Top 22 Claims specialist Jobs in Lima Oh

Medical Billing Specialist - Medicaid
Health Partners of Western Ohio —Lima, OH
- From $21.60 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- 403(b) matching
- Paid holidays
Quick Apply
P&C Insurance Claims Specialist
Kesner Insurance Agency, Inc —Lima, OH
- $18 - $20 an hour
- Full-time
- Mid-level
- Communication skills
- Disability insurance
- Paid time off
Quick Apply
16h
Medical Billing Specialist - Medicaid Managed Care
Health Partners of Western Ohio —Lima, OH
- From $21.60 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- 403(b) matching
- Paid holidays
Quick Apply
Patient Access Associate Specialist
Ensemble RCM LLC —Lima, OH
- $17.00 - $18.15 an hour
- Part-time
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement
Installer Service Specialist
O'Reilly Automotive Stores —Saint Marys, OH
- $10.70 - $16.70 an hour
- ASE Certification
- Mid-level
- Team management
- Employee stock purchase plan
- Health insurance
Quick Apply
Patient Access Specialist
Ensemble RCM LLC —Lima, OH
- $17.00 - $18.15 an hour
- Weekends as needed
- Hospital
- Customer service
- High school diploma or GED
- Tuition reimbursement

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Medical Billing Specialist - Medicaid
Health Partners of Western Ohio —Lima, OH
Review and process incoming correspondence related to claims and payments. Resolve payment credits and overpayments through claim corrections, refunds, or payer…
From $21.60 an hour
Quick Apply
Medical Billing Specialist - Medicaid Managed Care
Health Partners of Western Ohio —Lima, OH
With knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid…
From $21.60 an hour
Quick Apply

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Claim Specialist - Property Field Inspection
State Farm Mutual Automobile Insurance Company —Chillicothe, OH
A valid driver's license is required. Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor…
$59,059.65 - $90,000.00 a year
5d
Medical Claims Clearinghouse Specialist
Orthopedic One —Westerville, OH
Responsible for the accurate entry of physician and ancillary charges into Claims Clearinghouse module. Identifies solutions and responds professionally to…

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claims specialist jobs near lima oh

Medical Billing Specialist - Medicaid

Health Partners of Western Ohio -
Lima, OH

Quick Apply

Job Details

Full-time
From $21.60 an hour

Benefits

403(b) matching
Paid holidays
Health insurance
Dental insurance
Paid time off
Employee assistance program
Vision insurance
403(b)
Referral program

Qualifications

High school diploma or GED

Full Job Description

Medical Billing Specialist - Medicaid

Admin Building

Fulltime In Person (Monday - Friday 8:00 am - 4:30 pm)

About Us

Health Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We’re led by a volunteer Board of Directors. Most of our board members are also patients. Our Mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care.

SUMMARY:

POSITION PURPOSE
With knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle.

ESSENTIAL FUNCTIONS AND BASIC DUTIES:

Review insurance coverage and patient demographic information to ensure accuracy and completeness prior to billing

Prepare, review, submit, and track insurance claims to Medicaid payers in accordance with FQHC, state, and federal billing requirements

Process insurance reimbursements and reconcile remittance reports with payments received

Monitor accounts receivable aging and actively follow up on unpaid or underpaid claims

Identify Medicaid‑related denial trends, systemic payment issues, and eligibility discrepancies

Resolve payment credits and overpayments through claim corrections, refunds, or payer coordination in compliance with state and federal regulations
Maintain current knowledge of FQHC billing rules, CPT, CDT, and ICD‑10‑CM coding requirements

Respond professionally and knowledgeably to inquiries from patients, providers, and insurance representatives

Coordinate with internal teams (including Medicare, Managed Medicaid, and third‑party insurance teams) to resolve shared or complex claim issues

Review and process incoming correspondence related to claims and payments

Maintain organized electronic claim, payment, and correspondence records to support audits and reporting

Safeguard patient information in accordance with HIPAA and health center confidentiality policies

Perform other job‑related duties as assigned

QUALIFICATIONS
EDUCATION/CERTIFICATION: High School Degree or GED Required.

REQUIRED KNOWLEDGE: Successful completion of in-house training.

EXPERIENCE REQUIRED: Experience with healthcare billing preferred.

SKILLS/ABILITIES:

Working knowledge of multiple insurance types, including Medicaid, Medicare, and commercial payers
Understanding of basic medical and billing terminology
Ability to manage time effectively and prioritize tasks in a deadline‑driven environment
Strong analytical skills with the ability to critically evaluate available information and make informed decisions
Moderate technical proficiency with the ability to work simultaneously across multiple systems and platforms, including Excel, practice management systems, and Microsoft Teams

WHAT WE OFFER:

Starting pay $21.60 and goes up based on experience in Federally Qualified Health Center billing
Paid Time Off (PTO) – Accrued per pay
Insurance (Medical, Dental, Vision, Life and Disability)
Paid Holidays – 7 paid holidays
403b Retirement with up to 8% match (starts at 3% and increases with time of service at HPWO)
Annual Reviews and Increases
Employee Assistance Program
Referral Bonus – Earn more by expanding our team
Training Opportunities
Eligible to apply for the Emerging Leaders Program after 1 year of service

Quick Apply

Refine Your Search

claims specialist jobs in lima oh

Medical Billing Specialist - Medicaid

P&C Insurance Claims Specialist

Medical Billing Specialist - Medicaid Managed Care

Patient Access Associate Specialist

Installer Service Specialist

Patient Access Specialist

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