10 jobs found in Toledo

Cardiology Department Coder/Medical Biller Toledo Clinic's Cardiology Department is seeking a full-time Coder/Medical Biller to work full-time (M-F, 8-5). Previous experience as a Coder in a medical office preferred. General Summary: Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. Principal Duties & Responsibilities: Example of Essential Duties: Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. Demographic registration/updates for all patients Enters charges into claim entry in eCW Monitors, submits, correct all claim activity Create workflow processes to ensure accuracy and accountability Other Essential Duties May Include (but are not limited to): Assists patients and/or insurance companies with billing and authorization questions. Coordinate with providers to...

Job Title Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. Essential Duties And Responsibilities Consistently arrives at work on time and adheres to regular work schedule. Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. Demographic registration/updates for all patients. Enters charges into claim entry in eCW. Monitors, submits, correct all claim activity. Create workflow processes to ensure accuracy and accountability. Other Essential Duties May Include But Are Not Limited To Assists patients and/or insurance companies with billing and authorization questions. Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules, census/rounding sheets and appointment schedules. Other duties as assigned. Knowledge, Skills & Abilities...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

APS Medical Billing Job Posting APS Medical Billing located in Toledo, Ohio is seeking certified professional coders with experience in surgical pathology or diagnostic radiology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. $45,000.00 to $54,000.00 annually Qualifications: Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling, and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology or diagnostic radiology preferred Understanding and application of CMS initiatives including NCCI Edits, MIPS, and NCD/LCD policies Benefits Package includes: Paid Time Off Medical plan Health Savings Account Alight Personal Health Care Advisor Dental, Vision, Life Insurance, 401K Paid holidays EAP - Employee Assistance Program...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and reimbursement...

Mercy Health About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Referral & Insurance Specialist - Jefferson Avenue Medical Office Building Job Summary The Referral and Insurance Specialist obtains authorizations from insurance companies for referrals to physicians and/or procedures/testing. Verifies eligibility/coverage for referral via phone/fax/Internet. Schedule appointments for testing at medical facilities or appointments with physicians. Gathers charge information and enter all pertinent charge and patient demographic information into...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Occupational Therapist - St. Vincent Medical Center Job Summary The Occupational Therapist plays a crucial role in enhancing patients' ability to perform daily tasks related to work and life. They conduct assessments, devise treatment plans based on physician referrals, and document patient progress. This encompasses outpatient, inpatient, pediatric, and off-site settings. Essential Functions Review physician referrals and patient medical history to determine therapy needs. Conduct...

COMPETITIVE SALARY + FULL BENEFITS PACKAGE + UNLIMITED PTO + FAMILY ATMOSPHERE Evolve Therapy Services, LLC is a leading therapy management organization in the Long-term care industry. We may be a newer company by name, but our leadership has dozens of years of experience in therapy operations and clinical excellence for SNF/ALF providers. We are seeking a Compliance Auditor that is MOTIVATED to work for a company with an EVOLVING culture that provides a POSITIVE work and life balance. JOB SUMMARY: The COMPLIANCE AUDITOR is responsible for assisting with the therapy audit/appeals process, including but not limited to, completing therapy audits, identifying trends, providing education, and participating in Additional Documentation Request (ADR) process in accordance with state and federal guidelines and regulations. The compliance auditor will report directly to the Director of Compliance. RESPONSIBILITIES AND MAJOR DUTIES: 1. Ensure Medicare Benefit Policy Manual process is...

Evolve Therapy Services, LLC is seeking a Compliance Auditor to support audits, ADRs, and education under the Director of Compliance. The role emphasizes regulatory adherence, HIPAA compliance, and quality improvement within SNF/ALF settings. You will review Medicare and RAI processes, identify trends, and prepare materials for hearings while upholding Residents’ Rights and company policies. This position offers competitive pay and a comprehensive benefits package. #J-18808-Ljbffr