Healthcare Billing & Claims 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

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.