- Attend department, clinic or company meetings as required
- Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
- Consistently work in a positive and cooperative manner with fellow staff members.
- Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
- Attend required annual in-service programs.
- Demonstrate knowledge and understanding of all company policies and procedures. Adheres to established facility safety requirements and procedures to ensure a safe working environment. Identifies potentially unsafe situations and notifies supervisor.
- Adaptability to changing procedures and growing environment.
- Assure timely and accurate submission of claims to maintain the highest quality of service and timely payment.
- Submits all paper claims and supporting documentation as required by payers.
- Reports any errors trends/delays to supervisor.
- Researches and resolves any electronic claim delays within 24 hours.
- Correction of clearinghouse errors.
- Participates in continuing educational activities relative to assigned duties and responsibilities.
- Perform other duties as assigned by management.
- High school graduate or equivalent.
- Medical Billing Experience including CPT and ICD10
- Medical Accounts Receivable, Denial Management, or Clearinghouse Rejection Experience
- Experience with electronic health records/practice management system.
- NextGen PM and NextGen EHR
- Waystar experience preferred
- Understanding of major insurance carriers including, HMOs, PPOs and governmental payers.
- Proficiency in Explanation of Benefits (EOB) methodologies and principles.
- Sound judgment, maturity, and an ability to establish good rapport with patients, public, and staff.
- Proficiency with Microsoft Teams, Outlook, and Excel
- Ability to calmly handle multiple tasks at once, and deal with patients and staff with tact and diplomacy.
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Residential Insurance Property Inspector
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Cincinnati Children's Hospital Medical Center Cincinnati, United StatesSUBFUNCTION DEFINITION: The healthcare science that determines the safety and effectiveness (efficacy) of medications, devices, diagnostic products and treatment regimens intended for human use. These may be used for prevention, treatment, diagnosis or for relieving symptoms of a ...
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GE Aviation Cincinnati, United StatesJob Description SummaryThe Senior Government Accounting Manager is responsible for compliantly developing the Forward Pricing Rate Proposal (FPRP) for the GE Aerospace Defense & Systems organization. The incumbent will partner with functional organization leadership to enable the ...
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Medpace Cincinnati, United StatesJob Summary: · We are seeking an office based Director of Study Start-Up to support our growing Study Start-Up/Regulatory Submissions team at MedpaceThis position will be an integral part of the Clinical Operations Senior Management team. A strong understanding of study start-up ...
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USI Holdings Corporation Cincinnati, United StatesGeneral Description: Manage 20 to 30 large and/or complex Commercial Lines insurance accounts as the day-to-day client contact. Activities include new and renewal marketing, fielding questions and requests and coverage review. Assist Sales Executives team and provide guidance to ...
claim submission representative-hybrid - Cincinnati, United States - Beacon Orthopaedic Partners MSO LLC
Description
Job Description
Job DescriptionFull-Time: Monday through FridayTraining to be completed onsite at Summit Hybrid with 1 Day in OfficePosition Summary:Perform electronic claim submission for all payers. Correct first pass claim edit errors from Practice Management System. Correct clearinghouse errors. Submit paper claims with appropriate documentation as needed.
Position Responsibilities/Standards: General
