Southwoods Health is hiring a Medical Billing Specialist for its Home Health division. The role focuses on submitting claims to third-party payers, resolving billing edits in the EMR and clearinghouse, and handling billing-related correspondence.
Key responsibilities include:
- Resolve edits daily through the EMR or clearinghouse to produce clean claims.
- Verify the accuracy of insurance information.
- Send original claims with any required supporting documentation.
- Determine and include supporting documentation required by specific insurers or cases.
- Submit secondary claims and capture primary payment information.
- Follow billing compliance regulations.
- Work with Coding Specialists and/or Collection Specialists as needed to correct claims.
- Answer billing questions clearly and professionally.
- Maintain patient confidentiality and follow release-of-information requirements.
- Identify billing errors and report them to a supervisor.
- Escalate complex or problematic issues to the appropriate supervisor.
- Ensure processes remain compliant with applicable regulatory agencies.
- Perform insurance authorizations.
- Perform other duties as assigned.
Schedule: Full-time, Monday through Friday, dayshift.
Requirements & Qualifications
- Training or coursework in business office activities, computer skills, and medical terminology.
- Effective communication skills and ability to problem-solve.
- Professional demeanor and strong ethical and moral principles.
- Preferred: Two or more years of collections or billing experience.
- Preferred: Home Health coding experience (not required).
Location
Ohio, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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