25 claims coordinator jobs found

1 week ago Be among the first 25 applicants This range is provided by Insight Global. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $50,000.00/yr - $55,000.00/yr Direct message the job poster from Insight Global Professional Recruiter at Insight Global QUALIFICATIONS: Associates Degree or 3-5 years related experience or equivalent combination of education and experience specifically dealing with Medicare and Medicaid Experience collecting unpaid payor transactions and researching discrepancies. POSITION SUMMARY: Maintains accounts receivable records and processes invoice transactions for Medicaid and other insurance payors, performing follow-up efforts to secure payment for services delivered. ESSENTIAL DUTIES: Maintains the sponsor file in the Agency Accounts Receivable System (HSIS) to ensure proper billing to client payor sources. Performs collection activities to follow...

Scope of Position The Associate Director of Outpatient Coding Services performs at an expert level sustaining responsibility for timely and accurate coding of all facility outpatient visits and outpatient coding audits for The Ohio State University Wexner Medical Center (OSUWMC) including James Hospital. This position oversees the operations of denials, claim edits, and charge capture for reimbursement purposes. In this role, the Associate Director of Outpatient Coding Services serves as a liaison and coordinator for special projects regarding the coding of medical records. This position develops and implements policies and procedures to achieve organizational goals; and assists in the development of operational strategy. This position also re-evaluates processes to keep staff engaged and to assist in meeting department and organizational goals for OSUWMC. This position is critical to the financial and legal standing of the hospital for compliance and legal purposes. The...

Medical Billing Specialist Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation's largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) healthcare organizations. With 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. Hourly Range: $23.5577 to $32.9808 USD The Medical Billing Specialist reports to the Revenue Cycle Manager and is responsible for various tasks to ensure efficient billing, follow up, payment processing, and patient communication activities to maximize revenue. Essential functions of the job...

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 patients3)  Enters charges into claim entry in eCW4)  Monitors, submits, correct all claim activity5)  Create workflow processes to ensure accuracy and accountabilityOther Essential Duties May Include (but are not limited to):6)       Assists patients and/or insurance companies with billing and authorization questions.7)       Coordinate with providers to ensure all visits are accounted for...

Description Medical Billing Specialist Westlake, OH Full-time Description Achievement Centers for Children is a Cleveland-based nonprofit that is nationally recognized for helping children with disabilities and their families achieve and thrive. Behind every service we provide is a dedicated team that ensures our billing processes are accurate, compliant, and responsive to the needs of the families we serve. 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 is committed to providing exceptional customer service while maintaining compliance and accuracy. Hours: Full-time, first shift Working Days: Monday through Friday Hours per Week: 40 hours per week What You Will Do Verify insurance eligibility and confirm coverage prior to services when needed...

Medical Billing Specialist Established in 1984, Equitas Health is a regional not-for-profit community-based healthcare system and federally qualified community health center look-alike. Its expanded mission has made it one of the nation's largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) healthcare organizations. With 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. Hourly Range: $23.5577 to $32.9808 USD The Medical Billing Specialist reports to the Revenue Cycle Manager and is responsible for various tasks to ensure efficient billing, follow up, payment processing, and patient communication activities to maximize revenue. Essential functions of the job...

Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers, and for overseeing or performing overall auditing and education plans for the Coding staff. The role includes conducting coding quality audits, providing ongoing feedback and education, and utilizing coding classifications such as ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC, and APR-DRG to ensure accurate coding and assignment. Minimum Qualifications Graduate of a Health Information Technology (HIT) or equivalent program AND five (5) years of coding experience. OR Graduate of a Medical Coding Certification Program AND five (5) years of coding experience. OR High School Diploma or Equivalent AND eight (8) years of coding experience. Certification in one of the following: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) through the American Health Information Management Association; Certified Outpatient Coder (COC) through the...

Medical Billing Specialist 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. 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 billing Prepare, review, submit, and track insurance claims to Medicaid payers in accordance with FQHC, state, and federal billing requirements Process insurance...

Certified Medical Biller/Coder & Revenue Cycle Manager Overview: Focus Clinic is seeking a full-time Certified Medical Biller/Coder and Credentialing Specialist to take ownership of our revenue cycle operations as our clinic continues to grow. This role is ideal for a highly organized, proactive, and mission-driven professional with expertise in medical coding, insurance billing, and accounts receivable. The successful candidate will combine exceptional attention to detail and accountability with the compassion and clear communication our patients and families deserve. Key Responsibilities: Medical Coding and Documentation Review Accurately assign CPT, ICD-10-CM, HCPCS, and applicable modifier codes across Focus Clinic’s multidisciplinary services, including medical visits, diagnostic evaluations and testing, therapy services, and other covered services. Review clinical documentation to confirm that services are supported, appropriately coded, and compliant with...

