Billing & Follow-Up Lead — Claims Expert & Mentor

Ashtabula Regional Medical Center; Ashtabula (OH); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Competitive salary package

Extensive benefit package including医疗,

Job summary

Ashtabula Regional Medical Center seeks a Billing and Follow-up Lead to supervise timely, accurate claim submissions and resolutions in accordance with payer requirements and internal policies.

The role requires hospital/professional billing expertise, proficiency with relevant computer systems (EPIC preferred), strong organization, attention to detail, and the ability to manage multiple priorities while maintaining confidentiality and professionalism.

Qualifications

• Minimum three years of hospital or professional billing experience.
• Proficiency with computer systems used for hospital billing and patient accounting (EPIC preferred).
• Knowledge of healthcare patient accounting and health insurance coverage.
• Ability to maintain confidentiality and communicate effectively, both verbally and in writing.
• Ability to use standard office equipment properly.

Responsibilities

• Partner with Manager, Coordinator, and other Leads to identify training needs and assist in developing SOPs for the PFS department.
• Onboard, train, and mentor billing staff on complex claims and internal workflows.
• Monitor held claims to ensure timely submission.
• Conduct routine audits on accounts to ensure all billing and follow-up procedures are executed properly.
• Stay up-to-date on third-party billing regulations and contract filing demands.
• Prepare written documentation for proper billing and follow-up procedures.
• Identify problem accounts with third-party payers; investigate, correct errors, and resubmit claims.
• Resolve outstanding, unpaid, and/or unprocessed claims.
• Utilize A/R reports and EOBs to identify and resolve outstanding third-party claims.
• Perform all job duties in full compliance with ARMC’s Corporate Compliance Program and Code of Conduct.

Skills

Hospital billing

Attention to detail

Communication skills

Multitasking

Education

High school diploma or equivalent

Tools

EPIC

Job description

Ashtabula Regional Medical Center seeks a Billing and Follow-up Lead to supervise timely, accurate claim submissions and resolutions in accordance with payer requirements and internal policies.

The role requires hospital/professional billing expertise, proficiency with relevant computer systems (EPIC preferred), strong organization, attention to detail, and the ability to manage multiple priorities while maintaining confidentiality and professionalism.