Medicaid Billing Specialist – Revenue Cycle at FQHC

Health Partners of Western Ohio; Lima (OH); On-site; USD 25,000 - 35,000; Full time

Benefits offered by this job

Starting pay $21.60 per hour

PTO – Accrued per pay

Insurance (Medical, Dental, Vision, LI

Paid Holidays – 7 paid holidays

403b Retirement with up to 8% match

Annual Reviews and Increases

Employee Assistance Program

Referral Bonus

Job summary

Health Partners of Western Ohio in Lima, OH is seeking a Medical Billing Specialist for Medicaid Managed Care. The role supports the revenue cycle by preparing, submitting, and following up on insurance claims to Medicaid and other payers from the Admin Building.

The ideal candidate will have a High School Degree or GED, in-house training, and experience with healthcare billing. Starting pay is $21.60 per hour, with benefits including PTO, holidays, and retirement options, reflective of a

Qualifications

• Understanding of different types of insurance (Medicaid, Medicare, Commercial, etc.)
• Computer experience with typing to operate the practice management
• Knowledge of basic medical terminology

Responsibilities

• Reviews all claims before submission to insurance companies.
• Maintains file system for billed claim records and backup for audit purposes.
• Verifies coverage and follows up on submitted claims.
• Requests corrected diagnosis for reimbursement purposes from providers.
• Responds knowledgeably to inquiries from patients, providers, insurance companies regarding covered charges, remittance advices, and billing questions.
• Works with Medicaid, Medicare, and insurance companies for submission of claims, to verify coverage, to determine status of claims, and to resolve issues and problems with the claims.
• Reviews incoming correspondence and materials.
• Maintains a variety of files, logs, and registers.
• Operates office equipment
• Reviews insurance information in computer registration to determine accuracy and make changes as needed.
• Opens mail and processes all patient payments, insurance reimbursements, and reconciles daily report with checks received.
• Maintains updated knowledge of FQHC billing rules, CPT, CDT, and ICD-10 coding.
• Maintains patient confidentiality according to health center policy and HIPAA regulations.
• Performs miscellaneous job-related duties as assigned.

Skills

Insurance knowledge

Practice management

Medical terminology

Education

High School Degree or GED

Job description

Health Partners of Western Ohio in Lima, OH is seeking a Medical Billing Specialist for Medicaid Managed Care. The role supports the revenue cycle by preparing, submitting, and following up on insurance claims to Medicaid and other payers from the Admin Building.

The ideal candidate will have a High School Degree or GED, in-house training, and experience with healthcare billing. Starting pay is $21.60 per hour, with benefits including PTO, holidays, and retirement options, reflective of a