Health Partners

Position: Medical Billing Specialist - Medicaid Location: Lima, OH Job Id: 3271 # of Openings: 1 About Us Health Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We’re led by a volunteer Board of Directors. Most of our board members are also patients. Our Mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care. Summary 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 Review insurance coverage and patient demographic information to ensure accuracy and completeness prior to billing Prepare, review, submit, and track insurance claims to Medicaid payers in accordance with FQHC,...

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 claims....

Medical Billing Specialist - Medicaid Managed CareHealth Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We're led by a volunteer Board of Directors. Most of our board members are also patients. Our Mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care.Position PurposeWith 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 DutiesReviews 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...

Medical Billing SpecialistHealth Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We're led by a volunteer Board of Directors. Most of our board members are also patients. Our mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care.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:Review insurance coverage and patient demographic information to ensure accuracy and completeness prior to billingPrepare, review, submit, and track insurance claims to Medicaid payers in accordance with FQHC, state, and federal billing requirementsProcess insurance reimbursements and...