Accounts Receivable/Medical Claims Specialist Job at OSU Physicians

OSU Physicians Columbus, OH 43202

OSU Physicians, Inc.

**This is a remote position with residency required in Ohio**

What is OSU Physicians all about?

We believe that being engaged and sharing in a larger purpose at work is instrumental to the employee experience. “Tradition, determination, teamwork, purpose, compassion, community, pride, integrity”….these are just a few words that our employees use to describe what it feels like to embody the “Buckeye Spirit” and work for our organization.

We strive to create environments where our colleagues and all those we serve feel empowered to share their full, authentic selves.

Our over 60 physician practices embody the spirit of teamwork with passionate care for our patients and each other. Our teams are diverse in employees, thoughts, and ideas bringing the full spectrum of a collaborative culture to the big picture – TEAMWORK!

OSU Physicians focuses on entire patient experience, from the minute they call in for an appointment, to being welcomed in the office, and then receiving quality, compassionate, thorough care from our physicians and the entire OSU Physicians healthcare team.

Sound like something you are seeking in your next career adventure? We invite you to keep reading.


What will you be doing as an Accounts Receivable specialist?

Duties and Responsibilities include but not limited to:

  • Reviews, verifies, obtains and corrects patient demographics and insurance information, medical diagnosis, laboratory and other diagnostic services information, hospital service, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of insurance bills, and eligibility of coverage.
  • Coordinates and analyzes EOB’s for denials and irregularities, institutes appropriate actions, and reprocesses claims in accordance with Company policy.
  • Investigates and resolves unpaid claims timely to accurately maximize reimbursement.
  • Researches and resolves missing or conflicting patient information; requests completion of additional forms or information for denied claims or special processing requirements.
  • Updates work queue and invoices for collection activity according to Department guidelines.


What are we looking for in our next new hire?

  • High School diploma or equivalent with two or more years of medical billing experience; or equivalent combination of education and experience.
  • Knowledge of insurance carrier payment policies, practices and amounts. Must have basic computer knowledge.
  • Evidence of organizational and problem solving skills, and ability to manage multiple priorities.
  • Ability to effectively communicate both verbally and in writing. Work requires continual attention to detail in composing, typing and proofing materials, establishing priorities and meeting deadlines. May be required to work under time pressures or demanding requests from various staff members and departments.
  • Must be able to interact and communicate with individuals at all levels of the organization.
  • Understanding of pre-AR and post AR and working denied and rejected claims.
  • Responsible for the tracking of claims throughout the Revenue Cycle and specifically the billing process to identify problem areas and to determine a course of action in resolving aging claims.
  • Follows all governmental regulations as well as policies and procedures.
  • Experience with EPIC; experience in a high volume centralized billing office or clearinghouse is ideal.

What do we offer?

Benefits! It's all about choices. We know that having options and robust benefit plans are important to you. That's why here at OSU Physicians, we offer our employees a flexible, competitive benefit package. Full-time benefits start for individuals working a minimum of 30 hours per week, as well as some benefits available to employees working as little as 20 hours a week. Some of our excellent benefits options and perks include:

  • Diverse and Affordable Healthcare Choices: Coverage begins on your First Day of Employment; includes Medical, Dental, Vision and Prescription Drug Programs.
  • Outpatient clinic settings with day shift hours, Monday through Friday.
  • Generous Paid Time-Off: Allowing a true work-life balance starting at 17 days per year and 11 paid holidays.
  • Competitive compensation and career ladder opportunities
  • Retirement Plan: Company contribution of 7.5% to your retirement plan in which you are fully vested from your first day of employment.
  • Flexible Spending Accounts (Healthcare and Dependent Care).
  • Paid Parental Leave Program
  • Tuition Reimbursement Program



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