A/R Specialist

OhioHealth; Columbus (OH); On-site; USD 36,000 - 48,000; Full time

Job summary

OhioHealth is seeking a healthcare billing professional to submit medical claims, review payer edits, and follow up on adjudication. You will communicate with payers and occasionally with patients and hospital departments to obtain claim statuses.

The role emphasizes accuracy in denying and correcting claims, updating patient insurance, and coordinating with payer representatives to close accounts, with a focus on safety, quality, and efficiency as an HRO.

Qualifications

• High School diploma or GED required.
• At least 1 year of experience in similar work.
• No certification or licensure required.
• Strong analytical, communication, and organizational skills.

Responsibilities

• Review, analyze, and correct denied and rejected claims.
• Follow up on unpaid accounts to collect payment.
• Research payer correspondence and information from calls to ensure accurate accounts.
• Verify patient insurance information and update as needed.
• Collaborate with payer representatives to conclude accounts.
• Identify trends and payer issues for management reporting.
• Maintain focus on safety, quality, and efficiency as an HRO.

Skills

Analytical skills

Clear communication

Organizational skills

Detail oriented

Education

High School or GED

Job description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary:

This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims.

Responsibilities And Duties:

Performs accurate review, analysis, and correction of denied and rejected claims.

Performs follow-up on unpaid accounts to collect payment.

Research correspondence and information from phone calls with payers to ensure accurate account handing.

Reviews patient insurance information for accuracy making any necessary updates.

Works closely with payer representatives to bring accounts to completion.

Reports trends and payer issues to management.

As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.

The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time

Minimum Qualifications:

High School or GED (Required)

Additional Job Description:

SPECIALIZED KNOWLEDGE

• The position requires a high school level of skills plus at least 1 year experience with similar work.

• No certification or licensure required.

• The job requires analytical skills to gather and interpret data where the information or problems are not overly difficult or complex.

• This work also requires clear communication and organizational skills to prioritize and meet deadlines as needed.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

Patient Accounts

Join us!

... if your passion is to work in a caring environment

... if you believe that learning is a life-long process

... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Remote Work Disclaimer:

Positions marked as remote are only eligible for work from Ohio .