Medical Billing Specialist

Medical Billing Specialist Location: Southwoods Executive Centre – Boardman, Ohio Schedule: Full-time | Monday–Friday, Day Shift Flexibility: Choose your own 8-hour shift! Work your preferred schedule within our business hours of 6:00 AM to 6:00 PM. No evenings or weekends required.

About the Role

Southwoods Health is seeking a detail-oriented Medical Billing Specialist to join our billing department at the Southwoods Executive Centre. The successful candidate will be responsible for submitting claims to third-party payers, resolving daily edits within our EMR and clearinghouse systems, and managing professional correspondence regarding billing inquiries.

Essential Duties

& Responsibilities: Claim Management: Resolve daily edits through the EMR or clearinghouse to produce clean claims; submit secondary claims while ensuring primary payment information is accurately captured. Documentation: Identify and gather necessary supporting documentation required by insurance carriers; ensure all attachments are included with original claim submissions.

Account Processing: Process account checks daily within the EMR and verify the accuracy of all insurance information. Compliance: Maintain strict adherence to all billing compliance regulations, patient confidentiality laws (HIPAA), and regulatory agency standards (OSHA, ODH, BOP, TJC, etc.) Collaboration: Follow up with Coding and Collection Specialists to accurately correct claims; report billing errors or needed policy changes to the supervisor.

Administrative: Perform other duties as assigned to maintain the financial health of the practice.

Qualifications

Education

Completed training or coursework in business office activities, computer skills, and medical terminology. Experience: Two or more years of experience in medical billing or collections is preferred. Skills: Strong communication and problem-solving abilities; proficiency in EMR systems (e.g., MEDITECH) and clearinghouse software.

Professionalism: Proven ability to maintain a professional demeanor at all times with strong ethical and moral principles. Why Southwoods? At Southwoods, it’s not just about the treatment, but how you’re treated. We offer a competitive work environment focused on excellence in patient care. Apply Today: www.southwoodshealth.

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