Eligibility & Billing Coordinator – Financial Ops (Hybrid)

Summa Health; Cleveland (OH); Hybrid; USD 39,000 - 58,000; Full time

Benefits offered by this job

Basic Life and AD&D

Supplemental Life and AD&D

Dependent Life Insurance

Short-Term and Long-Term Disability

Accident Insurance, Hospital Indemnity

Retirement Savings Plan

Flexible Spending Accounts - Health

Employee Assistance Program (EAP)

Identity Theft Protection

Pet Insurance

Education Assistance

Daily Pay

Job summary

SummaCare is hiring an Eligibility & Billing Coordinator with a focus on Financial Operations. Based in Akron, Ohio, this full-time hybrid role links health plan operations with the financial side of the business, leading premium billing, rates, payments, reconciliation, delinquency, financial controls, and coordination with Finance and Accounts Receivable.

You will investigate discrepancies, identify root causes, and improve cross-team processes.

Qualifications

• Associates degree or equivalent education/experience.
• Minimum 3 years of technical/analytical experience in healthcare or finance.

Responsibilities

• Coordinate daily operations of the Eligibility & Billing technical team.
• EDI processing of enrollment and payment transactions and reconciliation of enrollment and payment status.
• Auditing and monitoring activities; escalate at-risk assignments as needed.
• Support delegation of work, training, and issue resolution; provide daily team support.

Skills

Financial ops

Premium billing

Reconciliation

Accounts receivable

Revenue integrity

Healthcare operations

Analytical skills

Communication

Cross-functional

Education

Associates degree or equivalent

Tools

MS Excel

MS Access

Windows

Outlook

Job description

SummaCare is hiring an Eligibility & Billing Coordinator with a focus on Financial Operations. Based in Akron, Ohio, this full-time hybrid role links health plan operations with the financial side of the business, leading premium billing, rates, payments, reconciliation, delinquency, financial controls, and coordination with Finance and Accounts Receivable.

You will investigate discrepancies, identify root causes, and improve cross-team processes.