Hybrid Medical Billing Specialist II: Denials & Claims Expert

Rocking Horse Community Health Center; Ohio; Ibrido; USD 30.000 - 39.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, Dental & Vision benefits

Company paid life, LTD insurance

Up to 4 weeks PTO annually

10 paid holidays

Descrizione del lavoro

Rocking Horse Community Health Center in Springfield, Ohio seeks a Medical Billing Specialist II to manage complex billing functions, including claim resolution, denial management, and payer-specific requirements. The role supports cash flow and regulatory compliance in a fast-paced, high-volume environment, with potential for hybrid remote work.

Requirements include a high school diploma or GED (associates preferred in medical billing/coding), 4–6 years in medical billing or revenue cycle,

Competenze

• High school diploma or GED required; associate degree or certification in medical billing/coding preferred
• 4-6 years of experience in medical billing, revenue cycle, or healthcare finance preferred
• Proficiency with CPT, ICD-10, and HCPCS coding systems required
• Ability to work independently and manage a high-volume workload
• Strong knowledge of insurance guidelines, claim lifecycle, and reimbursement processes
• Experience with denial management and appeals processes

Mansioni

• Review, prepare and submit complex medical claims
• Conduct detailed account follow-up with insurance companies for proper reimbursement
• Identify causes of denials
• Post payments, adjustments and maintain detailed and compliant account notes for all billing activity
• Support overall cash flow and compliance

Conoscenze

Analytical thinking

Problem-solving

Organizational skills

Communication skills

Independent worker

Formazione

High school diploma or GED

Associate degree or medical billing/coding certification

Strumenti

EHR/EMR systems

Billing software

Excel

Descrizione del lavoro

Rocking Horse Community Health Center in Springfield, Ohio seeks a Medical Billing Specialist II to manage complex billing functions, including claim resolution, denial management, and payer-specific requirements. The role supports cash flow and regulatory compliance in a fast-paced, high-volume environment, with potential for hybrid remote work.

Requirements include a high school diploma or GED (associates preferred in medical billing/coding), 4–6 years in medical billing or revenue cycle,