Billing Specialist - Patient Accounting - FT 1.0 (80 hrs biweekly)

RiseMe; Reno (OH); On-site; USD 38,000 - 60,000; Full time

Benefits offered by this job

Benefits package

Job summary

Memorial Health System in Reno, OH, is seeking a Billing Specialist to handle accurate medical claims processing via Meditech, ensuring timely reimbursement and compliance. The role requires CMS/payer knowledge, attention to detail, and collaboration with clinical and registration teams.

The position emphasizes integrity, patient service using AIDET principles, and adherence to internal policies while supporting audits and continuous improvement. Full-time on-site role with competitive benefits.

Qualifications

• High School Diploma or GED required.
• 2+ years of hospital/medical office or clinic experience in healthcare.
• 1 year of billing experience preferred.
• Experience with Medicare/Medicaid claim processes and payer portals.
• Proficient with Meditech billing and revenue cycle modules.
• Knowledge of CMS billing requirements and encounter-based billing.
• Strong problem-solving and attention to detail.
• Ability to work independently and with a team, and handle inquiries with professionalism.
• Typing speed around 40 wpm; solid communication skills.

Responsibilities

• Prepare, review, and submit claims using Meditech platform.
• Ensure compliance with federal and payer regulations.
• Monitor claim status; follow up on unpaid/denied claims.
• Collaborate with clinical, coding, and registration teams to resolve issues.
• Maintain documentation for audits; support compliance efforts.
• Utilize reports to track productivity, aging, and reimbursements.
• Respond to internal/external billing inquiries promptly.
• Stay updated on CMS guidelines and payer updates.

Skills

Meditech billing

CMS billing requirements

Billing troubleshooting

Independent work

Telephone communication

Typing 40 wpm

MS Word & Excel

Customer service

Confidentiality

Education

High School Diploma or GED

CPB/CMRS/CPC certification preferred

Tools

Meditech

Microsoft Word

Microsoft Excel

Job description

Job Details: Job Location: Reno 27823 State Route 7 - Reno, OH, Position Type: Full Time, Salary Range: Undisclosed, Job Shift: 8-Hour Day Shift, Job Category: Clerical Support, In an environment of continuous quality improvement, the Billing Specialist is responsible for the accurate and compliant processing of medical claims using the Meditech billing platform. This role ensures timely reimbursement by applying appropriate billing practices, revenue codes, and modifiers in accordance with CMS guidelines and payer-specific requirements. The specialist monitors claim status, resolves discrepancies, and collaborates with clinical, coding, and registration teams to support the financial health of the organization. This position demands a strong understanding of Medicare, Medicaid, and commercial insurance policies, as well as an ongoing commitment to ethical billing, customer service excellence using AIDET principles, and continuous improvement. The Billing Specialist also contributes to compliance and audit readiness through detailed documentation and adherence to internal policies and federal regulations. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

Job Functions

• Follows ethical billing practices.
• Exhibits exceptional customer service skills, utilizing AIDET.
• Maintains compliance with patient accounting policies and procedures.
• Completes special projects as assigned.
• Maintains a comprehensive awareness of all insurance company updates including Federal and State guidelines.
• Prepare, review, and submit accurate and complete claims through the Meditech billing platform, ensuring compliance with federal and payer-specific regulations.
• Apply appropriate revenue codes, encounter-based billing practices, and modifiers according to CMS guidelines.
• Monitor claim status, follow up on unpaid or denied claims, and take corrective actions to ensure timely reimbursement.
• Coordinate with clinical, coding, and registration teams to resolve billing discrepancies or documentation issues.
• Utilize Meditech tools and reports to track billing productivity, aging accounts, and reimbursement trends.
• Maintain current knowledge of billing rules and payer requirements, especially for Medicare and Medicaid programs.
• Assist in the posting of payments, adjustments, and refunds within Meditech as needed.
• Respond to internal and external billing inquiries, including those from patients, clinic staff, and insurance carriers.
• Contribute to compliance efforts and support audits by maintaining thorough documentation and following established policies.
• Participate in ongoing system training and process improvement related to Meditech updates and billing changes.
• Assumes all other duties and responsibilities as necessary.

Qualifications

• Minimum Education/Experience Required: High School Diploma or GED required.
• Minimum of 2 years of experience in hospital, medical office or clinic setting in healthcare required.
• Minimum of 1 year of experience with billing preferred.
• Certification such as Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS), or Certified Professional Coder (CPC) preferred.
• Experience with Medicare and Medicaid claim processes and payer portals and understanding of RHC cost reporting and its connection to billing preferred.

Special Knowledge, Skills, Training

• Hands-on experience with Meditech billing and revenue cycle modules.
• Strong knowledge of CMS billing requirements, including encounter-based billing and wrap-around payments, familiarity with both 1500 and UB-04 claim forms.
• Excellent problem-solving skills and attention to detail.
• Ability to work independently and collaboratively in a team environment.
• Needs good telephone voice and skill in handling business transactions, including irate patients; ability to work with computerized system, also basic clerical and interpersonal skills and typing at 40 wpm.
• Ability to read, understand and follow oral and written instructions.
• Computer skills, including but not limited to Microsoft Word and Excel.
• Excellent organizational, time management, and customer service skills.

Compensation Details

• Education, experience, and tenure may be considered along with internal equity when job offers are extended.

Benefits

• Memorial Health System is proud to offer an affordable, comprehensive benefit package to all full time and flex time employees. To learn more about the many benefits we offer, please visit our website at www.mhsystem.org/benefits.

Bonus Eligibility

• Available to qualifying full or flex time employees. Eligibility will be determined upon offer.

Memorial Health System is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at https://www.ocio.usda.gov/document/ad-3027, or at any USDA office, or call [phone] to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, D.C. 20250-9410, by fax [phone] or email at [e-mail].

* Memorial Health System is a federal drug-free workplace. This policy prohibits marijuana use by employees.