Insurance Claims Specialist

5 days ago


Toledo, Ohio, United States Toledo Clinic Full time

Toledo Clinic is seeking a skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will play a critical role in ensuring the smooth processing of patient insurance claims. Your primary responsibilities will include verifying patient insurance information, filing insurance claims, processing payments and adjustments, and reviewing and following up on unpaid claims. You will work closely with our Business Services Supervisor to ensure that all claims are processed efficiently and accurately. Key duties and responsibilities include:

* Processing all insurance claims and correspondence
* Following up with companies to ensure claims are paid and proper reimbursements have been received
* Maintaining files with referrals, progress, and operative notes and correspondence
* Updating patient account database
* Assisting with coding and error resolution
* Verifying reimbursement according to specific fee schedules
* Entering adjustments according to specific contracts
* Reviewing suspense reports of unprocessed claims to reduce A/R days outstanding

In addition to these essential duties, you may also be responsible for processing, posting, and photocopying reimbursement checks if applicable. To be successful in this role, you will need to have previous experience and knowledge of accounts receivable practices, business office procedures, and insurance reimbursement procedures. You must also be able to consistently arrive at work on time, complete all tasks within established time frames, and demonstrate adaptability to expanded roles. A high school diploma or GED is required. If you are a detail-oriented and organized individual with excellent communication skills, we encourage you to apply for this exciting opportunity.



  • Toledo, Ohio, United States Toledo Clinic Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Insurance Claims Processor to join our team at Toledo Clinic. As an Insurance Claims Processor, you will be responsible for verifying patient insurance information, filing insurance claims, and processing payments and adjustments.Key ResponsibilitiesVerify patient insurance information and file...


  • Toledo, Ohio, United States Toledo Clinic Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Insurance Claims Processor to join our team at Toledo Clinic.Key Responsibilities:Verify patient insurance information and process claims in a timely manner.Follow up with insurance companies to ensure claims are paid and proper reimbursements are received.Maintain accurate and up-to-date...


  • Toledo, Ohio, United States VirtualVocations Full time

    Technical Claims Specialist **Job Summary:** VirtualVocations is seeking a highly skilled Technical Claims Specialist to join our team. As a Technical Claims Specialist, you will provide technical oversight to high-risk and complex workers compensation claims. Your expertise will be essential in serving as the primary point of contact for critical national...


  • Toledo, Ohio, United States Innovative Management Systems Incorporated Full time

    Job Title: Claims Service SupportThe Claims Service Support role is a critical position within our organization, responsible for ensuring the satisfaction of our clients and members by delivering exceptional customer service and resolving any inquiries or issues related to claim submissions or processes.This position will actively support the Claims...


  • Toledo, Ohio, United States VirtualVocations Full time

    Warranty Administrator Job Description **Key Responsibilities:** * Prepare, submit, and track warranty claims accurately and timely * Review warranty repair orders and communicate with service advisors * Maintain positive relationships with service and parts departments **Required Qualifications:** * High school diploma or equivalent * 1+ years of...


  • Toledo, Ohio, United States Innovative Management Systems Incorporated Full time

    Job Title: Claims Examiner II/IIIInnovative Management Systems Incorporated is seeking a highly skilled Claims Examiner II/III to join our team. As a Claims Examiner II/III, you will be responsible for accurately reviewing, researching, and analyzing professional claims for a managed service organization (MSO).Key Responsibilities:Identify authorizations and...


  • Toledo, Ohio, United States Innovative Management Systems Incorporated Full time

    Job Title: Claims Examiner II/IIIWe are seeking a highly skilled Claims Examiner II/III to join our team at Innovative Management Systems Incorporated. This is a challenging and rewarding role that requires a strong understanding of Medicare claims processing and a keen eye for detail.Key Responsibilities:Accurately review and analyze professional claims for...


  • Toledo, Ohio, United States Millennium Therapy Full time

    Job OpportunityMillennium Therapy is seeking a skilled Billing and Insurance Specialist to join our team in Toledo, IA. As a key member of our outpatient staff, you will be responsible for managing billing and insurance processes, ensuring seamless communication with patients, therapists, and vendors.Key Responsibilities:Manage high-volume billing tasks,...


