APS Medical Billing, located in Toledo, Ohio, is looking for a Manager to oversee our Payments Department.   The Manager leads and directs the work of others through planning, managing and coordinating the processes and functions of the department to ensure department goals are established and met.  This position must be familiar with the payment process and be able to resolve issues quickly to keep the process moving smoothly and efficiently.
 
Essential Duties and Responsibilities
•    Work closely with the Supervisors and provide leadership to ensure the successful accomplishment of key functions to meet department goals
•    Direct and coordinate tasks through the department Supervisors
•    Meet regularly to discuss and assist Supervisors in managing staff, reviewing staffing needs, work schedules, department coverage, assigning of tasks, status of employee performance, etc.
•    Identify and resolve issues quickly to ensure department productivity goals are met
•    Evaluate and provide recommendations to strengthen the process
•    Other duties as required

Qualification Requirements
•    Bachelor’s degree or at least two years of management experience with a proven track record of managing a team to achieve results
•    Demonstrated knowledge of the payment process
•    Excellent verbal, written and interpersonal skills
•    Strong computer skills
•    Ability to read, interpret and analyze reports
•    Problem solver

APS Medical Billing, located in Toledo, Ohio, is seeking an 835 processor who is ready to work in a fast paced environment providing direct support to our billing team. The 835 processor will log onto carrier websites and pull remits (EOB’S) in different formats (PDF, images, Excel). The 835 processor utilizes research tools to gather electronic or paper remittance files, to assist the processing of insurance carrier payments that are related to a patient’s medical claims.

Requirements:
•    Minimum of one year experience in a medical billing setting preferred
•    Ability to organize and prioritize work and manage multiple priorities
•    Ability to research and analyze data
•    Type 35 wpm minimum
•    Strong computer skills (Outlook, Excel, Word)

APS Medical Billing is looking for a Client Representative to join our medical billing team.  This position serves as a liaison between the Client and APS, and works closely with the Practice Manager.   The Client Representative is involved in coordinating ongoing client support and services to ensure there is no disruption of revenue.

Essential Duties and Responsibilities

• Provide direct client support
• Monitor the timeliness of charges, payments and insurance follow up to ensure contractual obligation set forth by the client is met
• Conduct month-end financial and operation reviews with clients
• Identify issues with the client and set up meetings, follow up on action items and follow through to a resolution
• Communicate any upcoming changes or new procedures to the client
• Work with various departments to make sure changes are in place
• Monitor and report client satisfaction with service performance and escalate issues, when needed
• Perform other duties as needed

Requirements

• Associate’s degree or equivalent combination of formal training and experience
• Proficient in Microsoft Excel and Word
• Organized and detail oriented
• Excellent verbal and written communication

APS Medical Billing, located in Toledo, OH, is looking for a motivated individual to join our IT team as a Computer Support Operator. This role is responsible for monitoring and ensuring correct operations of the iSeries computing systems and various network-based business applications. This individual also serves in the role of resolution coordinator.

Essential Duties and Responsibilities

• Monitor performance of servers, host systems and network components for proper functions and availability to users
• Utilize monitoring tools to review system console messages, event logs, email alerts, etc. 
• Follow up on issues with the application development staff
• Respond to error conditions on monitored systems and servers by entering message responses or operating system commands or performing other actions such as mounting storage media, etc.
• Perform other duties as assigned

Requirements

• Associate’s degree in a relevant field or equivalent combination of training and experience
• Basic working knowledge of multiple computer systems operations – iSeries (AS/400) and Microsoft Windows-based PCs and servers
• Proven, well-developed Analytical and Organizational Skills
• Effective Business Communicator (Written & Verbal)

APS Medical Billing, in Toledo Ohio, is looking for a Appeals Claims Processor.  This person assures timely and accurate claims are submitted to ensure the lowest possible days in accounts receivable.   The person in the position will follow up on unresolved claims, investigate, identify, research and appeal denied claims.

Essential Duties and Responsibilities:

• Responsible for monitoring aging reports and follow up on overdue accounts
• Follow collection policies and procedures in accordance with established procedures and time schedules
• Follow all CMS requirements
• Work denial report to provide required information to insurance companies for claims payment
• Submit appeals with supporting documentation, when warranted
• Provide account information by answering inquiries (phone and mail)
• Identify and assist in the resolution of issues
• Notify management of issues
• Ensure that all HIPAA requirements and standards are followed and executed consistently
• Perform other duties as necessary

Requirements

• Associate’s degree or up to two years’ medical billing experience preferred
• Medical Billing Certificate a plus
• Highly organized and detail focused
• Effective communicator (written and verbal)
• Problem solver with the ability to identify issues, provide feedback and follow up to resolution
• Strong computer, typing and technology skills

APS Medical Billing, in Toledo Ohio, is looking for a Health System Information Center Processor (HSIC).  This position utilizes our client’s hospital access to obtain missing or incomplete patient information.  The information is entered to file claims with the patient’s insurance for reimbursements and to avoid going to collections.

