Southwoods Health is seeking a detail-oriented Billing Specialist to join our billing department at the Southwoods Executive Centre.

The successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries.

Key responsibilities include:

Resolve daily edits through the EMR or clearinghouse to produce clean claims; submit secondary claims ensuring primary payment information is accurately captured.
Identify and gather necessary supporting documentation required by insurance carriers; ensure all attachments are included with original claim submissions.
Process account checks daily within the EMR and verify accuracy of all insurance information.
Maintain strict adherence to billing compliance regulations, patient confidentiality laws (HIPAA), and regulatory agency standards (OSHA, ODH, BOP, TJC).
Collaborate with Coding and Collection Specialists to correct claims and report billing errors or needed policy changes to the supervisor.
Perform other duties as assigned to maintain the financial health of the practice.

Qualifications:

Completed training or coursework in business office activities, computer skills, and medical terminology.
Two or more years of experience in medical billing or collections preferred.
Strong communication and problem-solving abilities; proficiency in EMR systems (e.g., MEDITECH) and clearinghouse software.
Professional demeanor with strong ethical and moral principles.

Schedule:

Full-time, Monday–Friday, day shift with flexible 8-hour shifts within business hours of 6:00 AM to 6:00 PM.

At Southwoods, it is not just about the treatment but how you’re treated. We offer a competitive work environment focused on excellence in patient care.