<p>We are looking for a skilled Medical Billing Specialist to join our team on a contract basis in Cincinnati, Ohio. This position plays a vital role in ensuring accurate and timely processing of medical claims for adult care and therapy services. The ideal candidate will bring expertise in billing systems, government healthcare payers, and commercial insurance claims.</p><p><br></p><p>Responsibilities:</p><p>• Process and submit medical claims accurately and efficiently.</p><p>• Investigate and resolve claim denials, ensuring timely follow-up and appeals.</p><p>• Manage invoicing operations for both government payers and commercial insurers.</p><p>• Monitor reimbursement processes and address discrepancies to ensure proper payments.</p><p>• Handle Medicaid and Medicare billing with precision and compliance.</p><p>• Collaborate with team members to optimize billing workflows and minimize errors.</p><p>• Track claim statuses and maintain detailed records of billing activities.</p><p>• Ensure adherence to healthcare billing regulations and policies.</p><p>• Provide support in resolving complex billing issues that may arise.</p><p>• Communicate effectively with payers to clarify billing concerns or discrepancies.</p>
<p>We are looking for a meticulous and detail-oriented Insurance Authorization Coordinator to join our team in Cincinnati, Ohio. This role is a Contract to permanent position and offers a great opportunity for individuals with experience in medical or behavioral billing. The ideal candidate will excel in managing insurance authorizations, data entry, and communication with payors while maintaining a high level of accuracy and confidentiality.</p><p><br></p><p>Responsibilities:</p><p>• Process and manage accounts receivable for various funding sources, ensuring accurate posting, summarizing, and reporting.</p><p>• Conduct follow-ups on unapplied payments for assigned payors and coordinate refunds in compliance with payer guidelines.</p><p>• Address client inquiries related to account balances and payments, including answering incoming calls as needed.</p><p>• Assist with daily operations such as opening, scanning, and storing mail efficiently.</p><p>• Update accounts with insurance card receipts and perform financial audits related to billing activities.</p><p>• Implement organizational policies and procedures to maintain compliance and operational standards.</p><p>• Maintain strict confidentiality and adhere to all company guidelines and regulations.</p><p>• Participate in staff meetings, training sessions, and supervision events to stay informed and enhance skills.</p><p>• Ensure proper use and care of organizational supplies and equipment, contributing to a conscientious work environment.</p>