  • Toledo, Ohio, United States Harbor, Inc. Full time

    Job Title: Customer Account SpecialistHarbor, Inc. is seeking a highly skilled Customer Account Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and insurance processing for our clients.Key Responsibilities:Verify insurance coverage and co-payments for clientsUpdate...


  • Toledo, Ohio, United States Harbor Full time

    Job Title: Customer Account SpecialistHarbor is seeking a highly skilled Customer Account Specialist to join our team. As a key member of our billing department, you will be responsible for ensuring accurate and timely submission of client account information to payers.Key Responsibilities:Verify insurance coverage and co-payments for clientsUpdate client...

  • CBO Specialist II

    2 weeks ago


    Toledo, Ohio, United States ProMedica Full time

    Job Title: CBO Specialist IIProMedica is seeking a highly skilled CBO Specialist II to join our team. As a key member of our healthcare team, you will be responsible for facilitating accurate professional provider credentialing, coding, billing, posting, and collection for ProMedica Physicians and all other supported entities.Key Responsibilities:Accurate...


  • Toledo, Ohio, United States Harbor Full time

    {"title": "Customer Account Specialist", "description": "About the RoleHarbor is seeking a skilled Customer Account Specialist to join our team. As a key member of our client services team, you will be responsible for managing client accounts, resolving billing and payment issues, and ensuring timely submission of claims to payers.Key ResponsibilitiesVerify...


  • Toledo, Ohio, United States ProMedica Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Professional Credentialed Specialist to join our team at ProMedica. As a key member of our organization, you will be responsible for ensuring accurate and timely credentialing, coding, billing, and collection for our physicians and supported entities.Key ResponsibilitiesAccurate and timely...


  • Toledo, Ohio, United States Toledo Clinic Full time

    Job Title: Lab Pathology BillerJob Summary:We are seeking a detail-oriented and organized Lab Pathology Biller to join our team at Toledo Clinic. The successful candidate will be responsible for ensuring timely review of Laboratory/Pathology claim denials and working under the supervision of the Associate Director of Laboratory Services.Key...

  • Billing Specialist

    3 weeks ago


    Toledo, Ohio, United States Millennium Therapy Full time

    Job OpportunityMillennium Therapy is seeking a highly organized and detail-oriented Billing Specialist to join our team in Toledo, IA. As a key member of our outpatient setting, you will be responsible for managing medical records, processing billing, and providing administrative support to our interdisciplinary teams.Key Responsibilities:Manage medical...


  • Toledo, Ohio, United States Toledo Clinic Full time

    Job Title: Medical Coding SpecialistAt Toledo Clinic, we are seeking a highly skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will play a critical role in ensuring the accuracy and compliance of our medical coding practices.Key Responsibilities:Review pathology reports and assign the appropriate ICD-10, CPT, and HCPCS...


  • Toledo, Ohio, United States Chief Delivery LLC Full time

    Customer Service Insurance SpecialistAt Chief Delivery LLC, we're seeking a skilled Customer Service Insurance Specialist to provide exceptional support to our insurance company clients and policyholders. As a key member of our team, you'll be responsible for creating insurance policies, advising customers on coverage, and converting quotes into new...


  • Toledo, Ohio, United States Neighborhood Health Association Full time

    Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at Neighborhood Health Association. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and collections for our patients.Key ResponsibilitiesCollect, post, and manage account payments, submit claims, and follow up...


  • Toledo, Ohio, United States ProMedica Full time

    Job SummaryProMedica is seeking a highly skilled Professional Credentialed Billing Specialist to facilitate accurate and timely credentialing, coding, billing, posting, and collection for ProMedica Physicians and supported entities.Key ResponsibilitiesAccurately and timely credentialing follow up for all supported providers with hospital privileges,...


  • Toledo, Ohio, United States Care Seniors Full time

    About the RoleCare Seniors is seeking a highly skilled and experienced Medical Billing Operations Manager to join our team. As a key member of our Finance and Executive Team, you will be responsible for the hands-on management and performance of various duties related to healthcare billing, claims adjudication, and finance support.Key ResponsibilitiesOversee...