Billing & Credentialing Specialist
3 weeks ago
- Assist the Revenue Cycle Manager in identifying and resolving denials or authorization issues.
- Process billing mail and follow up as needed.
- Support the management of outstanding accounts receivable.
- Maintain familiarity with National Billing and Coding standards and regulations and ensures Care Alliance remains in compliance with them.
- Assist in training staff on billing procedures and policies as they relate to entering patient data into the Practice Management System.
- Perform other duties as assigned.
- Minimum of 5 years of experience in healthcare credentialing and/or billing, or provider contract management experience.
- Minimum of 2 years’ experience in managed care practices, payor reimbursement methodologies, regulatory standards (e.g., NCQA), and records management.
- Excellent computer skills, including Microsoft Word, Access, and Excel Experience with Adobe Acrobat Professional and credentialing software preferred.
- Good oral/written communication skills, computer literacy, business acumen, organizational and interpersonal skills are.
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E-Billing Specialist
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Billing Specialist II
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Cleveland, Ohio, United States Cleveland Clinic Full timeBilling Specialist II Job DescriptionThis position is open to Ohio residents only.Billing Specialist IICleveland Clinic is seeking a skilled Billing Specialist II to join our team. As a Billing Specialist II, you will perform billing and accounts receivable functions to support the Retail/Specialty Pharmacy.Key Responsibilities:Research, analyze, and...
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E-Billing Specialist
3 weeks ago
Cleveland, Ohio, United States True North Consultants Full timeWe are seeking an e-Billing Specialist to support our team at True North Consultants. The e-Billing Specialist will be responsible for processing computerized billing from start to finish, including narrative edits, unbilled write-offs, and distribution of month-end prebills and reports for specific timekeepers.Key Responsibilities:Understand the...
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Medical Billing Specialist
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Cleveland, United States Robert Half Full timeJob DescriptionJob DescriptionWe are seeking a Medical Billing Specialist to join our team in Cleveland, Ohio. This role involves handling medical billing and collection practices, maintaining patient records, and resolving inquiries. The position offers a short-term contract employment opportunity and is primarily focused on ensuring the accuracy and...
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Medical Billing Specialist
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Cleveland, Tennessee, United States Surgery Partners Full timeJob Title: Medical Accounts Receivable SpecialistAt Surgery Partners, we are seeking a highly skilled Medical Accounts Receivable Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring timely and accurate reimbursement for our patients.Key Responsibilities:Process and manage all insurance claims,...
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Medical Billing Specialist
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Cleveland, Ohio, United States White Glove Placement Full timeUnlock Your Career Potential:As a Medical Billing Specialist with White Glove Placement, you will play a vital role in ensuring the smooth operation of our clients' healthcare facilities. With a strong focus on administrative tasks, you will be responsible for managing medical records, processing insurance claims, and maintaining accurate billing...
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Medical Billing Specialist
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Cleveland, Ohio, United States Catholic Charities Full timeJob SummaryCatholic Charities seeks a highly skilled Medical Billing Specialist to join our team. As a key member of our finance and accounting department, you will be responsible for ensuring accurate and timely medical billing and reimbursement processes.Key ResponsibilitiesProcess and manage medical claims, including submission and follow-up on rejected...
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Medical Claims Specialist
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Cleveland, Ohio, United States Care Alliance Health Center Full timeCare Alliance Health Center is a leading provider of high-quality medical, dental, and behavioral healthcare services. We are seeking an experienced Credentialing & Billing Specialist to join our team.Key Responsibilities:Assist the Revenue Cycle Manager in identifying and resolving denials or authorization issues.Process billing mail and follow up as...
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Government Badging Credentialing Specialist
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Cleveland, Ohio, United States Citizant Full timeJob Summary:Citizant is seeking a skilled Government Badging Credentialing Specialist to join our team. As a key member of our enrollment process management team, you will be responsible for coordinating and conducting the enrollment process for Personal Identity Verification (PIV) cards, including verifying the identity of applicants and collecting required...
