Top 32 claims processing specialist Jobs in mason oh

Patient Access Associate Specialist
Ensemble RCM LLC —Mason, OH
- $17.00 - $18.15 an hour
- Part-time
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement
Quick Apply
Underwriting Support Specialist - Commercial Lines
Sentry Insurance —Blue Ash, OH
- Hybrid work
- Mid-level
- Office
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Program Support Specialist, Meals on Wheels
Episcopal Retirement Services —Cincinnati, OH
- Microsoft Excel
- Microsoft Outlook
- English
- Health savings account
- Disability insurance
Quick Apply
Customer Service Account Specialist 2
Graphic Information Systems —Mason, OH
- $21 - $25 an hour
- Mid-level
- Office
- High school diploma or GED
Quick Apply
Patient Access Specialist
Ensemble RCM LLC —Cincinnati, OH
- $17.00 - $18.15 an hour
- Part-time
- Acute care
- Hospital
- Customer service
- Tuition reimbursement
Quick Apply
Business Office Specialist
Bristol Hospice —Cincinnati, OH
- $22 - $27 an hour
- Full-time
- Word processing
- Computer literacy
- Office
- Mileage reimbursement
- Health savings account
Quick Apply
13d
Claims - Casualty Litigation Specialist II-IV
The Cincinnati Insurance Companies —Fairfield, OH
- $90,000 - $150,000 a year
- Hybrid work
- Mid-level
- Office
- Analysis skills
13d
Cincinnati WC Claims Specialist (PN: 20069655)
State of Ohio - Workers' Compensation —Cincinnati, OH
- $25.77 - $33.52 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
6d
Retiree Benefits Specialist
WPAS Inc —Middletown, OH
- $19.13 - $22.22 an hour
- Part-time
- Background check
- Customer service
- HIPAA
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Claims - Recovery Specialist II
The Cincinnati Insurance Companies —Fairfield, OH
- $35,000 - $50,000 a year
- Hybrid work
- Microsoft Word
- Microsoft Outlook
- Mid-level
6d
Claims Processing Specialist
Winsupply —Moraine, OH
- Full-time
- Computer literacy
- ERP systems
- Mid-level
Quick Apply
Senior Account Specialist or Account Specialist II
TriHealth —Blue Ash, OH
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
13d
Medical Billing Specialist
Best Point Education & Behavioral Health —Cincinnati, OH
- $20 - $25 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Safety Records Specialist
Metro —Cincinnati, OH
- On call
- Computer literacy
- Mid-level
- Office
7d
Billing Specialist (Senior)
Talbert House —Cincinnati, OH
- $21 - $25 an hour
- Full-time
- Customer service
- 5 years
- High school diploma or GED
Quick Apply
Senior Specialist - Data Engineering
LTM —Cincinnati, OH
- $100,000 - $120,000 a year
- Java
- SQL
- APIs
- Paid parental leave
- Paid holidays
Quick Apply

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Patient Access Associate Specialist

Ensemble RCM LLC -
Mason, OH

Quick Apply

Job Details

Part-time
$17.00 - $18.15 an hour

Benefits

Tuition reimbursement

Qualifications

High school diploma or GED

Full Job Description

Thank you for considering a career at Ensemble!

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

ENTRY LEVEL CAREER OPPORTUNITY OFFERING:

Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $17.00 - $18.15/hr based on experience

***This position is an onsite role, and candidates must be able to work on-site at Mercy - Kings Mills Hospital in Mason, OH

Schedule: PRN

The Opportunity:

We are searching for the next Patient Access Specialist champion. This role is responsible for performing admitting duties for all patients admitted for services at the hospital. They are responsible for performing these functions while meeting the mission and goals of the organization and all regulatory compliance requirements. The Representative will work within the policies and processes as they are being performed across the entire organization.

Job Responsibilities:

Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey.
Operates the telephone switchboard to relay incoming, outgoing, and inter-office calls as applicable.
They are to adhere to policies and provide excellent customer service in these interactions with the appropriate level of compassion.
Patient Access staff will be held accountable for point of service goals as assigned.
Patient Access staff are responsible for the utilization of quality auditing and reporting systems to ensure accounts are corrected. These activities may include accounts for other employees, departments, and facilities. Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit standards and provides statistical data to Patient Access leadership.
Patient Access Staff are responsible for the pre-registration of patient accounts prior to patient visits. This may include inbound and outbound calling to obtain demographic, insurance, and other patient information including the patient financial liabilities including collecting point of service collections as well as past due balances including payment plan options.
The Patient Access Staff explains general consent for treatment forms to the patient/guarantor/legal guardian, obtains necessary signatures and witness’s name. Explains and distributes patient education documents, such as Important Message from Medicare, Important Message from Tricare, Observation Forms, MOON form, Consent forms, and all forms implemented for future services.
Reviews eligibility responses in insurance verification system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of Service Collections) and billing processes to assist with a clean claim rate.
Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate. Responsible for distribution and documentation of other designated forms and pamphlets.

Experience We Love:

1+ years of customer service experience
Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

Minimum Education:

High School Diploma/GED Required

Certifications:

CRCR Required within 9 months of hire (Company Paid)

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

Innovation
Work-Life Flexibility
Leadership
Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [email protected].

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Employment Disclaimers – Ensemble

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Refine Your Search

claims processing specialist jobs in mason oh

Patient Access Associate Specialist

Underwriting Support Specialist - Commercial Lines

Program Support Specialist, Meals on Wheels

Customer Service Account Specialist 2

Patient Access Specialist

Business Office Specialist

Claims - Casualty Litigation Specialist II-IV

Cincinnati WC Claims Specialist (PN: 20069655)

Retiree Benefits Specialist

Claims - Recovery Specialist II

Claims Processing Specialist

Senior Account Specialist or Account Specialist II

Medical Billing Specialist

Safety Records Specialist

Billing Specialist (Senior)

Senior Specialist - Data Engineering

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