40 jobs found in Westlake, OH

Location: Westlake, OH Schedule: Full time Hourly Pay Range: $17.00 to $20.00 per hour About Achievement Centers for Children Achievement Centers for Children is a Cleveland, Ohio based nonprofit that is nationally recognized for helping children with disabilities and their families achieve and thrive. Our work changes lives and so does the behind the scenes team that ensures services are supported through accurate and compliant medical billing. The Role We are seeking a Medical Billing Specialist to support accurate claim submission, timely billing follow up, and professional communication with families and funding sources. This role is ideal for someone who enjoys detail oriented work, understands healthcare billing processes, and can balance professionalism with empathy when addressing billing questions. What You Will Do Verify insurance eligibility and confirm coverage prior to services when needed Coordinate with payers to obtain prior authorizations...

A healthcare billing services company in Middleburg Heights seeks an experienced manager to oversee department operations. This role includes coordinating staff, conducting quality audits, and interacting with clients. Candidates should possess a four-year degree and 2-4 years of management experience. Proficiency in Microsoft Office is essential. The position follows a hybrid model after an initial training period. It's an excellent opportunity for those with a passion for team development and process optimization. #J-18808-Ljbffr

This position is in office 5 days a week for the first 3 months (training period) in our Milan, Ohio office. Then reverts to hybrid model of 4 days in office and 1 day working remote each week. Salary range: $49,000 to $59,000 Responsibilities: Coordinate and supervise department work assignments and staffing levels. Monitor work lists to verify work is being completed within required TAT (Turn Around Time). Move staff as needed to ensure the work is covered. Conduct scheduled staff meetings and other activities. This would include both onshore and offshore team members. Participate in client meetings, as needed, for discussion on process flows and billing issues. Conduct monthly quality audits on domestic and offshore staff to ensure all team members are following the client SOPs and meeting quality targets. Measure productivity for every staff member against established targets. Supervise staff in company policies and processes by coaching, counseling, disciplining employees, and...

A leading healthcare services provider is seeking a Medical Billing Supervisor, Prebilling, who will coordinate team tasks, conduct quality audits, and manage complex billing issues. Ideal candidates have a four-year degree and 2-4 years of managerial experience in a business environment. Proficiency in Microsoft Excel is essential. This role can be remote or hybrid with occasional in-person meetings. #J-18808-Ljbffr

Join to apply for the Medical Billing Supervisor, Prebilling role at Quadax, Inc. 1 week ago Be among the first 25 applicants Join to apply for the Medical Billing Supervisor, Prebilling role at Quadax, Inc. Coordinate and supervise department work assignments and staffing levels. Monitor work lists to verify work is being completed within required TAT (Turn Around Time). Move staff as needed to ensure the work is covered. Conduct scheduled staff meetings and other activities. This would include both onshore and offshore team members. Participate in client meetings, as needed, for discussion on process flows and billing issues. Conduct monthly quality audits on domestic and offshore staff to ensure all team members are following the client SOPs and meeting quality targets. Measure productivity for every staff member against established targets. Supervise staff in company policies and processes by coaching, counseling, disciplining employees, and appraising job contributions....

Description The billing specialist is responsible for all billing activities, including posting charges, payments, and adjustments to patient accounts, to ensure the timely collection of amounts due from patients and/or insurance carriers. This position serves as a liaison between the organization and patients and insurance carriers for billing related issues or inquiries. Essential Duties and Responsibilities Submit claims to insurance carriers to ensure prompt processing and payment. Follow up on unpaid or outstanding claims to resolve billing issues, including through a review of work queues assigned by the Revenue Cycle Manager. Post charges, payments, and adjustments in a timely and accurate manner. Identify accounts that may require refunds. Review accounts for potential assignment to collection agencies and make recommendations to the Revenue Cycle Manager. Respond to and resolve billing related questions or concerns from patients. Maintain confidentiality of patient...

Inpatient Medical Coder The Inpatient Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) AND have a preferred minimum of 2 years relevant coding experience. Cannot hire CCA or CPC-A Must be at least 18 years of age At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of...

Hierarchical Condition Category (HCC) Medical Coder The Hierarchical Condition Category (HCC) Medical Coder is responsible for assigning ICD-10-CM diagnosis codes and/or HCC's as appropriate to reflect risk adjustment and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC), CRC experience Must be at least 18 years of age Must have 3+ years of recent HCC experience Available for PT (30 hours) or FT (40 hours) Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and...

