Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion!?

Who we are

With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth.

Our culture

At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community.

Our benefits

We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that’s why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives.

• Provides problem resolution on payer 277 rejections and denials and follow-up on issues as needed.
  • Acts as a resource for colleagues with less experience to identify and resolve denials. Makes recommendations to management for resolution of any delays.
  • Understands and performs all aspects of the billing life cycle, which includes registration, claims insurance follow-up & collections, refunds, denials, and charge and payment postings.
  • 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 the preparation and processing of patient bills, and eligibility of coverage.
  • Coordinates and analyzes EOBs for denials and irregularities, institutes appropriate actions, and reprocesses claims by Company policies and procedures.
  • Analyzes aged trial balance reports, pending claim reports, and other practice management reports to understand and recommend solutions to denials/issues.
  • Attend payer/Revenue Cycle meetings as needed
  • Attends meetings & develops solid working relationships with peers external to the revenue cycle office
  • Attends compliance and billing seminars as directed
  • May lead projects within the revenue cycle or have accountability for ongoing issues/delays.
  • Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients
  • Ability to embrace diversity and communicate effectively with payers, patients, coworkers, departments, physicians, and management

Purpose: Acts as a lead and subject matter expert in a billing office for rejections and denials. Uses thorough knowledge of professional claims, professional insurance billing, provider credentialing/enrollment, and medical terminology to complete multiple tasks including performing the full range of duties within the department on a rotational or specialization basis as needed.

Requirements: High School diploma or equivalent with four or more years of experience. Experience with a computerized billing system. Experience with Microsoft Word and Excel
Preferences: Experience with EPIC; experience in a high-volume central business office. Knowledgeable with Ohio payors and requirements & processes.

Knowledge, Skills, and Abilities:
• Ability to effectively communicate both verbally and in writing.
• High level of interpersonal skills to handle sensitive and confidential situations with poise, tact, and diplomacy.
• Works independently with minimal guidance.
• Has in-depth conceptual and practical knowledge of the revenue cycle.
• Analytical ability to gather and interpret data and develop, recommend, and implement solutions.