Billing Representative | Patient Financial Services

Memorial-Health-Ohio; Marysville (OH); On-site; USD 40,000 - 55,000; Full time

Job summary

Memorial Health Ohio is seeking a Billing Representative for the Patient Financial Services team in Marysville, OH. The role focuses on accurate claims submission and effective coordination with payers while ensuring timely processing.

You'll work on-site, handling primary tasks such as Medicare/other payer coordination, COB, and accurate data entry. The position requires a high school diploma and hospital billing experience.

Qualifications

• High school diploma or equivalent is required.
• Three years' experience in a medical field, preferably in a hospital setting.
• Proficiency with Word, Excel, and PowerPoint.

Responsibilities

• Ensures insurance claims are sent timely and accurately to payer plans.
• Researches and resolves claim edits via Epic Work Queues and external billing software.
• Prepares and processes secondary and tertiary insurance claims with COB accuracy.
• Ensures compliance and billing requirements for WC and third-party liability claims.
• Submits claims with documentation using ROI module in HIS.
• Verifies and updates patient account demographic and financial information.
• Enters account notes detailing actions taken to reconcile claims.
• Works with hospital departments to ensure authorizations and charge data are in place.
• Coordinates with the CDM Coordinator to ensure implanted devices are billed correctly.
• Reviews Medicare CWF to determine primary payer per MSPQ.

Skills

Microsoft Word

Microsoft Excel

PowerPoint

Healthcare billing

Education

High school diploma or equivalent

Job description

Billing Representative | Patient Financial Services

Requisition Number : BILLI005141

• Posted : September 23, 2026
• Full-Time
• On-site

Locations

Showing 1 location

Memorial Hospital
Marysville, OH 43040, USA

Description

What You'll Do:

• Ensures insurance claims are sent timely and accurately to government, commercial and managed care plans, adhering to payer timely filing requirements
• Researches and resolves claim edits via Epic Work Queues (WQ) and/or external billing software, including electronic and paper processing
• Prepares and processes secondary and tertiary insurance claims completing coordination of benefit tables accurately reflecting prior payer reimbursement
• Ensures compliance and billing requirements for Worker’s Compensation (WC) and third-party liability claims are met
• Ensures claims submission with all appropriate documentation, using the Release of Information (ROI) module in Health Information System (HIS)
• Verifies and updates patient account demographic and financial information, processing Real-Time Eligibility (RTE); contacting account guarantor and/or payer as appropriate for demographic and financial clarification
• Enters complete and appropriate account note(s) in HIS identifying actions taken to reconcile claims
• Works various hospital departments to insure all authorizations, coding and charge information is in place to expedite clams processing and accurate account reimbursement
• Works directly with Charge Description Master (CDM) Coordinator to insure all implanted devices are accurate and included on the claim
• Reviews Medicare Common Working File (CWF) to determine primary payer based on Medicare Secondary Payer Questionnaire (MSPQ), as appropriate.

Requirements

High school diploma or equivalent and three (3) years’ experience in the medical field preferably in a hospital setting. Knowledge of revenue cycle functions, understanding of health insurance and government programs, billing processes, managed care contracts, coordination of benefits with ability to interpret explanation of benefits desired. Knowledge of office practices and procedures, medical terminology and the ability to communicate effectively. Must be proficient with Microsoft Word, Excel and PowerPoint.

Shift
1st

Hours
80 per pay (Every two weeks)

Location:

• Approx. 25 minutes away from Dublin, OH
• Approx. 30 minutes away from Hillard, OH
• Approx. 30 minutes away from Delaware, OH
• Approx. 30 minutes away from Powell, OH

It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.