A healthcare provider in Cleveland is seeking a Billing Specialist responsible for managing billing activities including posting charges and submitting claims to insurance carriers. The ideal candidate must have at least one year of experience in medical or dental billing, a high school diploma, and be knowledgeable about governmental billing regulations. Essential skills include strong analytical capabilities and proficiency in billing software. This position requires effective communication and the ability to work independently. #J-18808-Ljbffr

A leading healthcare organization in Cleveland is seeking a Professional Fee Coder III to monitor and apply coding principles to clinical documentation. The role includes assigning diagnosis codes, resolving billing discrepancies, and ensuring accurate claims submission. Candidates should have coding experience and certifications in CPT and ICD9 coding. This position offers a supportive work environment and the opportunity to contribute to high-quality patient care, with remote work options available. #J-18808-Ljbffr

A leading healthcare organization in Cleveland is seeking an Interventional Radiology Coder to work remotely. Responsibilities include coding and abstracting highly complex clinical information from inpatient and outpatient charts. The ideal candidate must have a High School Diploma and extensive experience with ICD-10-CM and CPT codes. The position offers competitive hourly pay ranging from $25.13 to $38.33, along with a robust benefits package. #J-18808-Ljbffr

Program Integrity Medical Coding Reviewer III The Program Integrity Medical Coding Reviewer III generates comprehensive and concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes. Essential functions include: Providing provider pre-pay production and progress reports and coordinating with management and team on recommendations for further actions and/or resolutions to increase team performance. Recommending process or procedure changes while building strong relationships with cross-departmental teams such as Claims, Configuration, Health Partners, and IT on identified internal system gaps. Demonstrating leadership ability, including mentoring Program Integrity Claims Analysts to identify and perform oversight and monitoring of claims decisions based on documentation. Identifying and assisting in correction of organizational workflow and process inefficiencies. Serving as the primary resource for provider pre-pay team....

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As an Interventional Radiology Coder, you will be dedicated to either hospital inpatient or hospital outpatient coding. In this role, you will code and abstract highly complex clinical information from high-acuity inpatient charts or outpatient surgery and observation charts for reimbursement, research and compliance with federal regulations and other agencies, utilizing established coding principles and protocols. This position will help expand our in-house outpatient surgery coding team, including the ability to code and charge for interventional radiology procedures. Inpatient: Identify, review, and assign...

A healthcare provider in Cleveland is seeking a Coding Specialist to assign diagnostic and procedure codes accurately. The ideal candidate must have a high school diploma or equivalent, possess relevant coding certifications, and demonstrate excellent communication skills. Responsibilities include monitoring coding accuracy and following up on errors. Successful candidates will enjoy a supportive work environment with opportunities for growth. #J-18808-Ljbffr

Job Opportunity At Catholic Charities Our mission, vision, and values are inspired directly from Scripture and guide our work at every level of Catholic Charities. If you are a compassionate and dedicated person looking for an opportunity to make a difference in society, we encourage you to apply. Catholic Charities isnt just an organization that provides help to those in need in our communitiesits a place where you can grow and make a lasting impact.

Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual, family, and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5‑Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. Position Summary Performs chart retrieval, medical record review, HCC identification and data quality oversight for risk mitigation and revenue recovery for both Medicare and ACA services. Assists in the development and management of activities in support of HCC coding while ensuring compliant practices for revenue management and reducing risk. Helps in the preparation with all Risk Adjustment Data Validations (RADV) audits as well as serving as the CMS liaison for coding questions/issues. Determines...

Outpatient Coder Analyst, Medical Records Inpatient Position Summary Assign codes (ICD‑10) for diagnoses and procedures (CPT) on outpatient accounts based on chart documentation according to national coding guidelines, Summa policies and local review agencies. Calculates appropriate DRG based on codes assigned. Employment Details Full‑Time. Days: unspecified. Formal Education/Experience Required RHIT (or eligible) or CCS or COC or CPC with a 60% or better score on the pre‑employment outpatient coding test. CCA with one (1) year coding experience in an acute care setting with a 60% or better score on the outpatient coding test and completion of medical terminology and anatomy and physiology courses. Other Skills, Competencies and Qualifications Ability to prioritize work. Ability to review medical record documentation for pertinent diagnoses and procedures. Ability to achieve and maintain coding quality and productivity standards within six months of employment. Ability to...