Essential Duties and Responsibilities

• Manage queues, tasks and edits
• Navigate hospital systems to review and find patient information
• Pull, print and enter information for accounts from the hospital system

Requirements

• High school diploma or equivalent, Associates degree preferred
• Proficient at working on a computer
• Internet savvy with strong website navigating skills
• Attention to detail with strong follow through skills
• Excellent communications skills

APS Medical Billing, located in Toledo Ohio, is seeking an experienced Office Clerk to perform clerical duties in our Insurance Billing Department.  This person would need to feel comfortable working in a fast-paced office setting.  

Requirements:

• Sorts, mails and faxes claim forms, appeal letters, explanation of benefits
• Strong computer skills with the ability to navigate multiple insurance portals
• Proficiency in Excel and Word
• Typing skills 35+ wpm
• Working knowledge of office devices and processes
• Attention to detail
• Reliable and professional with a proven track record of good attendance
• Excellent communication skills

APS Medical Billing is seeking a Mailroom Processing Specialist to join our team.  The mailroom takes in mail reports, checks, correspondence from patients and insurance companies.  This position is responsible for sorting the mail and processing the payments to be posted and to send reports to be billed.

Essential Duties and Responsibilities

• Opens and accurately sorts mail, batches work
• Enters data on a computer
• Must be able to work quickly and efficiently with large volumes of mail
• Proven ability to multi-task and handle large volumes of mail
• Performs other tasks as necessary

Requirements

• Prior experience in a mailroom preferred
• Communication skills
• Typing skills of 40+ wpm
• Proficient in Word and Excel
• Communication skills
• Attention to detail
• Ability to lift and/or move up to 50 lbs

APS Medical Billing, located in Toledo, OH, is looking for a motivated individual to join our team as a Contract Analyst.  This role is responsible for catching underpayments and to follow up with the carrier to retrieve those payments.

Essential Duties and Responsibilities

• Request existing contracts and fee schedules from insurance carriers
• Load carrier fee schedules into a program that allows reporting to generate
• Review existing reimbursement rates from carriers 
• Run reporting based on reimbursement rates and provide to management
• Work the Reimbursement queue to evaluate carriers are paying according to contract
• Performs other duties as necessary

Requirements

• Associate’s degree or equivalent combination of training and experience
• Carrier fee schedule knowledge
• Provider/Contracting experience
• Strong Excel skills
• Fluid worker with a high-level of attention to detail
• Medical billing insurance experience preferred
• Strong communication skills

APS Medical Billing is seeking a Report Writer/Business Intelligence Analyst. This position works to develop and provide new business intelligence solutions, is responsible for analyzing data, developing and delivering reporting solutions and packages and database solutions to include a range of reports, scorecards, dashboards and other solutions. 

Essential Duties and Responsibilities

• Primary support contact and expert for the SSRS and other data visualization tools
• Enhance existing reports/dashboards to improve performance and presentation
• Deliver reporting solutions by developing and creating new reports
• Identification, specification, querying, validation and delivery of standard and custom reports
• Develop, validate and provide ongoing support of operational and project-related reports, scripts and data analysis
• Provide technical direction, guidance and assistance during project development, maintaining data integrity and quality control of delivered reports
• Formulate objectives to meet required reporting scope, regulatory and project deadlines
• Develop, maintain and optimize database modules and system components
• Influence business decisions by developing and institutionalizing data driven analytics
• Define reporting requirements

Requirements

• Bachelor’s degree in software engineering disciplines, computer science or other related field and/or the equivalent combination of education and experience
• Minimum of 3 years’ experience using BI virtualization tools and technology (e.g., SSRS, Power BI) 
• Experience working in a project-oriented, timeline driven environment

APS Medical Billing, headquartered in Toledo, OH is looking for a talented individual to join our organization as a Director of Business Development with a radiology/pathology service focus.  This role is responsible for developing and implementing effective plans, managing all aspects of the company’s marketing strategy, and seeking out, establishing and maintaining positive relationships with clients and referral sources.

Essential Duties and Responsibilities

• Market and promote APS services to potential clients in line with APS strategies
• Establish and maintain client relationships to grow sales 
• Perform market research and monitors industry trends to identify emerging markets and develops plans to expand revenue in potential markets, and follows through with plan action items
• Manage assigned clients’ billing, charges, payments, accounts receivable and all billing processes, and maintains records of activity
• Perform other duties as necessary

Requirements

• Bachelor’s degree or equivalent combination of formal training and experience
• Proven ability and effectiveness in sales (previous pathology/radiology services a plus)
• Must be open to both local and overnight travel (50% or more)
• Self-motivated, analytical individual with a high business acumen
• Effective communicator and collaborator with clients and APS team
   

APS Medical Billing, located in Toledo Ohio, is seeking an experienced Client Bill Processor who is ready to work in a fast paced environment providing direct support to our billing team. The Client Bill Processor is responsible for reviewing census from nursing homes (a listing of patients that show if a charge should bill to patient insurance or go on an invoice), validate charges on invoices and move them to the appropriate account.  Reviewing spreadsheets for accuracy.  A Client Bill Processor generates, reviews, and sends invoices to clients in a timely manner, answers/assists any client questions regarding invoices, and follows up on any outstanding invoices with the client.  

Requirements:

• Minimum of 1 year experience in a medical billing setting
• Nursing home billing experience is a plus
• Ability to organize and prioritize work and manage multiple priorities
• Ability to research and analyze data
• Ability to work a phone system
• Excellent communication skills
• Typing 40 wpm minimum
• Strong computer skills (Outlook, Excel, Word)

In this position, the person's main focus is to enter billing data into our system. This is a fast paced/production driven environment.

Requirements

• Compare data with source documents, re-enter data in verification format to detect errors
• Locate and correct data entry errors
• Proven ability to multi-task and handle heavy workloads
• Typing skills 50+ wpm
• Proficient in Microsoft Excel and Word
• Excellent communication skills

APS is looking for a Practice Manager who serves as the primary day-to-day interface with our clients for their billing and reimbursement activities. Primary practice specialties include, but not limited to, pathology and radiology groups.

This person must understand the revenue cycle management functions and be able to clearly communicate financials with the clients, as well as troubleshoot issues, resolve problems and provide guidance for solutions.  The Practice Manager also establishes relationships with new clients and manages the transition process for multiple clients throughout the US.

• Manages all areas of the financial aspects of the revenue cycle for our clients
• Monitors fee schedules – fee schedule analysis
• Provides clients with reports that allow them to manage their practices
• Conduct onsite business meetings with clients to discuss financial reporting and industry news, standards and other topics of interest related to the specialty
• Works with staff to ensure revenue maximization by making certain all revenue cycle management functions are carried out expediently and correctly

Requirements

• Bachelor’s degree or equivalent combination of formal training and experience
• Strong understanding of third-party and insurance billing processes (pathology and radiology)
• Strong knowledge in finance or accounting
• Advanced knowledge of revenue cycle management
• Excellent verbal and written communications, presentation and negotiation skills required internally and externally with all levels of management

This position requires 60% of travel (including overnight trips).

In this position, the person will handle inbound calls from patients regarding their bills, EOBs, setting up payment plans, etc.  The goal is to collect money on balances for different clients.  This is a fast paced position.

Requirements

•    Customer Service experience
•    Call Center experience (preferred) 
•    Medical Insurance/Billing knowledge (preferred)
•    Data Entry – Must be able to input data quickly and accurately 
•    Knowledge of Microsoft Excel and Word
•    Ability to multitask on tasks between calls

In this high volume position, the person will follow up on unresolved claims within the standard billing cycle timeframe.  The Medical Insurance Biller will investigate, identify, research and appeal denied claims.  Accuracy and ability to meet deadlines is imperative.

Requirements

• Minimum 1-3 years of medical billing experience
• Familiar with billing guidelines and regulations in various states; across government and non-government insurance carriers
• Strong medical billing A/R follow up
• Experience with UB-04 billing
• Highly organized and detail oriented
• Ability to work in a fast paced and rapidly changing environment
• Understanding of medical terminology, medical billing practices and billing reimbursement is essential
• Strong computer and typing skills
• Excellent communication skills

APS Medical Billing, located in Toledo, Ohio, is seeking certified professional coders with experience to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines.

Requirements

• Demonstrate ICD-10-CM proficiency
• Demonstrate understanding of the CPT guidelines for separate procedures, bundling and add-on-codes
• Experience in abstracting medical records for accurate CPT code assignments
• Experience in surgical pathology and diagnostic radiology preferred
• Experience in reviewing, resolving and preventing coding denials
• Understanding and application of CMS initiatives including NCCI edits, MIPS and NCD/LCD policies

This position verifies the credentials of healthcare providers are in compliance with state and federal standards, communicates with physicians and clients to obtain credentialing documents, receive/process all initial credentialing/re-credentialing applications and manage license, insurance, and DEA expirations for providers.

Requirements

• Minimum of 1-3 years of experience in a medical billing setting
• Proven ability to multi-task and handle heavy workloads (maintain credentialing efforts for over 150 physicians)
• Detail oriented
• Maintain strict level of confidentiality
• Must be proficient with Word and Excel
• Possess excellent written and verbal communication