Medical Billing & Claims Specialist

Memorial Health; Marysville (OH); Vor Ort; USD 52.000 - 62.000; Vollzeit

Zusammenfassung

Memorial Health is seeking a Professional Billing Representative in Marysville, OH. This role focuses on timely, accurate insurance claims submission and coordination of benefits within a collaborative hospital team.

Responsibilities include claims processing, payer communications, and accurate documentation in the Health Information System, with emphasis on HIPAA compliance and quality customer service.

Qualifikationen

• High school diploma or equivalent required.
• Three years’ experience in the medical field, preferably in a hospital setting.
• Knowledge of revenue cycle functions, health insurance and government programs, billing processes and managed care contracts.
• Ability to interpret explanation of benefits and communicate effectively.

Aufgaben

• Ensures insurance claims are sent timely and accurately to government, commercial and managed care plans.
• Researches and resolves claim edits via Epic Work Queues and external billing software.
• Prepares and processes secondary and tertiary insurance claims.
• Verifies and updates patient account demographic and financial information.
• Enters complete account notes in HIS and coordinates with departments for authorization and coding.

Kenntnisse

Billing knowledge

Communication

Ausbildung

High school diploma or equivalent

Tools

Microsoft Word

Excel

PowerPoint

Jobbeschreibung

Memorial Health is seeking a Professional Billing Representative in Marysville, OH. This role focuses on timely, accurate insurance claims submission and coordination of benefits within a collaborative hospital team.

Responsibilities include claims processing, payer communications, and accurate documentation in the Health Information System, with emphasis on HIPAA compliance and quality customer service.