The Central Business Office (CBO) Specialist II supports accurate professional billing, posting, and collections for ProMedica Physicians and other supported entities. This role handles follow-up on denied professional insurance claims, identifies trends related to payors and procedures that cause inaccurate payments or denials, and escalates issues for resolution. The position also involves appealing denials within payor deadlines to support reimbursement and monitoring payor payment policy changes to maintain clean claim edits in the practice management system. Additional responsibilities include registration, billing, follow-up, and collection functions for all payors, including self-pay.
Required Qualifications
- High school diploma or equivalent
- Experience reading and interpreting payor Explanation of Benefits (EOBs)
- Experience navigating insurance payor websites for eligibility, claim status, and payment information
- Experience with insurance appeals and interpreting insurance payment policy
- 3 to 5 years of insurance follow-up experience in a physician practice or physician billing setting
Benefits
- Competitive benefits package
- Medical, dental, and vision coverage effective day one
- Company-paid life insurance
- Paid time off
- 401(k) retirement plan
- Employee assistance program
- Voluntary coverage options
- Employee discounts
- Flexible benefits to support family, finances, and personal well-being
Location
Toledo, Ohio, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$32,240 - $58,448
Remote work allowed
Yes
Posted
3 weeks ago