36 jobs found in Ohio

Job Summary: This is a clerical position that involves the filing and tracking of insurance claims and informing patients of their account status. Work is performed in accordance with NOMS policies and procedures/applicable federal and state laws. Effective performance requires independent action under general supervision. Essential Functions: 1. Process insurance and disability claims in a timely manner. 2. Follows up with insurance companies ensuring that claims are paid correctly. 3. Follows up with patient on balances, sets up payment plans if needed. 4. Maintains strict confidentiality related to medical records and other data. 5. Participates in professional development efforts to ensure currency in health care practices and trends. 6. Answers patients' inquiries regarding account balances. 7. Daily use of phone. 8. Provide monthly summary reports to physicians, CEO, CFO, and Director-CBO. 9. Other duties as assigned. Competencies: 1. Knowledge of NOMS policies...

The Integrity & Compliance Auditor (Auditor) contributes to the fulfillment of the organization’s mission, vision, and values by auditing the regulated practices (including but not limited to billing and coding) throughout the organization to ensure compliance with all applicable state and federal laws and regulations. The Auditor will review compliance of standards and/or regulations imposed by the health system’s internal controls. To perform the obligations of this position, the Auditor must understand operations and practices within the health system and must establish and/or maintain a collaborative and consultative relationship with all caregivers, including leaders and providers. The Auditor performs coding, billing and abstracting functions of professional fee encounters for providers in our multi-specialty group and facility encounters. The Auditor reviews medical records for documentation to ensure medical necessity is met according to CMS Local Coverage Determination...

General Summary: Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance. Responsible for the processing of Medicare and other insurance carrier audit requests, such as Performant Audits, Targeted Probe Reviews, Overpayment Recoupment Efforts. Assist Internal Auditors as needed. Assist Medical Offices for coding and claims as needed. Works under the Supervision of the Quality and Compliance Director Principal Duties & Responsibilities: Example of Essential Duties: Audit medical records for data collection and format, coding documentation and content utilizing pre-established criteria. Meets with physicians to review audit results and makes needed recommendations. Audit medical record for adherence to Toledo Clinic Electronic Medical Record policies and procedures, documentation of quality measures, treatment...

Job Description Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma’s international awards programs for the last three consecutive years. For more information, visit  www.mmsholdings.com  or follow MMS on LinkedIn. Job Specific Skills Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. Understanding of how to plan, prepare...

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. Responsibilities: + Strong written and verbal communication skills. + Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes. + Knowledge and experience with 3M and Epic clinical data system preferred. + Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures. + Evaluates the quality of documentation of all accounts to identify incomplete...

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. Responsibilities: + Responsible for coding and abstracting all inpatient and outpatient patient records using ICD-10 and CPT/HCPCS coding rules, federal guideline and KHN guidelines. + Supports hospital's accounts receivable goals through timely processing of records and physician record completion activities. + Impacts delivery of quality patient care and enhanced clinical decision making process. + Supports clinical outcomes measurement and assessment process for service lines. + Completes assigned duties and other related tasks. +...

Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We're growing fast. [You can, too!] There are so many ways Octapharma Plasma can enhance your life and your career. Our strong growth is creating great learning and career development opportunities throughout our company, and especially our donation centers. Because you're someone who loves to learn, enjoys people, and has a real heart to help, we encourage you to join us as a: DONOR FLOOR SUPERVISOR This is What You'll Do: Maintain donor floor operations to include plasmapharesis donation procedures to ensure donor safety and quality of product Supervise and perform venipuncture and plasma collection Oversees the operation and maintenance of automated plasmapheresis machines Maintain compliance with SOP, current Good Manufacturing Procedures (cGMP) and regulatory guidelines Prepares weekly staffing schedules...

Job Summary: Our corporate activities are growing rapidly, and we are currently seeking a full-time, office-based Clinical Data Coder to join our Clinical Coding & Support team. This position will work on a team to accomplish tasks and projects that are instrumental to the companys success. If you want an exciting career where you use your previous coding, pharmacy, or nursing expertise and can develop and grow your career even further, then this is the opportunity for you! Responsibilities : Perform accurate coding of medical terms and medications utilizing industry-wide standards as well as company standards; Coordinate the assignment of appropriate dictionaries for meeting study requirements Develop and maintain coding guidelines; Issue queries on adverse events, medications, and medical history terms to ensure high quality coding; Work collaboratively with the Medical, Data Management, Safety and Biostatistics teams to meet needs of the study; and...

Overview: 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 its by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Responsibilities & Requirements: Responsibilities: Responsible for coding and abstracting all inpatient and outpatient patient records using ICD-10 and CPT/HCPCS coding rules, federal guideline and KHN guidelines. Supports hospitals accounts receivable goals through timely processing of records and physician record completion activities. Impacts delivery of quality patient care and enhanced clinical decision making process. Supports clinical outcomes measurement and assessment...

Job Description Job Overview: The level II Medical Biller's general responsiblities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work different payers to help assist other billing staff. Reviews, investiges, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also to provide excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner. Job Requirements: High School Degree or GED Billing knowledge that includes: ICD-9, ICD-10, and CPT terminology Epic and Clearing House experience Working knowledge of insurance policies and appeals Consistently meets individual productivity incentive...

Effectively supervises and develops sleep staff and builds a strong team. Oversees staff in the performance of sleep related testing, ensuring quality of care and adherence to established standards, policies, and procedures, and regulations. Oversees staff orientation and education. Performs staff scheduling and utilization. Facilitates monthly technician meetings in compliance with AASM standards. Pre-certification and scheduling of sleep studies. Documentation of technical aspects of sleep lab including equipment troubleshooting and maintenance. Maintenance of required reporting of sleep metrics per system guidance. Assists in supply inventory and management as well as resource utilization. Performs quality data collection and participates in quality improvement processes. Provides consultation and/or perform complex patient testing. Effectively manages patient experience and resolves patient concerns in an effective and timely manner. Interacts with Medical Director for Sleep...

