driven team dedicated to supporting student success and holistic wellbeing through compassionate, high-quality health care at the University of Dayton Student Health Center. - Performing common minor office procedures, such as suturing lacerations, removing foreign bodies, treating warts, performing toenail surgeries, or performing excision/biopsy of minor lesions.
Botulinum Toxin Coordinator Dayton Center for Neurological DisordersBotulinum Toxin CoordinatorCenterville, OhioDocuments detailed cases of the authorization process for each patient, contacting patients’ insurance if authorization is ineligible, errored or as needed, verifying scheduling accuracy and appropriate notes are placed, scheduling consults appropriately based on diagnosis, scheduling recheck appointments as needed, confirming all botulinum toxin appointments with patients, assisting botulinum toxin clinical team as needed for administrative duties, monthly patient ordering for botulinum toxin which includes the following: running reports on patient appointments, sending correspondence to patients via patient portal, creating patient cases regarding deliveries, initiating deliveries as needed with pharmacies, patient reminder for deliveries/consent for and setting deliveries and determining total patient count for scheduling templates with the scheduling supervisor (or operations manager) as needed, iniating new start start orders by calling insurance to start authorization, calling pharmacy to start delivery process, educating patient on process and saving cards. Education/Experience: Required: High School diploma and 2 years of medication and/or procedure prior authorization experience Preferred: Medical Billing Diploma/Certification Certificates and Licenses: Valid Driver's License Preferred: Medical Billing Certificate Language Ability: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Coordinator Occupational Health - Fairborn Citran Mercy HealthCoordinator Occupational Health - Fairborn CitranFairborn, OHThis position plays a key role in the coordination of various occupational health services including, but not limited to, drug screening, substance abuse testing, workers compensation assessments and beyond. Maintains appropriate inventory of all laboratory and testing supplies to perform services such as, but not limited to, vision & hearing screenings, spirometry, EKG, drug & alcohol screens, and more.