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Direct Billing Jobs in Ohio (NOW HIRING)

LHH US

Legal Billing Specialist

Cincinnati, OH

$55K - $68K/yr

This potion is direct hire / permanent placement and will pay between $55K and $68K annually. Responsibilities * Managed the full billing cycle for assigned attorneys, including preparation, review ...

LHH US

Legal Billing Specialist

Cincinnati, OH

$55K - $68K/yr

This potion is direct hire / permanent placement and will pay between $55K and $68K annually. Responsibilities * Managed the full billing cycle for assigned attorneys, including preparation, review ...

Wilmerhale

Billing Coordinator

Miamisburg, OH

... directed to ensure adherence to Outside Counsel Guidelines (OCGs) and any negotiated rate ... Submit timekeepers for approval in client e-billing systems both as part of the Annual Rate Process ...

Richter

SNF/LTC - Medicaid Billing Specialist

Twinsburg, OH · On-site

$18 - $24.50/hr

The Billing Specialist facilitates the Richter policies and procedures to ensure accurate and ... directed. * Identifies and escalates issues regarding tracking worksheets, at-risk accounts ...

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Showing results 21-40

All JobsDirect Billing JobsDirect Billing Jobs in Ohio

Direct Billing information

What is direct billing?

Direct billing is a payment process where a service provider, such as a healthcare clinic or insurance company, bills a third party (like an insurance provider or employer) directly for services rendered, instead of billing the client or patient. This means the client does not have to pay upfront and then seek reimbursement; the provider and third party handle payments directly. Direct billing is common in health, dental, or wellness services and helps streamline the payment process, making it more convenient for both customers and businesses.

What are the key skills and qualifications needed to thrive as a direct billing specialist?

To excel as a Direct Billing Specialist, you need a solid understanding of invoicing, accounts receivable, and financial recordkeeping, often supported by a background in accounting or finance. Familiarity with billing software, enterprise resource planning (ERP) systems, and sometimes certification in bookkeeping or accounting software is typically required. Strong attention to detail, organizational skills, and effective communication help ensure accuracy and resolve billing disputes efficiently. These competencies are crucial for maintaining cash flow, preventing errors, and building trust with clients and vendors.

What are some common challenges faced in a direct billing role, and how can they be managed effectively?

Direct Billing professionals often encounter challenges such as managing high volumes of invoices, ensuring accuracy in billing details, and resolving discrepancies with clients or insurance providers. Staying organized and maintaining clear communication with both internal teams and external partners are crucial to minimizing errors and delays. Leveraging billing software and regularly reviewing accounts can help streamline processes and quickly address any issues that arise. Being proactive and detail-oriented is essential for success in this role.

What is the difference between Direct Billing vs Medical Billing Specialist?

AspectDirect BillingMedical Billing Specialist
CredentialsOften requires knowledge of insurance policies and billing proceduresRequires coding certifications (e.g., CPC), insurance knowledge
Work EnvironmentHealthcare providers, clinics, hospitalsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageProviders handle billing directly with insurersThird-party billing companies or in-house billing teams

While both roles involve billing processes, Direct Billing typically refers to providers billing insurers directly, whereas Medical Billing Specialists handle coding and processing claims for various healthcare providers. Understanding these differences helps clarify job responsibilities and industry expectations.

Is it hard to get hired as a direct billing?

Getting hired as a direct billing specialist typically requires relevant experience in billing processes, attention to detail, and familiarity with billing software or electronic health record systems. The hiring process can vary depending on the employer's requirements and the level of experience needed, but generally, candidates with strong organizational skills and certifications in healthcare billing have better prospects.

What are popular job titles related to Direct Billing jobs in Ohio?

For Direct Billing jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Direct Billing jobs in Ohio look for?

The top searched job categories for Direct Billing jobs in Ohio are:

What cities in Ohio are hiring for Direct Billing jobs?

Cities in Ohio with the most Direct Billing job openings:

Direct Billing jobs near you

Billing Specialist I

Ohio Gastroenterology Group Inc

Columbus, OH • On-site

$18.50 - $25/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Billing Specialist Job Description

Position Details

Job Title: Billing Specialist

Job Title Description: Billing Specialist I

Job Type: Staff

FLSA Type: Non-Exempt

Job Family: Revenue Cycle

Reports To: Revenue Cycle Manager. Daily assignments or direction may occasionally be provided by the Audit Compliance and Coding Manager, Director of Revenue Cycle, Director of Finance, Office Manager, Human Resource Manager or Director, Chief Operating Officer, Director of Operations, or the Physicians.

Interfaces With: Staff of Ohio Gastroenterology Group Inc and Central Ohio Endoscopy Center LLC, collection agencies, hospital staff, insurance companies, referring physicians, and patients

Work Location: Chatham Office

Job Overview: This position is primarily responsible for reviewing, editing, and submitting clean claims in a timely manner for medical services provided in a medical office setting.

Key Responsibilities

Core Responsibilities

  • Accepts and reviews patient encounters for accuracy and follows standard quality review procedures on each encounter posted
  • Collaborates with providers, referring physician offices, nursing, scheduling, and other internal resources to understand and capture relevant billing information
  • Enters or edits information necessary for insurance claims such as patient, insurance ID, payer, provider information, diagnosis, treatment codes and/or modifiers
  • Verifies patient benefits eligibility and coverage
  • Identifies missing or incomplete charge data and works to obtain and process in a timely manner
  • Prepares and submits clean claims to insurance carriers either electronically or on paper as determined by the carrier
  • Resolves front-end edits generated from the system, clearinghouse or payer, and resubmits claims for processing
  • Identifies key trends and works with the Revenue Cycle Lead or Revenue Cycle Manager to resolve issues
  • Other duties as assigned.

Additional Responsibilities

  • Follow up with insurance company on unpaid or rejected claims. Resolve issue and re-submits claims
  • Assists with inquiries regarding claims and non-covered charges
  • Attend meetings and training sessions
  • Maintain confidentiality of patient and financial information by utilizing HIPAA guidelines and regulations
  • Maintain knowledge and adhere to related governmental regulations and all policies set forth by Ohio Gastroenterology Group Inc and its related parties

Knowledge, Skills, and Abilities

  • Demonstrate a professional approach to daily responsibilities while contributing to a positive, team-oriented work environment
  • Knowledge of third-party payers and prior-authorization requirements
  • Comprehensive understanding of medical terminology and procedures
  • Working knowledge using ICD-10 and CPT codes
  • Working knowledge of medical billing for office visits
  • Proficient use of office equipment, such as copier and fax machine, phones, etc.
  • Intermediate computer skills including use of Microsoft Office (Excel and Word), electronic mail, payer websites, physician practice management, and electronic medical records systems.
  • High attention to detail and the ability to multi-task.
  • Strong time management skills
  • Ability to work independently with minimal supervision and to manage multiple priorities.
  • Strong written and verbal communication skills
  • Ability to effectively communicate with a variety of people under stressful circumstances.
  • Neat appearance, professional demeanor and pleasant voice
  • Fluent in English

Required Qualifications

  • Must have high school diploma or equivalent
  • One (1) or more years of medical billing, coding, and/or AR Follow-up

Preferred Qualifications

  • Experience with gGastro/ModMed
  • Experience in GI

Physical Requirements

  • Must be able to bend over (frequent), climb stairs (frequent), sit (frequent), stand (frequent), stoop (frequent), walk (frequent) and type on keyboard (frequent).

Work Environment

  • Minimal medical office exposure that may require contact with adult patients
  • Office workstation environment with numerous employees