Medical Billing Specialist
ONE Health Ohio3 months ago
Youngstown, OH, United States
On-site
Full-time
Junior Level (1-3 years)
Job Description
Position Overview
Join Our Team as a Medical Billing Specialist! At One Health Ohio, we believe in fostering a positive work environment that prioritizes both our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter! Do you have prior billing experience in dental or medical settings? Are you looking for a role that blends your billing expertise with a clinical touch? If so, this could be the perfect next step in your career journey.
Key Responsibilities
- Prepares and submits clean claims to various insurance companies either electronically or by paper.
- Answers questions from patients, clerical staff, and insurance companies.
- Identifies and resolves patient billing complaints.
- Prepares, reviews, and sends patient statements.
- Evaluates patient’s financial status and establishes budget payment plans.
- Follows and reports the status of delinquent accounts.
- Reviews accounts for possible assignment, makes recommendations to the Director of Billing and Reimbursement, and prepares information for the collection agency.
- Performs daily backups on the office computer system.
- Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers.
- Processes payments from insurance companies and prepares a daily deposit.
- Participates in educational activities and attends monthly staff meetings.
- Conducts self in accordance with the employee handbook.
- Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations.
- Ensures accurate billing and coding as per regulations.
- Works with the administrator in training providers in coding and the EMR system.
Required Qualifications
- Certified Biller (Required)
- Sitting in a normal seated position for extended periods of time
- Reaching by extending hand(s) or arm(s) in any direction
- Finger dexterity required to manipulate objects with fingers rather than with the whole hand(s) or arm(s), for example, using a keyboard
- Communication skills using the spoken word
- Ability to see within normal parameters
- Ability to hear within normal range
- Ability to move about
Preferred Qualifications
- Minimum of 2 years experience in medical billing (Preferred)
- Certified Coder (Preferred)
Benefits & Perks
- Affordable Health, Vision, Dental, and Life Insurance
- 401(K) with dollar-for-dollar matching (up to 4%)
- Generous Paid Time Off (PTO)
- Paid Holidays
Required Skills
EMR System Proficiency
Insurance Payment Processing
Patient Statement Preparation
Problem Resolution
Billing and Coding Accuracy
Medical Billing
Clean Claims Submission
Communication Skills
HIPAA Compliance
Customer Service