Vista Surgical Center is seeking a Billing Specialist to coordinate with internal departments for correct coding and billing, and to liaison with insurance agencies to bring accounts up to date. The role includes benefits verification, claims processing, and patient communication. Responsibilities include following up on unpaid claims, posting payments, processing denials, and preparing end-of-month reports. #J-18808-Ljbffr

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization’s operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

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. Essential Duties & 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....

Work Schedule: Monday–Friday | 8:00 AM – 5:00 PM (First Shift) Work Model: Hybrid – Remote on Monday & Friday; Onsite Tuesday, Wednesday & Thursday Job Type: Contract-to-Hire Start Date: ASAP Duration: Long-Term (No planned end date) Job Summary We are seeking experienced Medical Billers to join the TeamVision Medical Claims team. In this role, you will be responsible for processing and managing medical insurance claims, resolving claim denials, posting payments, and ensuring timely reimbursement through accurate billing practices. This is an excellent opportunity for professionals with strong medical billing experience who thrive in a fast-paced healthcare environment. Key Responsibilities Review and submit medical claims using Electronic Health Record (EHR) systems and clearinghouses. Monitor rejected claims, make necessary corrections, and resubmit them to insurance carriers. Post insurance payments, denials, and adjustments into the EHR...

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. Review...

Surgery Partners, Inc. is seeking a Billing Specialist in Canton, OH to coordinate with internal teams and insurance agencies for accurate coding and billing of services rendered. The role emphasizes verification of benefits, patient communications, and timely claim processing. Candidates should have at least 3 years of medical billing experience; familiarity with HST, Waystar, or Advantx is a plus. The position offers comprehensive benefits, PTO, and a 401(k) with company match. #J-18808-Ljbffr

The Billing Specialist at HUMBLE VASCULAR SURGICAL CENTER INC coordinates with internal departments to verify coding and billing of services and liaises with insurance to bring accounts current. You will handle patient statements, eligibility checks, and prepare claims using billing software. Candidates should have at least 3 years of medical billing experience, familiarity with ICD-10 and CPT, and experience with billing software and insurance coordination. #J-18808-Ljbffr

Medical Billing Specialist 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. 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 billing Prepare, review, submit, and track insurance claims to Medicaid payers in accordance with FQHC, state, and federal billing requirements Process...

Purpose of This Position This position is responsible for all medical claims including pre‑billing and follow‑up activities for delayed claims, ensuring that claims are clean and paid promptly by insurers without requiring further intervention. The staff member performs all pre‑claim submission activities, verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. The individual follows departmental productivity and quality‑control measures that support the organization’s operational goals, promotes revenue integrity, and ensures timely and accurate billing and payer follow‑up activities and collection of accounts. Job Duties / Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer‑specific policies and requirements to promote compliant claims submission practices. Adheres to HIPAA related privacy, security and transaction & code set...

Vista Surgical Center is seeking a Billing Specialist to coordinate with internal departments for correct coding and billing, and to liaison with insurance agencies to bring accounts up to date. The role includes benefits verification, claims processing, and patient communication. Responsibilities include following up on unpaid claims, posting payments, processing denials, and preparing end-of-month reports. #J-18808-Ljbffr

Established in 1984, Equitas Health is a regional not‑for‑profit community‑based healthcare system and federally qualified community health center look‑alike. Its expanded mission has made it one of the nation’s largest HIV/AIDS, lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) healthcare organizations. With 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. Hourly Range $23.5577 to $32.9808 USD POSITION SUMMARY The Medical Billing Specialist reports to the Revenue Cycle Manager and is responsible for various tasks to ensure efficient billing, follow‑up, payment processing, and patient communication activities to maximize revenue. ESSENTIAL JOB FUNCTIONS Essential functions of...

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

Medical Billing Specialist 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. Responsibilities Verify insurance eligibility and confirm coverage prior to services when needed Coordinate with payers to obtain prior authorizations or approvals when required Submit claims to Medicaid, commercial insurance carriers, and other funding...

Summary This position is in the Health Information Management (HIM) section of the Patient Business Services (PBS) at the Columbus VA Ambulatory Care Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Learn more about this agency Duties Help Assigns codes to documented patient care encounters (inpatient or outpatient) covering the full range of health care services provided by the VAACC. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services. Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases-Clinical Modification...

Surgery Partners, Inc. is seeking a Billing Specialist in Canton, OH to coordinate with internal teams and insurance agencies for accurate coding and billing of services rendered. The role emphasizes verification of benefits, patient communications, and timely claim processing. Candidates should have at least 3 years of medical billing experience; familiarity with HST, Waystar, or Advantx is a plus. The position offers comprehensive benefits, PTO, and a 401(k) with company match. #J-18808-Ljbffr