Top 170 authorization representative Jobs in delaware, oh

Appeals-Billing Specialist | Patient Financial Services, Full-Time
Memorial Health Ohio —Marysville, OH
- Full-time
- Microsoft Excel
- Hospital
- Mid-level
- Free parking
- Paid holidays
Quick Apply
Territory Sales Consultant - Columbus
IGS Energy —Columbus, OH
- $50,000 - $100,000 a year
- Full-time
- Background check
- Clean driving record
- Driver's License
- Wellness program
- Mileage reimbursement
Quick Apply
5d
Warehouse Manager
Health Aid of Ohio Inc —Columbus, OH
- $60,000 - $64,000 a year
- 8 hour shift
- Clean driving record
- English
- Mid-level
- Continuing education credits
- Disability insurance
Admission RN $7500 Sign On!
Ohio Hospital for Psychiatry —Columbus, OH
- $36 - $40 an hour
- Full-time
- CPR Certification
- Nursing
- Psychiatry
10d
Outside Sales Representative
Hood Distribution —Columbus, OH
- $40,000 - $45,000 a year
- Full-time
- Bilingual
- Background check
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
10d
Sales Professional
Mattress Firm —Hilliard, OH
- $59,000 - $70,000 a year
- Full-time
- Ability to lift 50 pounds
- US work authorization
- Leadership
- Health insurance
- Dental insurance
2d
Educational Aide - Job Coach
Delaware Area Career Center —Delaware, OH
- $19.33 - $27.06 an hour
- Full-time
- Classroom
- Microsoft Excel
- Working with individuals with disabilities
3d
Sleep Expert - Sales
Mattress Firm —Delaware, OH
- $58,000 - $66,000 a year
- Full-time
- Ability to lift 50 pounds
- US work authorization
- Leadership
- Health insurance
- Dental insurance
Admissions Coordinator
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
- $21 - $31 an hour
- 8 hour shift
- Customer service
- Medical office experience
- High school diploma or GED
- Dental insurance
- Paid time off
Quick Apply
12d
Patient Access Liaison - TEPEZZA - Columbus, Ohio
Amgen —Columbus, OH
- $158,394 - $222,256 a year
- Weekends as needed
- Nursing
- Doctoral degree
- Up to 50% travel
- Disability insurance
- Health insurance
6d
Patient Access Representative
Trinity Health —Dublin, OH
- Part-time
- Hospital
- Inpatient
- High school diploma or GED
- Relocation assistance
- Health insurance
Inside Sales Representative
Angi —Columbus, OH
- $40,000 - $78,000 a year
- Full-time
- Remote
- Background check
- Research
- Mid-level
- Paid training
- Health savings account
Quick Apply
Patient Registration Representative
OhioHealth —Columbus, OH
- Part-time
- Hospital
- High school diploma or GED
- Organizational skills
2d
Customer Service Outreach Specialist-(Part Time)
Mid Ohio Regional Planning Commission —Columbus, OH
- $22 an hour
- Part-time
- Hybrid work
- Computer literacy
- Office
- Residential
- Paid holidays
- Paid time off
Quick Apply
Clinical Services Specialist
Delaware County, OH —Delaware, OH
- $29.22 - $47.13 an hour
- Overtime
- Psychiatry
- Addiction Medicine
- 5 years
Clinical Services Specialist
Delaware, County of (OH) —Delaware, OH
- $29.22 - $47.13 an hour
- Full-time
- Addiction Medicine
- 5 years
- HIPAA
Services & Modernization Sales Manager
ABB —Delaware, OH
- $98,700 - $157,920 a year
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Business development
- Health savings account
- AD&D insurance
Docketing Specialist
Ice Miller LLP —Columbus, OH
- $75,000 - $95,000 a year
- Full-time
- Hybrid work
- Writing skills
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Patient Access Representative - Dublin Emergency Department
Trinity Health —Dublin, OH
- Full-time
- High school diploma or GED
- Analysis skills
- ER
- Relocation assistance
- Health insurance
Senior Field Service Technican
ABB —Delaware, OH
- $83,300 - $133,280 a year
- Full-time
- 6 years
- Sales
- Military
- Health savings account
- AD&D insurance

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Appeals-Billing Specialist | Patient Financial Services, Full-Time

Memorial Health Ohio -
Marysville, OH

Quick Apply

Job Details

Full-time

Benefits

Free parking
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Vision insurance
Life insurance

Qualifications

Microsoft Excel
Coding for hospital billing
Documentation tools
Productivity software
Medical terminology

Full Job Description

We are looking for a Appeals-Billing Specialist to join our collaborative team at Memorial Health!

