Ambulance Billing Specialist - Jefferson Avenue Medical Office Building Bon Secours Mercy Health IncAmbulance Billing Specialist - Jefferson Avenue Medical Office BuildingToledo, OHMercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.
Pharmacy Prior Authorization and Billing Specialist ProMedica Health System IncPharmacy Prior Authorization and Billing SpecialistToledo, OHJob Summary: As a Pharmacy Prior Authorization and Billing Specialist, you will perform prior authorizations for medications through medical or pharmacy benefits as determined by the medication and payer, collaborate and communicate with providers and pharmacies to provide timely resolution of authorizations and denials, and may assist in securing patient financial assistance for patients who are under-insured or uninsured. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges.
Billing Specialist Unison HealthBilling SpecialistToledo, OhioThe role ensures accurate billing of all direct service staff activities to the appropriate payers, monitoring and resolving outstanding client balances, posting of payments, updating client accounts with insurance activity and maintaining accurate financial records. Provide professional customer service by responding to billing inquiries, preparing statements, and maintaining accurate financial documentation.
Billing Specialist Harbor, Inc.Billing SpecialistToledo, OHPart timeReceives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician. Education/Experience/Other Requirements : Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
Billing Specialist HarborBilling SpecialistToledo, OHEssential Job Competencies/Primary Duties: Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission for any additional information needed, and interprets information back to the client, payer and/or clinician. Education/Experience/Other Requirements: Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree.
Billing Specialist - 499085 University of ToledoBilling Specialist - 499085Toledo, OhioWith the exception of positions within University of Toledo Main Campus and the University of Toledo College of Medicine and Life Sciences, the employment offer is conditional upon successful completion of a cotinine test and Occupational Health clearance. To ensure the financial stability and lawfulness of the University of Toledo Medical Center by submitting timely and accurate billings for hospital services in compliance with Federal, State, local and private regulations.
Billing Specialist - 499464 University of ToledoBilling Specialist - 499464Toledo, OhioTo ensure the financial stability and lawfulness of the University of Toledo Medical Center by submitting timely and accurate billings for hospital services in compliance with Federal, State, local and private regulations. To provide knowledge and professional customer service to patients, guarantors and third party payers by assisting with questions and concerns relating to patient account billing.
Referral & Insurance Specialist – Jefferson Avenue Medical Office Building Bon Secours Mercy HealthReferral & Insurance Specialist – Jefferson Avenue Medical Office BuildingToledo, OHCollects all daily charge slips from the physician and reconciles the number of charge slips and their totals + Applies all payments to the appropriate patient account by posting each into the computer billing systems + Inputs all charge information into the online billing system + Assists with coding and error resolution as well as requesting needed information by working with the physician offices + Works with patients in resolving billing questions and patient account resolution + As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate. **Education:** High School Diploma or GED (required) **Licensure/Certification:** None **Experience:** 2-3 years of experience in a related medical field with experience in processing referrals (preferred) As a Bon Secours Mercy Health associate, you're part of a Mission that matters.
Referral & Insurance Specialist - Jefferson Avenue Medical Office Building Mercy HealthReferral & Insurance Specialist - Jefferson Avenue Medical Office BuildingToledo, OHMercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate.
MEDICAL CODER - CARDIOLOGY OFFICE - M-F (8-5) Toledo Clinic IncMEDICAL CODER - CARDIOLOGY OFFICE - M-F (8-5)Toledo, OHGeneral Summary: Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. • Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules, census/rounding sheets and appointment schedules.
Senior Patient Access Specialist - St. Vincent Medical Center Bon Secours Mercy Health IncSenior Patient Access Specialist - St. Vincent Medical CenterToledo, OHReviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information. Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.
Senior Patient Access Specialist - St. Vincent Medical Center Mercy HealthSenior Patient Access Specialist - St. Vincent Medical CenterToledo, OHReviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate including pre-registration of patient accounts prior to the patient visit which may include inbound and outbound calls to obtain demographic information, insurance information, and all other patient information. Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity or compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician order while utilizing an overlay tool and providing excellent customer service as measured by Press Ganey.
Fair Hearing - Medical Insurance Unison HealthFair Hearing - Medical InsuranceToledo, OhioMedicaid Appeals, Grievance & Fair Hearing Officer is a senior administrative and compliance role responsible for overseeing Medicaid grievances, appeals, and State Fair Hearing activities in compliance with 42 CFR Part 438. This position serves as the organization’s primary subject matter expert on adverse benefit determinations, authorization denials, continuation of benefits, and Ohio Medicaid State Fair Hearing preparation and representation.
