Medical Billing Specialist

Southwoods Health; Boardman Township (OH); On-site; USD 42,000 - 64,000; Full time

Job summary

Southwoods Health in Boardman, Ohio, is seeking a detail-oriented Medical Billing Specialist to join our billing department. You will submit claims to third-party payers, resolve daily edits, and manage billing inquiries.

The role requires two or more years in medical billing or collections, plus strong communication and problem-solving skills. Proficiency with MEDITECH and clearinghouse software is preferred.

Qualifications

• Education: Completed training in business office activities, computer skills, and medical terminology.
• Experience: Two or more years in medical billing or collections preferred.
• Skills: Strong communication and problem-solving abilities; proficiency in EMR systems (e.g., MEDITECH) and clearinghouse software.
• Professionalism: Maintain a professional demeanor with strong ethical principles.

Responsibilities

• Claim management: Resolve daily edits through the EMR or clearinghouse to produce clean claims; submit secondary claims with accurate primary payment information.
• Documentation: Identify and gather necessary supporting documentation for insurance carriers; ensure attachments accompany submissions.
• Account processing: Process account checks daily within the EMR and verify the accuracy of insurance information.
• Compliance: Maintain adherence to billing regulations, HIPAA, OSHA, ODH, BOP, and other standards.
• Collaboration: Follow up with Coding and Collection Specialists to correct claims; report needed policy changes to the supervisor.
• Administrative: Perform other duties to maintain the financial health of the practice.

Skills

Communication

Problem solving

EMR proficiency

Education

Medical billing training

Tools

MEDITECH

Job description

Location: Southwoods Executive Centre – Boardman, Ohio
Schedule: Full-time | Monday–Friday, Day Shift
Flexibility: Choose your own 8-hour shift! Work your preferred schedule within our business hours of 6:00 AM to 6:00 PM. No evenings or weekends required.

About the Role:

Southwoods Health is seeking a detail-oriented Medical Billing Specialist to join our billing department at theSouthwoods Executive Centre. The successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries.

• Claim Management: Resolve daily edits through the EMR or clearinghouse to produce clean claims; submit secondary claims while ensuring primary payment information is accurately captured.
• Documentation: Identify and gather necessary supporting documentation required by insurance carriers; ensure all attachments are included with original claim submissions.
• Account Processing: Process account checks daily within the EMR and verify the accuracy of all insurance information.
• Compliance: Maintain strict adherence to all billing compliance regulations, patient confidentiality laws (HIPAA), and regulatory agency standards (OSHA, ODH, BOP, TJC, etc.).
• Collaboration: Follow up with Coding and Collection Specialists to accurately correct claims; report billing errors or needed policy changes to the supervisor.
• Administrative: Perform other duties as assigned to maintain the financial health of the practice.

Qualifications:

• Education: Completed training or coursework in business office activities, computer skills, and medical terminology.
• Experience: Two or more years of experience in medical billing or collections is preferred.
• Skills: Strong communication and problem-solving abilities; proficiency in EMR systems (e.g., MEDITECH) and clearinghouse software.
• Professionalism: Proven ability to maintain a professional demeanor at all times with strong ethical and moral principles.

Why Southwoods?

At Southwoods, it’s not just about the treatment, but how you’re treated. We offer a competitive work environment focused on excellence in patient care.