Billing Specialist

Southwoods Health • Boardman, OH

24d • Onsite

About The Position

Southwoods Health is seeking a detail-oriented Billing Specialist to join our billing department at the Southwoods Executive Centre. The successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries.

Requirements

• 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 abilities; proficiency in EMR systems (e.g., MEDITECH) and clearinghouse software.
• Proven ability to maintain a professional demeanor at all times with strong ethical and moral principles.

Responsibilities

• 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 necessary supporting documentation required by insurance carriers; ensure all attachments are included with original claim submissions.
• Process account checks daily within the EMR and verify the accuracy of all insurance information.
• Maintain strict adherence to all billing compliance regulations, patient confidentiality laws (HIPAA), and regulatory agency standards (OSHA, ODH, BOP, TJC, etc.).
• Follow up with Coding and Collection Specialists to accurately correct claims; report billing errors or needed policy changes to the supervisor.
• Perform other duties as assigned to maintain the financial health of the practice.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed