Efficient Medical Claims Clearinghouse Specialist

Orthopedic One; Westerville (OH); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Orthopedic One is seeking an Accounts Receivable/Medical Claims Clearinghouse Specialist in Westerville, OH. The role focuses on accurate entry of physician and ancillary charges into the Claims Clearinghouse module and daily filing of provider claims.

Responsibilities include correcting claim errors, communicating with supervisors, maintaining submission logs, and producing trend reports while staying current with medical billing changes. Strong teamwork and customer service are essential.

Qualifications

• Minimum of high school diploma or GED. Five years of medical billing experience preferred.
• Ideal candidate will have experience in managing claims through clearinghouse.
• Strong attention to detail and accuracy in data entry.

Responsibilities

• Submit provider claims to clearinghouse daily.
• Correct claim errors for clean submissions on day of submission.
• Document daily claim submissions and rejections in logs.
• Communicate with supervisors to improve workflows and reduce errors.
• Create reports with supervisor to track trends in the Clearinghouse.
• Stay updated on changes in medical billing and coding.
• Assist with special accounts receivable projects.

Skills

Medical billing

Claims processing

Customer service

Teamwork

Education

High school diploma

Tools

Clearinghouse software

Job description

Orthopedic One is seeking an Accounts Receivable/Medical Claims Clearinghouse Specialist in Westerville, OH. The role focuses on accurate entry of physician and ancillary charges into the Claims Clearinghouse module and daily filing of provider claims.

Responsibilities include correcting claim errors, communicating with supervisors, maintaining submission logs, and producing trend reports while staying current with medical billing changes. Strong teamwork and customer service are essential.