Health Partners of Western Ohio
Lima, OH
Position: Medical Billing Specialist - Medicaid Managed Care
Location: Lima, OH
Job Id: 3319
# of Openings: 1
POSITION PURPOSE
With knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle.
ESSENTIAL FUNCTIONS AND BASIC DUTIES
Reviews all claims before submission to insurance companies.
Maintains file system for billed claim records and back up for audit purposes.
Verifies coverage and follows up on submitted claims.
Requests corrected diagnosis for reimbursement purposes from providers.
Responds knowledgeably to inquiries from patients, providers, insurance companies regarding covered charges, remittance advices, and billing questions.
Works with Medicaid, Medicare, and insurance companies for submission of claims, to verify coverage, to determine status of claims, and to resolve issues and problems with the...