Recovery and Wellness Centers of Midwest Ohio · 1 day ago
Billing/Specialist / Insurance Claims Processing
Greenville,OH,US
Full-time
Onsite
Entry Level
1+ years expRecovery and Wellness Centers of Midwest Ohio is committed to high ethical standards and quality clinical care, and they are seeking a Billing Specialist to manage insurance claims processing. The role involves reviewing claims, preparing appeals, and collaborating with various teams to resolve documentation issues and improve processes.
HealthcareHealth CareMedicalMental HealthRehabilitation
Responsibilities
Claims Review & Resolution
Examine denied or underpaid insurance claims to determine reasons for denial
Research payer guidelines, coding requirements, and policy rules to determine appropriate next steps
Correct claim errors, gather additional documentation, and resubmit or appeal claims as necessary
Maintain accurate records of denial reasons, corrective actions, and resolution outcomes
Appeals & Follow-Up
Prepare and submit timely appeals supported with medical records, coding justification, or policy clarification
Communicate with insurance companies to dispute incorrect denials or request reconsideration
Track open appeals and follow up until payment, partial approval, or final determination
Collaboration & Communication
Coordinate with physicians, coders, billing staff, and administrative teams to resolve documentation issues
Educate staff on common denial trends and recommend process improvements
Communicate clearly with patients when additional information is needed
Data & Reporting
Document denial categories and recovery metrics for management review
Identify recurring denial patterns and work with leadership to reduce preventable denials
Utilize billing software, electronic health records (EHR), and payer portals to complete daily tasks
Qualification
Required
High school diploma/GED
1-2 years prior Medical Billing Experience
1-2 years' experience performing general office duties
1-2 years' experience using Microsoft Office Operation Systems and Applications
Company
Recovery and Wellness Centers of Midwest Ohio
Since 1982, Darke County Recovery Services DBA Recovery and Wellness Centers of Midwest Ohio (RWC) has been a community mental health and substance abuse treatment provider.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase