Billing & AR Follow Up Specialist

Ashtabula Regional Medical Center; Ashtabula (OH); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Competitive salary package

Extensive benefits: medical, dental,  

Paid Time Off

PSLF program eligibility

Job summary

Ashtabula Regional Medical Center is seeking a Billing/Follow-up Specialist to manage claims submission and tracking with insurance companies. The role requires knowledge of medical billing practices, computer systems, and meticulous attention to detail, with a focus on accuracy and compliance.

This is a full-time on-site position in Ohio. You will work with patients and staff, resolve unpaid or unprocessed claims, monitor billing workflows, and ensure timely reimbursement.

Qualifications

• High school graduate or equivalent.
• Poses computer system knowledge.
• Knowledge of healthcare patient accounting and healthcare insurance coverage.
• Confidential and good communication skills, both verbal and written.
• Proper use of standard office equipment.

Responsibilities

• Timely and accurately submit clean claims to insurance companies.
• Maintain an understanding of third-party billing regulations and contract filing demands.
• Identifies problem accounts with third party payors; investigates, corrects errors and submit claims.
• Responsible for resolving outstanding and unpaid and/or unprocessed claims.
• Review accounts on a regular basis to insure timely filing and payment timeframes are not missed.
• Responsible for resolving outstanding claims by multiple avenues. (ie. phone calls, reviewing third party websites, or sending and receiving correspondence.)
• Utilize A/R reports and EOBs to identify and resolve outstanding third-party claims.
• Carry out job duties in full compliance with ACMC's Corporate Compliance Program and Code of Conduct.
• Perform other duties as assigned by management.

Skills

Medical billing knowledge

Computer literacy

Communication skills

Multitasking

Education

High school diploma or equivalent

Tools

Microsoft Office

Healthcare billing software

Job description

Billing/Follow-up Specialist

General Summary

• Prepare and submit clean claims to various insurance companies either electronically or by paper. Answer questions from patients, clerical staff and insurance companies regarding claims. Diligently follow up on claims to ensure proper processing. Knowledge of medical billing/collection practices required. Knowledge of computer programs required. Ability to multitask, be well organized and detail oriented.

Required Licensure or Certification

• None required.

Required Length And Type Of Experience

• Minimum 1 year of billing experience, preferably in a pharmacy retail setting.

Education, Knowledge, Skills And Abilities

• High school graduate or equivalent.
• Poses computer system knowledge.
• Knowledge of healthcare patient accounting and healthcare insurance coverage.
• Confidential and good communication skills, both verbal and written.
• Proper use of standard office equipment.

Required Physical And Environmental Demands

• Ability to sit for extended periods of time. Manual dexterity to use a PC for extended periods of time.

Responsibilities

• Timely and accurately submit clean claims to insurance companies.
• Maintain an understanding of third-party billing regulations and contract filing demands.
• Identifies problem accounts with third party payors; investigates, corrects errors and submit claims.
• Responsible for resolving outstanding and unpaid and/or unprocessed claims.
• Review accounts on a regular basis to insure timely filing and payment timeframes are not missed.
• Responsible for resolving outstanding claims by multiple avenues. (ie. phone calls, reviewing third party websites, or sending and receiving correspondence.)
• Utilize A/R reports and EOBs to identify and resolve outstanding third-party claims.
• Carry out job duties in full compliance with ACMC's Corporate Compliance Program and Code of Conduct.
• Perform other duties as assigned by management.

Benefits

• Competitive salary package
• Extensive benefit package including medical, dental, vision, and life insurance (Benefits on Day 1!)
• Accident & critical illness insurance
• Tuition Reimbursement
• Short-Term & Long-Term Disability Insurance
• Paid Maternity Leave
• Employee Assistance Program
• Paid Time Off
• Employee Wellness Plan that pays you for being healthy
• 403(b) and Roth Retirement Plan with company matching
• We are a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program which allows you to receive forgiveness of the remaining balance of your Direct Loans after you have made 120 qualifying monthly payments while working full-time for a qualifying employer