3 results for Records Specialist in Cincinnati, OH

Collections Specialist

Cincinnati, OH
onsite
Permanent
40000 - 50000 USD / Yearly
We are looking for a detail-oriented Medical Claims Analyst to join our team in Cincinnati, Ohio. In this role, you will analyze and adjudicate medical claims for a self-funded union health plan, ensuring compliance with plan documents and collective bargaining agreements. This position is ideal for someone with strong analytical skills and a thorough understanding of health insurance processes. Responsibilities:<ul><li>Review, analyze, and adjudicate medical claims for a self‑funded union health plan in accordance with plan documents, SPD, and collective bargaining agreements</li><li>Interpret benefits, eligibility, coverage limits, and exclusions to ensure accurate claim determination</li><li>Apply applicable fee schedules, contracts, and network guidelines</li><li>Identify and resolve claim discrepancies, overpayments, coordination of benefits (COB), subrogation, and eligibility issues</li><li>Research, process, and respond to participant, provider, and union inquiries regarding claim status and benefit interpretation</li><li>Prepare written explanations of benefits (EOBs) and appeal decisions with clear, compliant documentation</li><li>Assist with first‑ and second‑level appeals, audits, and regulatory requests</li><li>Ensure compliance with ERISA, HIPAA, ACA, and other applicable regulations</li><li>Collaborate with internal teams, trustees, TPAs, stop‑loss carriers, and network vendors as needed</li><li>Maintain accurate claim documentation and meet established productivity and quality standards</li><li>Identify trends or recurring issues and recommend process improvements</li></ul>
2026-04-03T00:00:00Z

Collections Specialist

Cincinnati, OH
onsite
Temporary
25 - 25 USD / Hourly
We are looking for a dedicated Collections Specialist to join our team in Blue Ash, Ohio. In this long-term contract position, you will play a vital role in managing financial transactions, ensuring the accuracy of records, and maintaining positive relationships with our customers. This opportunity is ideal for someone passionate about commercial collections and eager to contribute to the success of a dynamic team. Responsibilities: • Process incoming payments promptly and accurately to maintain up-to-date financial records. • Reconcile accounts to ensure all transactions are recorded correctly and discrepancies are resolved. • Contact customers to address and collect past-due balances while fostering positive interactions. • Monitor and manage accounts receivable to reduce outstanding balances effectively. • Maintain detailed and organized records of collections activities for auditing and reporting purposes. • Collaborate with internal teams to streamline billing and collection processes. • Develop strategies to improve collection efficiency and minimize overdue accounts. • Respond to customer inquiries regarding billing and payments with attention to detail and in a timely manner. • Analyze customer accounts to identify trends and proactively address potential payment issues. • Ensure compliance with company policies and industry regulations throughout the collections process.
2026-04-14T00:00:00Z

Collections Specialist

Cincinnati, OH
onsite
Temporary
23.75 - 27.5 USD / Hourly
We are looking for a detail-oriented Collections Specialist to join our team on a contract basis in Blue Ash, Ohio. In this role, you will be responsible for managing accounts receivable processes, ensuring timely collection of payments, and maintaining accurate financial records. This position provides an excellent opportunity to collaborate with multiple departments and contribute to the company's financial health. Responsibilities: • Generate and issue accurate customer invoices in a timely manner. • Process incoming payments through various methods, including wire transfers, credit cards, and checks. • Monitor customer accounts for overdue balances and initiate collection efforts as needed. • Communicate with customers to address invoice discrepancies, payment statuses, and account-related concerns. • Reconcile the accounts receivable ledger to ensure all payments are properly recorded. • Prepare and update aging reports while assisting in developing effective collection strategies. • Investigate and resolve billing issues or discrepancies in payments. • Support month-end closing tasks related to accounts receivable. • Maintain and update customer records in the accounting system with high accuracy. • Collaborate with sales, customer service, and accounting teams to resolve account issues efficiently.
2026-04-13T00:00:00Z