A/R Specialist

OhioHealth • WORK AT HOME - OHIO, OH

1d • Remote

About The Position

This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims.
As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties.
The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time.

Requirements

• High School or GED (Required)
• At least 1 year experience with similar work.
• Analytical skills to gather and interpret data where the information or problems are not overly difficult or complex.
• Clear communication and organizational skills to prioritize and meet deadlines as needed.

Responsibilities

• Performs accurate review, analysis, and correction of denied and rejected claims.
• Performs follow-up on unpaid accounts to collect payment.
• Research correspondence and information from phone calls with payers to ensure accurate account handing.
• Reviews patient insurance information for accuracy making any necessary updates.
• Works closely with payer representatives to bring accounts to completion.
• Reports trends and payer issues to management.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED