[Hiring] Billing Coordinator @OhioHealth

Role Description

Responsible for overseeing all functions related to the billing department. This includes:

• Obtaining Prior Authorizations for all medications
• Resolution of denied claims
• Electronic claims submission (if available)
• Other billing duties as assigned
• Coordination of drug procurement
• Scheduling all patients and coordination of care with ordering physician offices
• Ensuring quality standards are met and all reporting functions are accurate and submitted in a timely manner

Qualifications

• High School or GED (Required)
• Medical billing and CPT/ICD coding experience
• Medical terminology and medical computer billing applications knowledge
• Proficient in Microsoft Excel
• Three to five years of experience with revenue cycle or equivalent area

Requirements

• Responsible for revenue cycle processes including prior authorizations, insurance claims submission and follow-up in accordance with established policies and procedures, benefit verification, patient enrollment with various Risk Evaluation and Mitigation Strategy (REMS) programs, and financial assistance programs (60%)
• Patient appointment scheduling including patient lodging and transportation setup (20%)
• Work collaboratively with hospital personnel management team to address processes that affect revenue cycle (10%)
• Stay current on all managed care issues, Medicare and Medicaid regulations, and other third-party payer requirements (5%)
• Generate monthly reports and provide analysis on financial trends within infusion centers (5%)

Benefits

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

Company Description

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 persons 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.

Positions marked as remote are only eligible for work from Ohio.