Medical Billing & AR Specialist

Zepf

Toledo (OH)

On-site

USD 36,000 - 60,000

Full time

8 days ago

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Job summary

Zepf Center in Toledo, OH, is seeking a full-time Medical Billing Specialist to manage claims, posting, and denials, ensuring accurate patient ledgers and timely payments within our behavioral health care setting.

You will process 837/835 files, monitor AR aging, verify insurance eligibility, and collaborate with payer contacts. Strong Excel, Word, Outlook skills and attention to detail are essential; experience with EHR billing systems is preferred.

Qualifications

  • Minimum of HS Diploma or equivalent and at least two years’ experience in medical billing, posting, denial management, and collections in a medical office setting.
  • Associated degree in medical billing preferred.
  • Extensive knowledge of billing systems, insurance, BWC, Medicare, Medicaid, electronic claims, data entry, A/R, and computer experience.
  • Excellent numeric and computer skills; proficient in Excel, Word and Outlook.

Responsibilities

  • Review and update patient insurance information and COB order; reallocate balances to ensure correct coverage.
  • Prepare 837 EDI claim files and upload for payment.
  • Retrieve 835 remittance files and upload into the billing system.
  • Post payments and adjustments to client ledgers and verify accuracy.
  • Reconcile postings to AR ledgers via EOBs, deposits, and posting.
  • Work denials and follow-up to ensure timely payment via EHR, payer portal, or clearinghouse.
  • Process submissions/resubmissions of claims and corrections and monitor follow-up.
  • Monitor aged AR and pursue unresolved balances to prevent aging.
  • Communicate claims issues with payer contacts and involve management as needed.
  • Serve as backup to other fiscal/A/R staff.

Skills

Numeric data entry
Attention to detail
Analytical skills
Problem solving
Professional conduct
CQI mindset
Teamwork

Education

HS Diploma or equivalent
Associate degree in medical billing (preferred)

Tools

Excel
Word
Outlook
Billing systems
Electronic claims portals

Job description

Zepf Center in Toledo, OH, is seeking a full-time Medical Billing Specialist to manage claims, posting, and denials, ensuring accurate patient ledgers and timely payments within our behavioral health care setting.

You will process 837/835 files, monitor AR aging, verify insurance eligibility, and collaborate with payer contacts. Strong Excel, Word, Outlook skills and attention to detail are essential; experience with EHR billing systems is preferred.

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