Offer summary

Qualifications:

High school diploma or GED required, AS preferred., 1-2 years of medical billing experience required., Proficiency in computer systems and experience with claim denials preferred., Familiarity with Epic billing software is a plus..

Key responsabilities:

Manage all billing and collection activities for assigned patient accounts from claim submission to final payment.

Conduct research and communicate with patients, insurance companies, and third-party payers regarding billing issues.

Review payment accuracy, follow up on denied claims, and coordinate benefits with guarantors.

Maintain accurate documentation and stay updated on payer billing requirements to ensure compliance.

Job description

Facility:

Work From Home - Ohio

Department:

Patient Accounts - Billing

Schedule:

Full time

Hours:

Job Details:

Responsible for all billing and collection activity for assigned patient accounts from date of initial claim submission to accurate final account payment and ultimate zero balance. This may include research and contact with patient, guarantor, insurance companies, Medicaid/Medicare and/or other third party payers. Responsible for billing of account, review of payment accuracy, account research and follow up. Efforts may include financial, clinical or demographic account correction, coordination with service providers and payers, research for denied payments, rebilling of account, coordination of benefits with guarantors and timely follow up of payment. Also may include processing of credit balances and rebilling of patient accounts as needed in order to obtain hospital payment for services. Provides oversight of assigned aging reports including credit balances and utilizes automated Health Information System(s) for account review, claim status and account documentation. Must stay current on all payer/Medicare/Medicaid billing requirements which may include attending seminars or other professional development activities. Maintain high level of accuracy and assures compliant billing of claims. Communicates payer trends impacting revenue to supervisor.

Department Specific Job Details:

We are looking for a highly motivated self-starter who can take initiative in researching and resolving denied claims and billing errors. This role requires a proactive approach to problem-solving, with the ability to investigate discrepancies, identify root causes, and implement solutions to improve billing accuracy. The ideal candidate will have a strong attention to detail, excellent organizational skills, and the determination to independently address challenges and drive continuous improvement in our billing processes.

Shift: