2 jobs found in Boardman

Southwoods Health is seeking a Medical Billing Specialist for our Home Health division to manage claims submission to third-party payers and daily edits in the EMR and clearinghouse. The role involves handling billing inquiries and ensuring compliance across all processes. The successful candidate will verify insurance information, send necessary documentation with claims, and coordinate with Coding/Collections specialists to correct issues. This is a full-time, dayshift position on site. #J-18808-Ljbffr

Southwoods Health is hiring a Medical Billing Specialist for our Home Health division. The successful candidate will be responsible for submitting claims to third-party payers, resolving edits daily within the EMR and clearinghouse, and handling correspondence regarding billing inquiries. Essential Duties Resolve edits daily through the EMR or clearinghouse to produce clean claims. Verify the accuracy of all insurance information. Send original claims along with any necessary supporting documentation. Determine the need for supporting documentation required by specific insurance companies or cases, and copy documents for inclusion with claims. Submit secondary claims, ensuring that primary payment information is captured. Understand and abide by billing compliance regulations. Follow up with a Coding Specialist and/or Collection Specialist when necessary to correct claims accurately. Answer billing questions in a clear and polite manner. Understand patient confidentiality...