7 jobs found in Moraine

Summary Of Position To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. Works with the CBO A/R Manager to manage projects and develop process improvements, while providing the daily guidance and assistance needed to maintain optimal performance and productivity within the team. Provides supervisory guidance to the team as directed by the A/R Manager and perform all functions with a high level of discretion and professionalism. Nature and Scope An effective Senior Team Lead will provide guidance to their team based on management direction, will use their experience and knowledge of the tools the team uses (e.g., EPIC), policies, and guidelines to educate team members, will identify areas for improvement systematically and within their team, and will communicate directly with management the status of resolved and outstanding issues/roadblocks within the team. Principal Duties and...

Centralized Billing Office FT/ DAYS/ 80 hours per pay Summaryof Position The Medical Billing Specialistworks to ensure timely and accurate reimbursement on medical claims forphysician services rendered. Thisposition is part of a centralized billing office and provides medical billingservices for multi-specialty physician services. Natureand Scope The Medical Billing Specialistis responsible for collecting and entering timely and accurate claiminformation. This position will submitclaims utilizing insurance carrier guidelines and will also follow up onsubmitted claims that are unpaid, rejected, or denied. The Medical Billing Specialist reports to theA/R Manager within the Centralized Billing Office. Qualifications High School diploma or equivalencycertificate. Three years of previous healthcare billing andcollections experience preferred. Amedical billing certificate or degree will be considered in lieu of experience. Knowledgeable about third party...

KPN Pro Fee Coding Specialist This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Reviewing the ambulatory records for the appropriate risk adjustment components Identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10 Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy] Demonstrate initiative for maintaining current knowledge of...

Kettering Health Job Description Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Campus Overview Kettering Physician Network Our elite medical group employs more than 700 providers, including physicians and advanced practice providers, throughout the Greater Dayton and Cincinnati areas. Our patients have access to a multidisciplinary professional team to meet all their healthcare needs. From primary care to brain and spine surgery, we provide an extensive range of specialties and expertise, in over 200 locations and ten counties. Working collaboratively across specialties,...

Medical Biller/Collector – Onsite in Kettering, OH A skilled nursing facility in Kettering, Ohio is seeking a detail-driven Business Office Manager to own resident billing, collections, and resident trust/ledger accuracy. This is a direct-hire, on-site opportunity for someone comfortable partnering with residents and families on financial responsibilities while keeping accounts receivable current and compliant. What You'll Do Meet with residents and families to review coverage, explain balances, and set clear expectations on financial responsibility Manage private-pay collections and document follow-up activity on delinquent accounts to support clean A/R aging Bill and post monthly charges by pay source and internal close/calendar deadlines (Private Pay, Medicare, Medicaid, MyCare Buckeye, commercial insurance, Workers' Comp, etc.) Post payments promptly to resident ledgers and continuously reconcile for accuracy Complete monthly bank reconciliations and support...

Summary of Position To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. Works with the CBO A/R Manager to manage projects and develop process improvements, while providing the daily guidance and assistance needed to maintain optimal performance and productivity within the team. Provides supervisory guidance to the team as directed by the A/R Manager and perform all functions with a high level of discretion and professionalism.

Summary of Position To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. Works with the CBO A/R Manager to manage projects and develop process improvements, while providing the daily guidance and assistance needed to maintain optimal performance and productivity within the team. Provides supervisory guidance to the team as directed by the A/R Manager and perform all functions with a high level of discretion and professionalism. Nature and Scope An effective Senior Team Lead will provide guidance to their team based on management direction, will use their experience and knowledge of the tools the team uses (e.g., EPIC), policies, and guidelines to educate team members, will identify areas for improvement systematically and within their team, and will communicate directly with management the status of resolved and outstanding issues/roadblocks within the team. Principal Duties and...