A/R Specialist

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.

Job Description Summary:

This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims.

Responsibilities And Duties:

Performs accurate review, analysis, and correction of denied and rejected claims. 
Performs follow-up on unpaid accounts to collect payment. 
Research correspondence and information from phone calls with payers to ensure accurate account handing. 
Reviews patient insurance information for accuracy making any necessary updates. 
Works closely with payer representatives to bring accounts to completion. 
Reports trends and payer issues to management. 

Minimum Qualifications:

High School or GED (Required)

Additional Job Description:

Work requires a high school level of skills, and six to twelve months of previous account processing Experience plus two to three months of time on the job. No Certification , registration or licensure required. Work requires the analytical skills to gather and interpret data in situations where the information or problems are not overly difficult or complex. Work requires the communication skills necessary to exchange information on factual matters, greet visitors, explain Hospital policies, and/or relay patients account information to appropriate personnel. Work is performed in accordance with instructions and procedures but incumbents must organize the work, set priorities, and request occasional exceptions when necessary.

Work Shift:

Day

Scheduled Weekly Hours :

40

Department

OPG Physician Billing

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 

Remote Work Disclaimer:

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