What You'll Do:

Appeals Management:

Understands payer requirements per hospital contracts and payer policies, ensuring adherence to all payer requirements.
Knowledge of payer contracts specific to timely filing deadlines and retro-authorization timelines
Collaborates with various departments throughout the organization to confirm all necessary information for the appeal is accurate and supported through medical documentation.
Collaborate with Billing Representatives to ensure appeals and/or additional documentation is provided timely for reimbursement, collecting data and creating appeal based on payer requirements.
Reviews denial type, payor authorization approval information documented on the account, confirms timely claim submission as required by the payer
Confirms coding, service admit and discharge dates, patient level of care and patient status are correct prior to appeal submission
Maintains claims appeal logs, tracking to ensure payor reimbursement based on payor contract terms and payer specific rules
Enters complete and appropriate account documentation in Health Information System (HIS) identifying all actions taken for all accounts
Knowledge of all payer contract updates and provider bulletins pertaining to various appeal processes.
Reviews Epic workqueue Appeals Communication for denied claims requiring an appeal
Formulates appeal letters, assembles appropriate medical records, and other pertinent information necessary to complete the appeal process.
Understanding of all tools necessary to process payor specific information; Real-Time Eligibility (RTE), MyAbility-Insurance Discovery, MyCGS, and so forth
Knowledge of Current Procedure Terminology (CPT) and ICD-10 Diagnosis Codes
Contacts guarantor and/or payor in the event clarification is needed

Specialty Billing for Sexual Assault Forensic Examination (SANE) Program & Medicare Short Stay:

Serves as a liaison between Patient Financial Services and Emergency Department SANE coordinator to ensure billing is accurate and appropriate for claims submission to the Ohio State Attorney General’s Office.
Prepare all documentation for SANE claim submission
Manage and prepare all accounts for Medicare Short Stay claim billing through the various stages of the billing process in accordance with CMS billing guidelines.
Track all Short Stay billing accounts, ensuring each step is accurate and timely.

Retro Authorization Management:

Manage all retro authorizations when the Current Procedural Terminology (CPT) code on the claim does not match the code that was authorized with the payor; work queue Precert CPT not on Code Integration.

Requirements

1 - 3 years of hospital billing & claim appeals and hospital reimbursement experience preferred; associate or bachelor’s degree preferred. Knowledge of revenue cycle functions, registration experience, understanding of health insurance and government programs, billing processes, managed care contracts, coordination of benefits with ability to interpret explanation of benefits desired. Knowledge of hospital third party billing requirements, Current Procedural Terminology (CPT), International Classification of Disease (ICD)-9, ICD-10 and modifiers Knowledge of office practices and procedures, medical terminology, and the ability to communicate effectively. Must be proficient with Microsoft Word, Excel, and PowerPoint

Shift
1st

Hours
80 per pay (every two weeks)

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Flexible Spending Account

Time Off

Vacation
Sick Leave
11 Paid Holidays
Personal Day

Retirement

Ohio Public Employee Retirement System
Deferred Compensation

Other

Tuition Reimbursement
Kidzlink Daycare Center
Employee Recognition
Free Parking
Wellness Center
Competitive Salaries
Community/Family Atmosphere

Location:

Approx. 25 minutes away from Dublin, OH
Approx. 30 minutes away from Hillard, OH
Approx. 30 minutes away from Delaware, OH
Approx. 30 minutes away from Powell, OH

We look forward to seeing your application!

It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

authorization representative jobs in delaware, oh

Appeals-Billing Specialist | Patient Financial Services, Full-Time

Territory Sales Consultant - Columbus

Warehouse Manager

Admission RN $7500 Sign On!

Outside Sales Representative

Sales Professional

Educational Aide - Job Coach

Sleep Expert - Sales

Admissions Coordinator

Patient Access Liaison - TEPEZZA - Columbus, Ohio

Patient Access Representative

Inside Sales Representative

Patient Registration Representative

Customer Service Outreach Specialist-(Part Time)

Clinical Services Specialist

Clinical Services Specialist

Services & Modernization Sales Manager

Docketing Specialist

Patient Access Representative - Dublin Emergency Department

Senior Field Service Technican

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