Advanced Outpatient Presvc Spe - UHC Counseling Center - 499930 University of ToledoAdvanced Outpatient Presvc Spe - UHC Counseling Center - 499930Toledo, OhioRequests any non-covered patient collectibles such as coinsurance, deductibles, and copayments prior to service; Ensures that patients meet financial requirements and that insurance authorization requirements are met prior to services being rendered; Provides general information to hospital users, patients and families; Communicates effectively to service delivery areas to maximize patient flow and customer service outcomes both internally and externally. Performs complete and accurate patient appointment scheduling, account pre-registration, insurance verification and authorization functions either via electronic media collection or telephonic interview methods; works to provide patient information which maximizes reimbursement, achieves collection ratios, meets accounts receivable (AR) goals, and provides timely and through information to all other providers and users of patient data.
AP Specialist Vaco LLCAP SpecialistWalbridge, OH$22–$24Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
Hospice Nurse Practitioner Gentiva Health Services Inc (Inactive)Hospice Nurse PractitionerMonroe, MIComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Assistant, Associate, or Full Professor, Vascular Surgery - 499103 University of ToledoAssistant, Associate, or Full Professor, Vascular Surgery - 499103Toledo, OhioThe University is dedicated to the goal of building a culturally diverse and pluralistic faculty and staff committed to teaching and working in a multicultural environment and strongly encourages applications from women, minorities, individuals with disabilities, dual-career professionals and covered veterans. The Department of Surgery at the University of Toledo, College of Medicine, and Life Sciences is seeking an Assistant, Associate, or Full Professor in the Division of Vascular Surgery who is either board-certified or board-eligible in Vascular Surgery.
Patient Access Associate Specialist Ensemble Health PartnersPatient Access Associate SpecialistToledo, 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.
Senior Patient Access Specialist Ensemble Health PartnersSenior Patient Access SpecialistPerrysburg, OH$18.65–$19.90 / hourPatient 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.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistOregon, OH$17–$18.15 / hourFive-time winner of "Best in KLAS" 2020-2022, 2024-2025 Black Book Researchs Top Revenue Cycle Management Outsourcing Solution 2021-2022 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Groups RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024. • Ability to regularly walk from room to room and push a 10-pound mobile computer station throughout the entire shift • Experience: 1+ years of customer service experience • Minimum Education: High School Diploma/GED Required • Certifications: CRCR Required within 9 months of hire (Company Paid).
Hospice Nurse Practitioner Heartland HospiceHospice Nurse PractitionerWhitehouse, Ohio$46.34–$57.93 / hourComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Registered Nurse (RN) - Home Visits Help at Home LLCRegistered Nurse (RN) - Home VisitsToledo, OHAs the nation's leading provider of high-quality home care services, we empower our clients to live independently, safely, and with dignity in their own homes. Work closely with field nurses, aides, and other staff to assign cases, manage schedules, and oversee the timely completion of patient visits.
Registered Nurse (RN) - Home Visits Help at HomeRegistered Nurse (RN) - Home VisitsToledo, OhioFull timeOverview: As the nation’s leading provider of high-quality home care services, we empower our clients to live independently, safely, and with dignity in their own homes. Work closely with field nurses, aides, and other staff to assign cases, manage schedules, and oversee the timely completion of patient visits.
Manager - Outpatient Surgical Clinic Bridgeview Eye PartnersManager - Outpatient Surgical ClinicMaumee, OhioMonitors facility’s benchmarking, statistics, and financial reporting (i.e. accounts receivable, budget projections, wage percentage, operating expenses), recognizes trends and directs necessary changes. POSITION SUMMARY : The Practice Manager is responsible for the management, direction, supervision, and coordination of all practice activities within a large and dynamic Ophthalmology practice, except those directly involving professional medical judgment.
Manager - Outpatient Surgical Clinic Midwest Eye Services, LLC - OhioManager - Outpatient Surgical ClinicMaumee, OHPart timeMonitors facility’s benchmarking, statistics, and financial reporting (i.e. accounts receivable, budget projections, wage percentage, operating expenses), recognizes trends and directs necessary changes. POSITION SUMMARY : The Practice Manager is responsible for the management, direction, supervision, and coordination of all practice activities within a large and dynamic Ophthalmology practice, except those directly involving professional medical judgment.
NewPayment Poster Harbor, Inc.Payment PosterToledo, OHPart timeEducation/Experience/Other Requirements : Certificate in Medical Billing or an associate degree in business, healthcare, accounting, or closely related field required, or may substitute four years related experience in lieu of degree. Services ranging from counseling, pharmacological management, primary care, psychological testing, case management, substance use treatment, residential services, vocational program, and more!
Customer Service Associate - 501091 University of ToledoCustomer Service Associate - 501091Toledo, OHComputer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus. Fulfills the organization's mission of patient centered quality care by providing superior customer service to the patient community.
Customer Service Associate - 501091 UToledo Current EmployeeCustomer Service Associate - 501091Toledo, OhioComputer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus. Fulfills the organization’s mission of patient centered quality care by providing superior customer service to the patient community.