Team Lead - Physician Billing Integrity
Mercy Health
Center Hill Service Center
2d ago

Thank you for considering a career at Mercy Health!

This is what we were meant to do - Together!

This position will be a part of the revenue cycle team at Ensemble Health Partners. For more information about Ensemble, please apply.

Summary :

The Specialist of Billing Integrity performs all Billing cycle systems activities across Mercy Health. Job duties include, but are not limited to, resolving billing errors in order to send claims to insurance companies for timely payment, working with coding and patient access departments to ensure compliant billing practices, providing additional documentation as needed to insurance companies, monitoring transfer of claims electronically to clearinghouse, working with Denials Management department to identify trends in billing errors, and identifying new claims edit needs to facilitate accurate billing.

Job Duties :

  • Billing Integrity Specialists responsibilities include resolving billing errors in order to send claims to insurance companies for timely payment
  • Working with coding and patient access departments to ensure compliant billing practices
  • Providing additional documentation as needed to insurance companies
  • Monitoring transfer of claims electronically to clearinghouse
  • Working with Denials Management department to identify trends in billing errors, and identifying new claims edit needs to facilitate accurate billing.
  • Create reports showing trends and system issues (failed claims in various systems); attend meetings for coverage when supervisor is offsite or unable to attend, assist in training, and assist with staff needs.
  • Qualifications :

  • High School diploma or GED required, Bachelor’s Degree preferred.
  • Minimum of three-five years of management experience in healthcare industry with professional billing experience preferred.
  • Excellent skills of organization, financial analysis, communication and problem solving.
  • PC and computer application knowledge and experience.
  • CPC Required
  • CRCR within 6 months of hire.
  • Shift :

  • 40 hours per week
  • Day shift
  • This position will be a part of the revenue cycle team at Ensemble Health Partners - a wholly owned subsidiary of Mercy Health.

    Ensemble Health Partners specializes in providing revenue cycle solutions and creating real value for its clients by building relationships, reducing revenue cycle spend and delivering exceptional results.

    Ensemble partners with hospitals across the United States to make real and lasting improvements that impact the bottom line.

    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 : Department :

    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.

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