Maxim Healthcare, nation's largest privately owned healthcare staffing agency, takes pride in matching quality caregivers with our clients with the intention of finding a great fit! We offer positions on short term, long term contract and direct placement basis. Maxim has positions nationwide, don't hesitate to reach out to learn more! Job Description REMOTE INPATIENT CODER Maxim Health Information Services is seeking a full-time inpatient coder for a remote position. Candidate must have strong inpatient experience. Qualifications One of the following certifications: RHIA, RHIT, CCS, CPC Minimum of 3 years documented Coding experience Pass a pre-employment assessment Preferred Skills: Large, teaching facility experience 350+ Bed Hospital experience Experience with various encoders and EMRs; EPIC and 3M are strongly preferred ICD-10 trained Production rate can be between 2-3 charts/hour Additional Information Benefits for Working with Maxim Competitive Pay Health, Dental,...

The Associate Director Medical Science Liaison is a manager-leader within the Medical Affairs department. Direct and indirect responsibilities include solid tumor oncology HCP engagement, investigator-initiated studies, support of company sponsored trials, scientific congress support, development of MSL plans, and management of a regional MSL team as assigned. Essential Duties And Responsibilities: Responsible for providing direction, guidance, and support to a team of MSLs in an assigned region Responsible for direct territory responsibilities in situations when no MSL coverage available Assessment, recognition, and improvement of MSL performance at the individual and group level Ensure the successful execution of MSL strategic, operational, and tactical plans Keep the executive director of MSLs informed about key information in a timely manner Represent Exelixis Medical Affairs as managers in the field Represent Medical Affairs...

A national healthcare staffing agency is looking for a Remote Inpatient Coder to join their team. Candidates must hold certifications like RHIA or RHIT and have a minimum of 3 years coding experience. This full-time role offers competitive pay, benefits including health insurance and 401(k), and the opportunity for continuous professional education. Ideal candidates will have experience in large hospitals and various encoders, with the ability to code 2-3 charts per hour. It’s a remote position based in the U.S. #J-18808-Ljbffr

A top healthcare provider is hiring a Reimbursement Specialist to ensure timely billing and collections for Medicare, Medicaid, and Commercial insurance. This full-time hybrid role requires working in the office three days a week, with flexibility on remote work. Ideal candidates will have at least three years of experience in reimbursement, strong knowledge of insurance guidelines, and excellent communication skills. Comprehensive benefits and competitive pay are included in this opportunity. #J-18808-Ljbffr

Job Description We have an immediate opening for a Medical Biller who will be responsible for managing patient billing processes, ensuring accurate claim submissions, and facilitating communication between healthcare providers, patients, and insurance companies. You will work 2 days a week from 9 a.m. to 5 p.m. Job Responsibilities: Prepare, submit, and follow up on medical claims to insurance companies and patients, ensuring that healthcare providers receive timely payment for services rendered Generate and send invoices to patients for outstanding balances, providing clear billing information, and payment options Verify patient insurance coverage and eligibility before services are rendered to minimize claim denials Assign appropriate medical codes to diagnoses, procedures, and services provided, ensuring compliance with coding guidelines Analyze and address denied claims by identifying reasons for denial, appealing decisions when appropriate, and...

"Our mission, vision, and values are inspired directly from Scripture and guide our work at every level of Catholic Charities." If you are a compassionate and dedicated person looking for an opportunity to make a difference in society, we encourage you to apply. Catholic Charities isn't just an organization that provides help to those in need in our communities-it's a place where employees are encouraged to live purpose driven lives, professionally and personally. Join our team as we provide help and create hope for those in need. At Catholic Charities, we serve everyone, regardless of belief or background, and we employ qualified individuals who commit to our mission with the goal of transforming lives for the better. One need not be Catholic to join our workforce nor to access our services. Billing Specialist- Temporary Catholic Charities is seeking a dynamic individual to assist our Billing team! This assignment will be temporary through the end of 2024. This individual...

"Our mission, vision, and values are inspired directly from Scripture and guide our work at every level of Catholic Charities." If you are a compassionate and dedicated person looking for an opportunity to make a difference in society, we encourage you to apply. Catholic Charities isn't just an organization that provides help to those in need in our communities-it's a place where employees are encouraged to live purpose driven lives, professionally and personally. Join our team as we provide help and create hope for those in need. At Catholic Charities, we serve everyone, regardless of belief or background, and we employ qualified individuals who commit to our mission with the goal of transforming lives for the better. One need not be Catholic to join our workforce nor to access our services. Billing Specialist- Temporary Catholic Charities is seeking a dynamic individual to assist our Billing team! This assignment will be temporary through the end of 2024. This individual...