Billing Specialist

OhioHealth; Ohio; Hybrid; USD 25,000 - 33,000; Full time

Job summary

OhioHealth is seeking a dedicated Medical Billing Specialist to submit claims, handle insurance edits, and follow up on adjudication with payers and patients. You will work with hospital departments to obtain status and ensure timely payment. The role requires attention to detail, strong communication, and the ability to analyze denials and corrections.

A high school diploma or GED and at least one year in a similar role are expected. Day shift, 40 hours per week.

Qualifications

• High School or GED required.
• At least 1 year of similar billing experience.
• Analytical skills to interpret data and resolve issues.

Responsibilities

• 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.

Skills

Analytical skills

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.

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

Work Shift: Day Scheduled Weekly Hours : 40

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

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

Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.

About OhioHealth

WE Are Inspired to Do Our Best. OhioHealth is a nationally recognized, innovative healthcare system delivering world-class patient care in a supportive, professional environment filled with limitless opportunities to learn and grow. We are a unique organization in the healthcare field. Our model system of facilities encompasses a wide scope of expertise and care. For professionals, we are a place where people committed to doing their best are given the tools and resources to accomplish our mission every single day. OhioHealth is recognized as a Great Place to Work CertifiedTM organization. The Great Place to Work® is a global authority on high-trust, high-performance workplace cultures. This recognition is one measure of our success in achieving a part of our vision ̶ to be an organization "where people want to work".