<p>Located in Moraine, OH / REMOTE AVAILABLE AFTER TRAINING</p> <p>Full-time Day Shift</p> <p>Position Summary:</p> <p>Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data entry, third party billing and follow up; review denials and resubmit claims; answer incoming as well as place outgoing calls to both patients and clients while maintaining positive internal and external working relationships with patients, clients and third party payers.</p> <p>Responsibilities:</p> <ul> <li>Maintain organized workflow for efficient account processing and seamless task handover during absences. </li><li>Adhere to departmental processes, consulting supervisors when needed. </li><li>Demonstrate strong customer service skills to enhance department and organizational reputation. </li><li>Foster teamwork and meet or exceed work standards. </li><li>Possess working knowledge of compliance regulations and apply them effectively. </li><li>Follow company policies and maintain accurate statistical data. </li><li>Accurately perform order entry and resolve missing information. </li><li>Utilize translation tools for entering codes into billing systems. </li><li>Communicate effectively with internal and external stakeholders. </li><li>Apply payment details accurately and handle overpayments or refunds. </li><li>Review Explanation of Benefits from various payers. </li><li>Investigate un-adjudicated claims and resolve outstanding accounts. </li><li>Process Medicare denials and monitor payer rejections. </li><li>Handle fast-paced, high call volume environments with strong multitasking skills. </li><li>Focus on positive customer impact and utilize effective verbal and written communication. </li><li>Research collection accounts and correct system errors. </li><li>Perform additional duties and projects as assigned. </li></ul> <p>Qualifications:</p> <ul> <li>High school graduate or equivalent required. </li><li>Minimum of 1 year billing experience working denials. </li><li>Working knowledge of Medicare and other third-party claims processing, ICD-10 and HCPCS/CPT coding, and medical terminology highly desirable. </li></ul> <p>Safety & Physical Demands:</p> <ul> <li>Visual acuity and hand-finger dexterity for extended computer work. </li><li>Ability to sit at computer workstation for prolonged periods. </li><li>Sound reasoning ability and independent judgment. </li><li>Capacity to work within specified deadlines. </li><li>Excellent communication and interpersonal skills. </li><li>Ability to remain calm in stressful situations. </li><li>Adherence to safety, ergonomic and health policies </li><li>Compliance with PPE requirements in lab or biohazard areas </li><li>Completion of required safety training and health evaluations promptly. </li><li>Proactive approach to identifying and addressing safety hazards, promoting safety awareness. </li></ul>