Billing Specialist

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

Job summary

OhioHealth in Columbus, OH is seeking a detail-oriented Medical Billing Clerk to manage submission of claims, handle payer edits, and follow up on adjudication with accuracy and efficiency.

You will review patient insurance information, communicate with payers and hospital departments, and assist in resolving unpaid accounts while maintaining compliance and quality standards in a high reliability organization.

Qualifications

• High School diploma or GED required.
• At least 1 year experience in similar billing work.
• Ability to analyze and correct denied/rejected claims.

Responsibilities

• Submit medical claims to the appropriate payer and follow up on adjudication.
• Address payer rejections and denials; resolve issues with payers.
• Review patient insurance information for accuracy and update as needed.
• Collaborate with payer representatives and hospital departments to complete accounts.
• Identify trends and payer issues to management for process improvement.
• Maintain safety, quality, and efficiency in daily billing duties.

Skills

Analytical skills

Attention to detail

Communication skills

Organizational skills

Education

High School Diploma or GED

Tools

Medical billing software

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 timeMinimum Qualifications:High School or GED (Required)Additional Job Description:SPECIALIZED KNOWLEDGEThe 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:DayScheduled Weekly Hours :40DepartmentPatient AccountsJoin 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 industryEqual Employment OpportunityOhioHealth 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 employmentRemote Work Disclaimer:Positions marked as remote are only eligible for work from Ohio .