Strong skill sets to be successful in the position include MS Excel, MS PowerPoint, MS Word, and Business Writing. Ability to travel locally is required. Company pays for all travel expenses. Area of coverage - Ohio and Western Pennsylvania Position Summary: The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists to ensure that all facilities have sufficient coverage. The Area Supervisor will act as the liaison between MRO and the client Management staff to ensure that all ROI activities are compliant with established clinic policies, federal and state regulations and are completed in a timely manner. * Duties and Responsibilities: Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies. Prioritizes work to ensure completion of ROI function. Adjusts work assignments as needed to cover peak periods, leave and...

Overview: 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 its by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Campus Overview: Kettering Health Miamisburg Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years. Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio. The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care. Expanded services include emergency care, sleep center, mammography, breast...

Job Description Weare seeking a BillingSpecialist to work answer phones, update insurance information, billinsurance companies, and perform other duties as needed. Main emphasisfor this job is insurance follow-up, billing, and re-submitting the insurance claims with the correct codes.Work hours are M onday through Friday from 8 a.m. to4 p.m. This is a remote position; however, you will train in the office for about 1 week. Job Requirements Qualified candidates must have strongbilling,...

TITLE: Coding Compliance Auditor LOCATION: Columbus, Ohio Now is your chance to join a top hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for individuals who share the same values. You could live or work in a small town close to Columbus, Ohio so you can be offered all the amenities of a small town and big city at the same time? If that sounds like the change you are looking for, please read on.. What they are looking for: •Certified as a Registered Health Information Administrator, Registered Health Information Technician, or Certified Coding Specialist with experience in coding in an acute care facility and/or ambulatory care setting and professional fee services. •Associates or Bachelors degree in Health Information. Hours and compensation potential: •Position is full time day shift(Mon-Fri 8am-4:30pm) •Range is between $50K-$64K...

Job Description Job Description We are currently hiring a talented Medical Health Biller and coder. This candidate will review the information written by clinicians and add that to a client's records, often using electronic health records (EHRs) to input information. They work with insurance companies to make sure that services bills are covered, and that bills for any copay a patient might owe are delivered. The individual in this role must be a sufficiently motivated, ambitious, enthusiastic and community driven to be a fit for this role. Knowledge of Behavioral Health is a plus. This role requires determination, initiative, a positive attitude and strong communication skills. Essential Functions: Maintaining patient confidentiality and information security Tracking payouts to determine accuracy Running reports to resolve inaccuracies Constant communication with insurance agencies Reading and analyzing client records Determining the correct codes for patient records...

Medical Operations Supervisor (Nurse Supervisor) United States of America R-221351 2015 CSL Plasma Job Description Job Description Summary This position is responsible for overseeing the applicant and return donor reception and registration processes. • Supervise reception and medical staff. • Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow. Job Description Main Responsibilities 1. In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. 2. In conjunction with other management and supervisory staff, facilitate...

Description: Position Summary/Essential Duties\: · Initiates and maintains positive relationships with patients, customers & co-workers. · Demonstrates progressive leadership and effective management through building a strong team and supporting a learning culture. · Allocates resources effectively and manages departmental budget. · Supervises the decontamination, sterilization, storage, and limited distribution of patient care supplies and equipment. This includes the development of departmental policies, standard operating procedures, quality standards and workflows. · Supervises the department’s inventory control practices. · Collects, monitors & maintains departmental statistics to ensure compliance with all accreditation, local, state, and federal regulations. Qualifications: Education\: High school diploma or equivalent. Associate’s or Bachelor’s degree preferred. Required...

Description Position Summary/Essential Duties: · Initiates and maintains positive relationships with patients, customers & co-workers. · Demonstrates progressive leadership and effective management through building a strong team and supporting a learning culture. · Allocates resources effectively and manages departmental budget. · Supervises the decontamination, sterilization, storage, and limited distribution of patient care supplies and equipment.This includes the development of departmental policies, standard operating procedures, quality standards and workflows. · Supervises the department’s inventory control practices. · Collects, monitors & maintains departmental statistics to ensure compliance with all accreditation, local, state, and federal regulations. #J-18808-Ljbffr

THERE IS ONLY ONE WAY TO SUCCEED AT ANYTHING AND THAT IS TO GIVE EVERYTHING – Vince Lombardi LIFE IS 10% WHAT HAPPENS TO YOU AND 90% HOW YOU RESPOND TO IT – Lou Holtz ONE LEARNS PEOPLE THROUGH THE HEART, NOT THE EYES OR THE INTELLECT – Mark Twain BE THE CHANGE YOU WISH TO SEE IN THE WORLD – Mahatma Gandhi NEVER TELL PEOPLE HOW TO DO THINGS. TELL THEM WHAT TO DO AND THEY WILL SURPRISE YOU WITH THEIR INGENUITY. – General George S Patton WE CAN’T HELP EVERYONE, BUT EVERYONE CAN HELP SOMEONE – Ronald Reagan LET ME WIN, BUT IF I CANNOT WIN, LET ME BE BRAVE IN THE ATTEMPT – Motto of the Special Olympics PEACE BEGINS WITH A SMILE – Mother Teresa FOR IT IS IN GIVING THAT WE RECEIVE – Francis of Assisi FAITH IS TAKING THE FIRST STEP EVEN WHEN YOU DON’T SEE THE WHOLE STAIRCASE – Martin Luther King, Jr. NO ONE IS USELESS IN THIS WORLD WHO LIGHTENS THE BURDEN OF IT TO ANYONE ELSE – Charles Dickens #J-18808-Ljbffr