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Medical Billing Specialist

Southwoods Health

Southwoods Health is seeking a detail-oriented Medical Billing Specialist to join the billing department at the Southwoods Executive Centre in Boardman, Ohio.

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

Essential duties

  • Resolve daily edits through the EMR or clearinghouse to produce clean claims.
  • Submit secondary claims while ensuring primary payment information is accurately captured.
  • Identify and gather supporting documentation required by insurance carriers.
  • Ensure all attachments are included with original claim submissions.
  • Process account checks daily within the EMR and verify insurance information.
  • Maintain compliance with billing regulations, HIPAA, and regulatory standards.
  • Collaborate with Coding and Collection Specialists to correct claims.
  • Report billing errors or needed policy changes to the supervisor.
  • Perform other duties as assigned to support the financial health of the practice.
Requirements & Qualifications

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 is preferred.
  • Strong communication and problem-solving skills.
  • Proficiency in EMR systems, such as MEDITECH, and clearinghouse software.
  • Ability to maintain professionalism and strong ethical standards.

Location

Ohio, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 month ago

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