Billing Insurance Clerk MTBC Company Overview: Pediatric Associates of Dayton, Inc. is dedicated to providing high-quality healthcare for infants, children, and adolescents in the Dayton area with office locations in Beavercreek, Englewood, and Kettering. Pediatric Associates of Dayton, Inc. is a division of CareCloud Practice Management a subsidiary of CareCloud Inc. Job Summary: The Billing/Insurance Clerk is responsible for insurance and billing processing duties including verification of insurance coverage, processing of insurance claims, processing payments received from insurance companies, handling inquiries from patients about insurance and their account status, and general patient counseling on insurance questions. This position is also responsible for providing daily medical billing collection and customer service efforts on patient accounts, including charges and payments into the computer system, ensuring resolution of edit reports from the billing system, claims intermediary and third-party payers. Essential Duties and Responsibilities: BILLING: Receive and verify documents required for billing and follow-up purposes, including verification of new patient benefits, correcting as necessary, and entering into the computer. Process primary, secondary, and tertiary claims according to respective regulations and policies. Coordinate filing of secondary insurance. Correspond with third-party representatives, as necessary, to complete claims processing and/or resolve problem claims. Respond to patient and third-party inquiries via the telephone or written correspondence in a timely manner. Interface with other departments, when appropriate, to obtain information necessary to process or resolve claims. Follow up daily on post-processing activity including, but not limited to, rejected billings, adjustments, re-billing, and unpaid claims. Request claims forms via the computer. Return documents in error to appropriate individuals for proper completion. Work cooperatively with Front Office Staff to ensure the collection and updating of patient demographic and fiscal information. COLLECTION: Coordinate with medical office staff to ensure applicable collection of co-payments and outstanding balances from patients at the time of service. Post payments (insurance and self-pay) to patient accounts. Review and reconcile electronic payments. Update file maintenance as requested (referring physician, payor, etc.). Make adjustments to patient accounts according to written policies and procedures. Research and process complex charge corrections. Prioritize work received and complete in a timely manner. CUSTOMER SERVICE: Answer patient inquiries regarding claims on the telephone or in person. Perform billing clerical duties, including review and verification of patient account information against insurance program specifications. Resolve routine patient billing inquires and problems. Follow up on balances due from insurance companies, and type invoices to insurance companies. Enter data electronically to process charges, payments, denials, and adjustments. Analyze and code surgical procedures and diagnoses using ICD-10 and CPT-4 codes. Maintain a file system necessary for proper organization of insurance processing and follow-up of insurance. Perform necessary clerical work related to insurance processing. Required Qualifications/Skills: Knowledge of accounts receivable practices and medical business office procedures. Knowledge of coding and practice operating policies and procedures. Knowledge of insurance company reimbursement procedures and practices. Skill in using computer and calculator. Ability to examine documents for accuracy and completeness. Ability to prepare records in accordance with detailed instructions. Ability to work effectively with co-workers as a team member. Ability to communicate clearly. Education & Experience Requirements: High School Diploma or GED Three years of prior medical office experience in billing and insurance processing or a combination of education and experience is required. Experience with A4/ Allscripts/ Ntierprise preferred. Other Considerations: Requires sitting for long periods of time while working in an office environment. Some bending and stretching may be required. Manual dexterity and normal vision for work on a calculator and computer are required. The ability to work under stress is required. Physical Requirements: The physical demands of this position are those necessary to successfully perform the essential functions of this job. This job requires extensive sitting, standing, bending, lifting, walking and typing. The ability to work under stress is required. Supervisory Responsibilities: None Work Environment: The noise level of the work environment is usually moderate. Employer’s Rights: This job description does not list all the duties of the job. You may be asked by your Managers to perform other duties. You will be evaluated in part based upon your performance of the tasks listed in this job description. CareCloud, Inc. and/or its subsidiaries have the right to revise this job description at any time. The job description is not a contract for employment and you or CareCloud, Inc. and/or its subsidiaries may terminate employment at any time, with or without cause and with or without notice.%2053258% %%accounting%% Englewood, OH, USPosted 2 minutes ago Full Time - Sales Specialist - ProServices - Day. Lowe's At Lowe’s, we’ve always been more than just an improvement store. We’re also home to everything that makes your home feel like home. And for thousands of Lowe’s associates, we’re home to fresh starts, rewarding opportunities, and endless career possibilities. Elyria, OH, US, 44035Posted 2 minutes ago Financial Operations Manager.Shearers Shearer's is a leading contract manufacturer and private label supplier in the snack industry in North America. Headquartered in Massillon, Ohio, Shearer's has 17 state-of-the-art, geographically diverse manufacturing facilities in Ohio, Texas, Arkansas, Arizona, Minnesota, Pennsylvania, Virginia, Iowa, Ontario and Alberta, Canada, including one of the industry's first Leadership in Energy and Environmental Design platinum LEED certified facilities in Massillon, Ohio. The Company is known for producing the highest quality snacks in assorted flavors and sizes, including kettle cooked potato chips, traditional potato chips, tortilla chips, cheese curls and other extruded snacks, and corn chips, as well as cookies, crackers, and wafers. CANTON, OH, US, 44703Posted 10 minutes ago Part Time Relationship Banker. Comerica Bank The Relationship Banker is responsible for contributing to the overall success of a Retail Banking Center(s) by committing to banker-readiness to be viewed as a trusted resource for our customers. The responsibilities will include conducting marketing activities to uncover customer needs, provide solutions leading to revenue growth in loans, deposits, and noninterest income, delivering a customer centric experience, maintaining disciplined operational objectives; all while striving for excellence in execution of the mentioned areas. Detroit, MI, USPosted 4 hours ago Revenue Cycle Coordinator. CareStar, Inc. Ready to join a growing company whose work profoundly impacts people's lives in their community, who offers an excellent learning environment, opportunities to advance and the ability to work alongside talented business leaders/professionals? CareStar, Inc. is currently seeking a Revenue Cycle Specialist in the Finance Department. The Revenue Cycle Specialist is responsible for developing, planning, organizing, and implementing current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow and manage the overall health of the company's Medicaid receivables. Cincinnati, OH, USPosted 4 hours ago Revenue Cycle Supervisor. Ohio Gastroenterology Group, Inc. We currently have a full-time opening for a Revenue Cycle Supervisor. Primary Job Functions: Supervises the Revenue Cycle Team by monitoring assigned duties and reassigns as necessary Monitors staff to ensure all company procedures and policies are followed; addresses issues as they occur Conducts meetings as necessary Monitors and submits bi-weekly timecards for payroll processing Assists with time-away from work requests Assists with 90-day and annual evaluations for all Revenue Cycle Team employees Assists in recruiting and disciplining staff Performs any job duties of staff in the event of their absence Guides and coaches team members by providing constructive criticism and positive feedback to support personal development and ongoing improvement Reviews, assists, trains, and directs department workflows to optimize efficiency and integrity Handles patient complaints and concerns including escalated patient calls and other customer service issues pertaining to medical billing and collections Maintains positive working relationships by keeping lines of communication open and addressing concern and questions Troubleshoots claims issues, multi-tasks, and prioritizes claims and correspondence responsibilities by age, complexity, and urgency Participates and/or initiates discussions with members of the OGGI leadership team to address staff or departmental deficiencies and promote continuous improvements Assists with reporting key metrics and the development of action plans Secondary Job Functions: Attend all office and supervisor meetings, training, and in-services as required Maintain confidentiality of patient, Human Resource and financial information by utilizing HIPAA guidelines and regulations in addition to policies set forth by corporation Any other tasks as requested by the Revenue Cycle Manager, physician, corporate leaders, Human Resources, and/or the office supervisor Knowledge, Skills, and Abilities Working knowledge of medical terminology, CPT and ICD-10 codes and other regulatory billing codes and practices. Working knowledge of billing and payer codes and procedures as well as patient billing techniques. Familiarity with insurance coverage and policies of the corporation as well as pre-certifications, insurance eligibilities, and prior authorizations Ability to supervise multiple employees and processes Working knowledge of HIPAA regulations Ability to establish priorities, work independently, and proceed with objectives with little supervision Ability to handle and resolve recurring problems Ability to analyze and make actionable decisions from data Proficient use of office equipment, such as copier and fax machine, phones, etc. Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical records systems. Strong time management skills Strong written and verbal communication skills Ability to effectively communicate with a variety of people under stressful circumstances. Neat appearance, professional demeanor and pleasant voice Fluent in English Credentials and Experience Must have high school diploma or equivalent; college degree preferred Must have at least 3 years experience working in the medical field (office, clinical, or hospital) as a medical biller Special Requirements Willingness to learn new tasks, be cross-trained within the office, and flexibility with work load to help office flow Flexibility in working hours; willingness to work overtime Physical Demands Must be able to sit (frequent), stand (frequent), walk (frequent), stoop (frequent), bend over (frequent) and type on keyboard (frequent) Ability to communicate in person and by phone (frequent) Physical ability to retrieve and file records in a (6-7 shelf) file cabinet (occasional) Must be able to independently lift 25 lbs. (occasional) Work Environment Medical office requiring some contact with adult patients Office workstation environment with numerous employees Ohio Gastroenterology Group offers a nice life/work balance and a great benefits package that includes: Medical, dental and vision coverage- benefits are effective the first of the month following 30 days of employment Company paid life insurance and short term disability Generous paid time off plans (vacation, sick and personal) 7 paid holidays Two retirements plans: 401(k) plan that offers a 3% safe harbor contribution with immediate vesting as well as annual profit sharing contributions. Cash balance pension plan – company contributes 2.5% and offers full vesting after 3 years of employment. Tuition reimbursement programs Employee appreciation programs Uniform reimbursement programs Growth opportunities Learning and development training Apply now to join a great company! %58047475% %%finance%% Reynoldsburg, OH, USPosted 4 hours ago Revenue Cycle Manager. National Youth Advocate Program The Revenue Cycle Manager is responsible for the successful management of the outpatient mental health services billing department. This includes direct oversight of credentialing, precertification process, charge entry, payment posting, and accounts receivable. The Manager fosters a positive working relationship with operations and other patient services departments. The Manager is responsible for developing the department goals, objectives and tactical plan consistent with the organizational strategic plan and vision. The Manager must work effectively as a team member utilizing effective problem-solving skills and intradepartmental relationships. The Manager must possess the ability to motivate others to achieve the organization’s vision, while balancing the big picture with perspective to the details of the operation. Serves as the primary contact for outpatient mental health billing and develop and sustain strong, positive working relationships with managed care organizations (MCOs), Medicaid and insurance. Working At NYAP NYAP's commitment to doing what is best for children, youth and their families is a core value and one that we look for in our newest team members. Excellent training and continuing education and development opportunities offered on topics such as: PCIT, NMT, TF-CBT, BFST, CSAYC, TBRI, FFT and many, many more! Student Loan Repayment assistance, up to $1,200 per year! Medical, Dental, and Vision insuracne for you and your family! 22 Days Off Each Year! Plus 11 Paid Holidays Per Year! Competitive salaries and benefits including a 401(k) Tuition Assistance Work Anniversary Trips! Peace leave Flexibile schedule Mileage Reimbursement Responsibilities The Revenue Cycle Manager will perform duties including, but not limited to: Perform all work in a manner consistent with the National Youth Advocate Program’s mission, values, and philosophies. Directly accountable for the management of the Revenue Cycle management team and financial performance to ensuremaximizing the cash collection for the organization. Directs and oversees all functions of coding, claim management, billing, payment, collections and coordinates credentialing processes. Develops and maintains the highest standards of professionalism and accountability. Establishes and maintains revenue cycle duties across the organization that include prioritization of work (e.g. ensure there is a system of prioritization for claims processing and accounts receivables management). Position will support Operations Clinical Director/s, Managers and Clinicians to ensure the quality of the insurance, demographics and eligibility data entered, as well as monitoring all time of service collections by providing revenue cycle reporting and training materials. Oversees the development, maintenance, implementation, and training of protocols, policy and procedures for all functions related to the revenue cycle. Provides direction in selecting systems/processes to improve the efficiency of the department. Oversees the successful implementation and on-going management of systems. Ensures an appropriate education and feedback process is in place to provide regular to CAQH (Council for Affordable Quality Healthcare) provides on revenue cycle. Keep abreast of Medicaid, and other third party payer rules and regulations with respect to billing and other matters and communicate this information to the providers/clinicians and appropriate personnel to help ensure increased cash flow and sustainability on an ongoing basis. Work closely and partners with Controller to prepare month-end and year-end close. Gather productivity, quality, AR aging analysis, and financial data from ‘EHR and other sources and use to provide meaningful management information to the CFO, leadership and other appropriate personnel on a regular basis. Use high level of analytical and research skills with while maintaining strong attention to detail. ADDITIONAL DUTY SPECIFICS Specific revenue cycle management duties include payer relations, procedure reimbursement, A/R analysis, reimbursement tracking, patient/client interaction, and special projects as assigned. Specific employee management duties include; conducting group meetings with teams and one on one interactions; maintaining records and tracking information for production staff, quality averages, etc.; conducting performance reviews, counseling, assigning employees to specific duties; planning and forecasting workload needs and expectations on a daily, weekly, and monthly basis; planning and scheduling of support according to department needs. Planning, assigning, and directing work, interviewing and hiring employees, training employees, addressing complaints and resolving problems. Qualifications Bachelor’s Degree in Finance/HealthCare/Business or other related field of study. Mature leader with 4 to 6 years of management experience in behavioral healthcare or healthcare accounts receivablemanagement/revenue cycle environment. Previous use and demonstrable proficiency of an Electronic Medical Records (EMR) or Electronic Health Record (EHR) system. Active CPC. ICD, CPT coding is added advantage. Proficient use of desktop and laptop computers, smart phones and tablets, printers, fax machines and photocopiers as wellas software including word processing, spreadsheet and database programs. Other skills Excellent customer service, communication, organizational, time management, and problem-solving skills. If this describes YOU, please apply today! NYAP also requires all of our employees, regardless of their title/position, to hold and maintain automobile liability insurance coverage of $100,000/$300,000. Please contact our HR department with questions, or . The person in this position needs to follow a team concept and support both agency goals and co-workers. Employees must be able to effectively work with and be respectful and sensitive to persons from various cultures, socioeconomic, ethnic, religious, and racial backgrounds. Who We Are: National Youth Advocate Program has been serving communities and clients since 1978 and we continue to grow each year. Our growth allows us to expand and develop new and innovative programs to meet the ever-changing needs of those we serve. We offer unique and personalized services for families and individuals in four areas: Prevention/Intervention, Positive Youth Development, Out-of-Home-Placement and Reunification/Permanency. If YOU can envision it; WE can DO it! The possibilities are endless! We know you are compassionate and dedicated to serving your clients and communities and NYAP is dedicated to providing support to those who join our team! We look for individuals that are ready to make a direct impact and are excited to be an instrument in supporting the needs of our children, youth and families. %58047475% %%finance%% Columbus, OH, USPosted 4 hours ago Revenue Cycle Analyst. Neighborhood Health Association The Revenue Cycle Analyst is an on-site position and is responsible to develop, plan, organize and implement current and future strategies to bill customers, process payments, minimize bad debt, improve cash flow, and manage the overall health of the company’s receivables. Also responsible for coordinating, in cooperation with the Manager of Patient Access, and under the direction of the Finance Lead, day-to-day activities of the organization as they relate to revenue cycle functions which include but are not limited to front office services, billing, collections, accounts receivables and financial planning for patients. Toledo, OH, USPosted 4 hours ago Finance - Revenue Cycle Specialist- Full-Time- Days.Wayne Hospital Company This position is responsible for generating, analyzing and communicating data to support Revenue Cycle operational and financial decisions in a manner that is consistent with industry best practices. This position must be able to effectively communicate with Director of Health Information Management and Director of Patient Accounts. This position is a direct report to Controller. Greenville, OH, USPosted 4 hours ago Revenue Cycle Specialist. Lighthouse Behavioral Health Solutions Job Summary: The Revenue Cycle Specialist assists in the streamlining of revenue cycle processes within our organization by supporting the billing, coding, collections, and reimbursement processes. Duties and Responsibilities: Duties include, but are not limited to: Post payments and review insurance denials to resolve issues. Analyze accounts receivable reports to follow up on unpaid claims. Submit required documentation to insurance payers as requested. Follow up with insurance payors on incorrectly paid contracts. Correct demographic and payor information and submit it to payors. Manage reports to track unapplied money. Required Experience/Certifications: Bachelors Degree in Health Care Management or related field or equivalent experience. 4 years of relevant experience with claims processing and Electronic Medical Records Valid State of Ohio Driver's License and insurance Must pass BCI check, all Corporate Compliance checks, and employment drug screen CPC is desired Lighthouse is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, age, color, religion, sex, national origin, sexual orientation, disability status, genetics, gender identity and/or expression, protected veteran status, or any other characteristic protected by federal, state, or local law. LBHS adheres to Title VII of the Civil Rights Act as amended, Ohio Civil Rights Act, and all applicable rules and regulations. LBHS is an equal opportunity employer. %58047475% %%finance%% Columbus, OH, USPosted 4 hours ago