Enrollment & Billing Director jobs in Cincinnati, OH

The ideal candidate will be able to complete the following tasks

Verify that sufficient information is available for accurate verification and eligibility.

• Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
• Utilize selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information.
• Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class.
• When the patient's insurance is Out of Network notify the manager immediately. Follow the Policies and Procedures when accepting Out of Network payers.
• Ensure that patient's insurance verification is complete and accurate. The insurance verifier will document the findings provide and estimated co-insurance, co-pay and or deductible amounts due on or before the date of service as applicable.
• Calculate co-pay and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable.
• Be familiar with individual payer guidelines and the process of collecting over the counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare, Medicaid and other government contracts and guidelines and workmen's compensation fee schedule.

Qualifications

Requirements:

• High School Diploma or GED Required;
• Experience verifying medical insurance
• Detailed and able to work in a high production environment
• Ability to multitask
• STRONG attention to detail
• Microsoft Excel and Word

Job Type: Full-time

Pay: $14.00 - $18.00 per hour

Benefits:

• 401(k)

Weekly day range:

• Monday to Friday

Application Question(s):

• What your expected salary range?

Education:

• High school or equivalent (Preferred)

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Ability to Commute:

• Florence, KY 41042 (Required)

Work Location: In person