Billing Specialist

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 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.com #SWH