[Hiring] Failed Claims Specialist @010 OhioHealth Corporation
Mar 21, 2025 - 010 OhioHealth Corporation is hiring a remote Failed Claims Specialist. 💸 Salary: unspecified. 📍Location: USA.
Role Description
This position is responsible for all Failed Claims processes for inpatient and outpatient encounters for Marion General so financial organizational goals are met.
- Analyze IP and OP claims with problems that are holding the claims from billing
- Investigate these problems, recognize the issue, make necessary corrections and release the bill for payment
- Coordinate data collection efforts with other primary users such as Patient Accounts and HIM
- Provide support to the Clinical Departments regarding claims and charge processing
- Develop educational material and present seminars to other departments regarding prevention of Failed Claims
Responsibilities And Duties:
- 50% Identify claim issue, review charges for correctness, review edits and decide what needs to be done
- 20% Look up reports, review medical information in HBOC, code claim if has not been coded previously
- 10% Research OP and IP issues, coding issues, coder and/or regulatory questions via internet
- 5% Make corrections to claim, add CPT and/or ICD-9 procedure codes and/or ICD-9 diagnosis codes, modifiers, enter correct date of service, or code complete record in HBOC and/or Chartstat
- 5% Prepare and send spreadsheets to departments for charge adjustments
- 10% Review charts for other departments for charging and/or regulatory issues on IP and OP claims
Qualifications
- High School or GED (Required)
- CCS - Certified Coding Specialist - American Health Information Management Association
- CPCH - Certified Professional Coder - Hospital - AAPC American Academy of Professional Coders
- RHIA - Registered Health Information Administrator - American Health Information Management Association
- RHIT - Registered Health Information Technician - American Health Information Management Association
Requirements
- Healthcare related professions
Company Description
OhioHealth is a nationally recognized, innovative healthcare system delivering world-class patient care in a supportive, professional environment filled with limitless opportunities to learn and grow.
- Recognized as a Great Place to Work CertifiedTM organization
- Committed to doing their best and providing tools and resources to accomplish the mission
Similar Remote Jobs
More All Others jobs
-
All others $80,000 to $100,000 USAMar 23, 2025
-
All others $16.35 - $20.00 per hour USAMar 23, 2025
-
All others $55-60 USAMar 23, 2025
More jobs in USA
-
Customer Service $40,000 - $62,000 USA, Australia, MexicoMar 23, 2025 -
Sales / Business competitive base salary + commission USAMar 23, 2025 -
Sales / Business $65,000-$70,000 USAMar 23, 2025
Kickstart Your Job Search
Unlock 53,058 additional remote jobs, advanced search & email notifications
Too many emails? Declutter your inbox with Meco
Your home for reading newsletters
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
|
Salary
💸
unspecified
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 21, 2025
|
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
