Open Interviews Every Wednesday - Denials / Claims / Billing / Cash / Coding Specialist
Mercy Health
Center Hill Service Center
6d ago

Thank you for considering a career at Mercy Health!

This is what we were meant to do - Together!

At Ensemble Health Partners, our most valuable assets are our team members. Our name literally means working together toward a common goal.

From the top to the bottom, every single team member has a voice here.

We encourage - and expect - your ideas and innovation at Ensemble. We hire the brightest minds in the business, and empower them to realize their maximum professional potential.

We’re looking for associates who are passionate, dedicated and driven. If that sounds like you, the sky is the limit here!

Every Wednesday - Until further notice

Cincinnati, OH 45224

Follow Ensemble signs from sidewalk up to building. Check in at Front Desk and let them know you are here for open interviews.

Please stop by for an open interview during the time listed above. Be sure to dress professionally and bring a copy of your resume.

We look forward to talking with you!

Email recruiter : Karissa.Elsner Ensemblehp.com if you have any questions

POSITIONS : Claims Specialist :

Claims Specialist :

  • Contacts insurance payors via telephone on aged / delayed claims for resolution
  • Researches account specifics to complete necessary follow up actions
  • Contacts patients and insurance companies on unresolved claims
  • Communicates with all parties in a professional manner and provides explanations regarding the account(s)
  • Ensures confidentiality of all patient accounts by following HIPAA guidelines and adheres to compliance of CMS and other payor guidelines
  • Billing Specialist :

  • Performs all billing, correspondence, and scanning activities across the organization
  • Managing client billing and ensuring procedures are billed according to contracts, reviewing and updating client statements as necessary
  • Printing and mailing all paper and secondary claims, scanning documents to patient accounts, and reviewing correspondence and following up as needed
  • Cash Posting Specialist :

  • Posting remittance advice to patient accounts, resolving any errors after posting payments, posting guarantor payments, reconciling all posted cash, and requesting refunds
  • Performs reviews of AR reports and identifies posting issues, root cause analysis and develops action plans.
  • Investigates and resolves unapplied cash.
  • Denials Specialist :

  • Contacting insurance companies to determine reasons claims are unpaid, correcting and resubmitting claims in a timely manner to ensure payment.
  • Identifying trends in denied payments by insurance companies to remediate issues, identifying changes with insurance company policies to ensure compliant billing.
  • Communicating with other departments to resolve denial issues and submitting appeals in a timely manner.
  • Coordinating audit activities, contacting insurance companies to determine reasons claims are unpaid, correcting and resubmitting claims in a timely manner to ensure payment.
  • Identifying trends in denied payments by insurance companies to remediate issues, identifying changes with insurance company policies to ensure compliant billing, and submitting appeals in a timely manner.
  • AR Support Specialist :

  • Pulling documentation for audits. Print and mail medical records and appeals certified mail.
  • Distribute faxes, incoming mail, etc. Updating Smart Sheets with claim status.
  • Prints daily hardcopy payers UB's, Medical Records & EOB's then folds documents mailing them to the insurance companies.
  • Pulling various reports, and working special projects.
  • Charge Capture Specialist :

  • Manually post provider charges to patient accounts
  • Input or update patient demographics and insurance
  • Track and trend issues
  • Communicates with all parties in a professional manner and provides explanations regarding the account(s)
  • Analyzes and correct claim edits
  • Physician Coding :

  • Code claims directly from the medical record / operative report according to coding guidelines
  • Communicate and educate providers on coding guidelines
  • Accurate and timely completion of charge review work queues as assigned
  • CPC Required
  • Physician Revenue Cycle Liaison :

  • Routinely communicates with client leadership regarding revenue cycle trends and Key Performance Indicators
  • Engages in revenue-cycle related issue resolution
  • Completes client assessments including identifying areas of strength and areas of opportunity
  • Effectively manages revenue cycle-related projects that affect multiple regions and / or clients
  • Provides support to all areas of physician revenue cycle as needed
  • Physician Revenue Cycle Coordinator - Analytics :

  • SQL and / or Database background Excel proficiency
  • Manages tracks trends and alerts others of spikes / issues
  • Coordinates reporting and dashboard projects to ensure needs of customers are met for tracking KPIs
  • Able to communicate issues / findings of analytics to ensure understanding of issue to all leaders.
  • Mercy Health is an equal opportunity employer.

    We’ll also reward your hard work with :

  • Great health, dental and vision plans
  • Prescription drug coverage
  • Flexible spending accounts
  • Life insurance w / AD&D
  • An employer-matched 403(b) for those who qualify.
  • Paid time off
  • Tuition reimbursement
  • And a lot more
  • S cheduled Weekly Hours :

    Work Shift :

    Days / Afternoons (United States of America)

    Department : Prof Billing Services

    Prof Billing Services

    All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability.

    If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown, which is an Affirmative Action and Equal Opportunity Employer, please email recruitment mercy.

    com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment mercy.com.

    La FMLA Español

    Apply
    Add to favorites
    Remove from favorites
    Apply
    My Email
    By clicking on "Continue", I give neuvoo consent to process my data and to send me email alerts, as detailed in neuvoo's Privacy Policy . I may withdraw my consent or unsubscribe at any time.
    Continue
    Application form