CBO Specialist II

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Job Summary:

As the Central Business Office (CBO) Specialist II you will facilitate accurate professional billing posting and collection for ProMedica Physicians and other supported entities.

You will be responsible for accurate and timely follow up on denied professional insurance claims and be responsible for identifying trends with payors and/or procedures that are resulting in inaccurate payments denials or coding and escalating within the proper departments for resolution. You will be responsible for accurately appealing denials within appeal limits of each payor to ensure reimbursement as contracts allow. You will be responsible for monitoring changes in payment policies by payors to ensure we have accurate edits in place within the Practice Management system for clean claim submissions.

In this role you will perform a variety of registration billing follow-up and collection functions for all payors including self-pay.

The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive.

REQUIRED QUALIFICATIONS

• High school diploma or equivalent.

• Experience reading and interpreting payor Explanation of Benefits.

• Experience navigating insurance payor websites for information including eligibility claim status and payment information.

• Experience with insurance appeals and interpreting insurance payment policy.

• Three (3) to five (5) years insurance follow up experience in a physician practice or physician billing setting.

Salary Range - $32240 - $58448

We offer a competitive benefits package with coverage effective day one of employment which includes medical dental vision company paid life insurance paid time off a 401k retirement plan an employee assistance program and other voluntary coverage options and employee discounts.

This is a remote position; however employment is limited to residents of certain U.S. states due to legal tax and regulatory requirements. At this time we cannot offer employment to individuals residing in California Colorado Hawaii Massachusetts New Jersey New York Oregon Pennsylvania Washington or U.S. territories. Eligibility is based on applicants primary residence at time of hire.

ProMedica is a mission-driven not-for-profit health care organization headquartered in Toledo Ohio. It serves communities across nine states and provides a range of services including acute and ambulatory care a dental plan and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1300 health care providers through ProMedica Physicians and has more than 2300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of more information about ProMedica please visit provide flexible benefits that include compensation and programs to help you take care of your family your finances and your personal well-being. Its what makes us one of the best places to work and helps our employees live and work to their fullest potential.

Qualified applicants will receive consideration for employment without regard to race color national origin ancestry religion sex/gender (including pregnancy) sexual orientation gender identity or gender expression age physical or mental disability military or protected veteran status citizenship familial or marital status genetics or any other legally protected compliance with the Americans with Disabilities Act Amendment Act (ADAAA) if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica please contact

Equal Opportunity Employer/Drug-Free Workplace

Required Experience:

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