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Medical Billing Specialist
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Cleveland, Ohio, United States PSG Global Solutions Careers Full timeWe're seeking a skilled Medical Biller to join our team at PSG Global Solutions Careers. This role focuses on accurately processing patient billing, handling insurance claims, and ensuring timely reimbursement.You'll play a key part in supporting healthcare providers by maintaining precise financial records and assisting patients with billing inquiries.This...
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Cleveland, United States MEDIC MANAGEMENT GROUP LLC Full timeDescription: As a member of the MMG RCM Leadership Team will develop, manage, and monitor processes and procedures that support client provider payor enrollment/expirable data management. Oversee all payer enrollment functions including application management, primary source verification, and administrative oversight of staff. Ensure compliance and...
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Cleveland, United States MEDIC MANAGEMENT GROUP LLC Full timeDescription: As a member of the MMG RCM Leadership Team will develop, manage, and monitor processes and procedures that support client provider payor enrollment/expirable data management. Oversee all payer enrollment functions including application management, primary source verification, and administrative oversight of staff. Ensure compliance and...
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Medical Billing Lead
1 month ago
Cleveland, United States Robert Half Full timeJob DescriptionJob DescriptionWe are seeking a Medical Billing Lead to join our team in Cleveland, Ohio. The role involves managing a team of medical billers, maintaining patient relationships, and ensuring the effective completion of a medical billing project. The employment opportunity is a short-term contract role.Responsibilities:Under direction, ensure...
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Administrative Medical Billing Specialist
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Cleveland, Ohio, United States NavitsPartners Full timeJob Summary:NavitsPartners is seeking a highly skilled Medical Biller to join our team in Cleveland, OH. As a Medical Biller, you will play a vital role in ensuring timely and accurate billing operations, contributing to the organization's mission of serving those in need.Key Responsibilities:Perform clerical functions related to revenue cycle management,...
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Pharmacy Billing Specialist
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Cleveland, Ohio, United States Sisters of Charity Health System Full timeThe Pharmacy Billing Coordinator role at Sisters of Charity Health System involves assisting in the procurement, preparation, and distribution of pharmaceuticals to meet the needs of our patient population.This includes the efficient preparation of intravenous, intrathecal, irrigation admixtures, and other dosage forms provided to patients. The ideal...
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Chiropractic/PT Billing Specialist
3 weeks ago
Cleveland, Ohio, United States Highland Wellness Center Full timeJob RequirementsWe are seeking a skilled Chiropractic/PT Biller to join our team at Highland Wellness Center. The ideal candidate will have a minimum of 5 years of experience in Chiropractic/PT billing and a strong understanding of insurance claims and procedures.The successful candidate will be responsible for managing and processing claims, maintaining...
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Medical Claims Specialist
4 weeks ago
Cleveland, Ohio, United States Wisen HR Full timeJob Title: Billing Specialist/CoderAt Wisen HR, we are seeking a highly skilled Billing Specialist/Coder to join our team. The successful candidate will be responsible for ensuring accurate and timely medical billing and coding of patient procedures and diagnoses.Key Responsibilities:Review and accurately code patient diagnoses and procedures using ICD-10...
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Accounting Specialist
4 weeks ago
Cleveland, Ohio, United States Lutheran Metropolitan Ministry Full timeJob DescriptionWe are seeking a detail-oriented and highly organized Accounting Specialist to join our team. The ideal candidate will have significant billing experience and a proven track record in managing the billing process, ensuring accuracy and compliance with accounting standards.The Accounting Specialist will collaborate with cross-functional teams...
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A/R Collections Specialist
4 weeks ago
Cleveland, Ohio, United States Tandym Group Full timeJob Title: A/R Collections SpecialistAbout the Role:Tandym Group is seeking a highly skilled A/R Collections Specialist to join our team. As a key member of our revenue cycle operations team, you will be responsible for managing the entire A/R process, from billing to collections.Key Responsibilities:* Manage A/R, billing, and collections activities for our...
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Medical Claims Specialist
4 weeks ago
Cleveland, Ohio, United States Wisen HR Full timeJob OverviewWisen HR is seeking a skilled Billing Specialist/Coder to join our team. The successful candidate will be responsible for ensuring accurate and timely medical billing and coding of patient procedures and diagnoses. This role involves reviewing medical records, coding healthcare services, and working with insurance companies to ensure proper...