Surgery Billing Specialist

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We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.

Summary:

This position is responsible for providing complete, accurate, and timely billing. He/She may also be responsible for registering patients and initiating certification process for patient treatment as needed.

Responsibilities And Duties:

60% Provides accuracy and attention to detail in data entry for third-party billing. Resolves billing issues with physicians, third-parties, and billing vendors. Tracks and retains forms and data for audit trail purposes. May confer with patients regarding third-party benefits and payment arrangements for any anticipated patient balance. 20% Contacts insurance company to verify benefits. Communicates limitation of benefits to appropriate staff. Assists in problem solving for insurance denials as needed. Rebills accounts when new information is received which requires accounts to be updated with appropriate demographic and third-party Payor information to insure payment. Updates patients record to indicate changes made. 10% Reviews patient face sheet for completion and accuracy. Initiates certification process and may perform inpatient/outpatient registration and/or pre-registration. 5% Participates in continuing education on regulatory issues appropriate to billing, coding, and medical terminology. 5% Additional duties as required e. g. , may be cross-trained with reception

Minimum Qualifications:

High School or GED (Required)

Additional :

Knowledge of medical terminology. Excellent communication and interpersonal skills with public and co-workers. Knowledge of Microsoft Office products. Recommended: one to two years previous billing and/or scheduling experience in a medical office/hospital environment. Epic experience is preferred.

Work Shift:

Day

Scheduled Weekly Hours :

20

Department

Surgical Services

Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment