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Medical Claims Specialist

Fe1ae265 05e5 4114 98dd 72e3bb902961 168131521151 2849 · Loveland, OH, US, Loveland, OH · Active · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyFe1ae265 05e5 4114 98dd 72e3bb902961 168131521151 2849
TitleMedical Claims Specialist
Normalized title-
Department / team-
LocationLoveland, OH, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-03-11 / 2026-05-31
Changed / last seen2026-06-20 / 2026-06-20

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PageWhat it containsOpen
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Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Loveland.Open
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Linked records

CompanyFe1ae265 05e5 4114 98dd 72e3bb902961 168131521151 2849
Source5c0be4cb-3a4d-4c30-8df5-10cbf33d5d52
ATS providerADP Workforce Now Recruiting

Description

Centerprise Inc. is seeking to hire a Medical Claims Specialist to join our team. JOB SUMMARY: The Medical Claims Specialist performs a variety of billing and administrative tasks including claim submission, claim correction, insurance follow-up and appeals and insurance verification. They will also assist with all other billing and finance duties as needed. ABOUT THE COMPANY: Centerprise is a professional services organization providing consulting and Revenue Cycle Management services to Federally Qualified Health Centers (FQHCs). We are located outside Cincinnati, Ohio, and conduct business nationally. Centerprise is a company on the rise! We are very excited to say that we currently employ 25 staff members, and we are steadily growing! We take great pride in focusing on employee satisfaction. Happy employees; means happy customers! At Centerprise we offer our clients a wide variety of services, therefore, we require a large range of skill sets within our company. We would love to hear from dynamic individuals who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment. Centerprise has a small company feel, with larger company resources. Please refer to our website for more information , www.ctprcm.com . ESSENTIAL DUTIES AND RESPONSIBILITIES: Follow-up: Regularly monitor patient account insurance balances to ensure timely payment and resolve any outstanding issues. Payer Communication: Contact payers regarding payment status, resolve incorrect payment issues, and ensure proper reimbursement. Denial Management: Work closely with leadership to address and resolve any denied claims promptly. Understanding Guidelines: Stay informed about both government and non-government contractual billing and follow-up guidelines, ensuring compliance with individual payer requirements. Payment Resolution: Address issues related to lack of payment or improper payment by government, non-government, and self-payers, ensuring that all incorrect payment issues are resolved promptly. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty completely. The requirements listed below are representative of the knowledge skill and/or ability required. Minimum Qualifications: High School Diploma or Equivalent (GED), associate degree preferred. Medical billing experience required. FQHC billing experience is a plus. Proficiency with Microsoft Office Suite. Must be able to use Excel spreadsheets. Knowledge of Medical Terminology, CPT and ICD-10 Coding, Electronic Billing, and HIPPA EHR Experience is required. Preferred experience with NextGen. Excellent written and oral communication skills Pay: $18-$22/hour based on experience Benefits: Competitive benefits package, including options to enroll in the following programs: Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Flex Savings Accounts 401 (k) Program with competitive company match Courtesy Care (full time staff and their immediate family members are eligible for courtesy treatment at any HealthSource of Ohio Practice) PTO, full time employees earn up to 20 days per year in first calendar year: 20 days of Paid Time Off (PTO) Credit Union Privileges, Sharefax Credit Union Quarterly Bonus Incentive Program available after 90 day probation period. Schedule: Monday to Friday; no evenings, or weekends Work Location: Loveland, OH 45140. Must be able to commute or planning to relocate before starting work. Centerprise Inc. is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran

Full job record

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Source ID5c0be4cb-3a4d-4c30-8df5-10cbf33d5d52
Board ID5c0be4cb-3a4d-4c30-8df5-10cbf33d5d52
Provideradp_workforcenow
Provider Job Key534843
TitleMedical Claims Specialist
Normalized Title—
Statusactive
Activeyes
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Employment Typefull_time
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CountryUnited States
RegionOH
CityLoveland
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Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=fe1ae265-05e5-4114-98dd-72e3bb902961&ccId=168131521151_2849&lang=en_US&type=JS&jobId=534843&jwId=9200842553200_1
First Seen At2026-05-31 18:32:26Z
Last Seen At2026-06-20 14:08:30Z
Last Checked At2026-06-20 14:08:30Z
Last Changed At2026-06-20 14:08:30Z
Inactive At—
Source Posted At2026-03-11 20:23:00Z
Source Updated At—
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    "requisitionDescription": "<div><div><div><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;' id=\"isPasted\"><strong><span style='font-family:\"Arial\",sans-serif;color:black;'>Centerprise Inc. is seeking to hire a Medical Claims Specialist to join our team.</span></strong></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-family:\"Times New Roman\",serif;color:black;'>&nbsp;</span></strong></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;'>&nbsp;</span></strong></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;'>JOB SUMMARY:</span></strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>The Medical Claims Specialist performs a variety of billing and administrative tasks including claim submission, claim correction, insurance follow-up and appeals and insurance verification. They will also assist with all other billing and finance duties as needed.&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>ABOUT THE COMPANY:</span></strong></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Centerprise is a professional services organization providing consulting and Revenue Cycle Management services to Federally Qualified Health Centers (FQHCs). We are located outside Cincinnati, Ohio, and conduct business nationally.</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Centerprise is a company on the rise! &nbsp;We are very excited to say that we currently employ 25 staff members, and we are steadily growing! &nbsp;We take great pride in focusing on employee satisfaction. &nbsp;Happy employees; means happy customers!&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>At Centerprise we offer our clients a wide variety of services, therefore, we require a large range of skill sets within our company. We would love to hear from dynamic individuals who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment.</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Centerprise has a small company feel, with larger company resources. Please refer to our website for more information</span><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:#414141;'>,&nbsp;</span><span style=\"color:black;\"><a href=\"https://nam10.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.ctprcm.com%2F&data=05%7C02%7Cjcochran%40hsohio.org%7C01028aa1361a4ad623d108dc41fe1a77%7C3bb7033de6864552b172106f046ba0b4%7C0%7C0%7C638457806834737793%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&sdata=FQvwAe9CWxKC6TSDYNFgnhWNcdktjSZad07SfiZNemA%3D&reserved=0\" title=\"Original URL: http://www.ctprcm.com/. Click or tap if you trust this link.\"><span style='font-size:15px;font-family:\"Arial\",sans-serif;'>www.ctprcm.com</span></a></span><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:#414141;'>.</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:#414141;'>&nbsp;</span></strong></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:#414141;'>ESSENTIAL DUTIES AND RESPONSIBILITIES:</span></strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:#414141;'>&nbsp; &nbsp;</span></p><ul style=\"list-style-type: disc;margin-left:undefined;\"><li><strong><span style=\"font-family:;font-size:11.0pt;font-family:;color:black;\">Follow-up:</span></strong><span style='font-family:\"Arial\",sans-serif;'>&nbsp;Regularly monitor patient account insurance balances to ensure timely payment and resolve any outstanding issues.</span></li><li><strong><span style=\"font-family:;font-size:11.0pt;font-family:;color:black;\">Payer Communication:</span></strong><span style='font-family:\"Arial\",sans-serif;font-size:11.0pt;color:black;'>&nbsp;Contact payers regarding payment status, resolve incorrect payment issues, and ensure proper reimbursement.</span></li><li><strong><span style=\"font-family:;font-size:11.0pt;font-family:;color:black;\">Denial Management:</span></strong><span style='font-family:\"Arial\",sans-serif;font-size:11.0pt;color:black;'>&nbsp;Work closely with leadership to address and resolve any denied claims promptly.</span></li><li><strong><span style=\"font-family:;font-size:11.0pt;font-family:;color:black;\">Understanding Guidelines:</span></strong><span style='font-family:\"Arial\",sans-serif;font-size:11.0pt;color:black;'>&nbsp;Stay informed about both government and non-government contractual billing and follow-up guidelines, ensuring compliance with individual payer requirements.</span></li><li><strong><span style=\"font-family:;font-size:11.0pt;font-family:;color:black;\">Payment Resolution:</span></strong><span style='font-family:\"Arial\",sans-serif;font-size:11.0pt;color:black;'>&nbsp;Address issues related to lack of payment or improper payment by government, non-government, and self-payers, ensuring that all incorrect payment issues are resolved promptly.</span></li></ul><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:#414141;'>&nbsp;</span></strong></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;line-height:12.05pt;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>QUALIFICATIONS: </span></strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>To perform this job successfully, an individual must be able to perform each essential duty completely. The requirements listed below are representative of the knowledge skill and/or ability required.</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;line-height:12.05pt;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Minimum Qualifications:</span></strong></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;line-height:12.05pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>High School Diploma or Equivalent (GED), associate degree preferred.</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;line-height:12.05pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Medical billing experience required. FQHC billing experience is a plus.</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;line-height:12.05pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Proficiency with Microsoft Office Suite. Must be able to use Excel spreadsheets.</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;line-height:12.05pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Knowledge of Medical Terminology, CPT and ICD-10 Coding, Electronic Billing, and HIPPA</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;color:#414141;line-height:12.05pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>EHR Experience is required. Preferred experience with NextGen.</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;line-height:12.05pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Excellent written and oral communication skills</span></li></ul><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:.5in;line-height:12.05pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Pay:</span></strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;$18-$22/hour based on experience</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Benefits:&nbsp;</span></strong></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Competitive benefits package, including options to enroll in the following programs: Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Flex Savings Accounts</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>401 (k) Program with competitive company match</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Courtesy Care (full time staff and their immediate family members are eligible for courtesy treatment at any HealthSource of Ohio Practice)</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>PTO, full time employees earn up to 20 days per year in first calendar year: 20 days of Paid Time Off (PTO)</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Credit Union Privileges, Sharefax Credit Union</span></li><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Quarterly Bonus Incentive Program available after 90 day probation period.&nbsp;</span></li></ul><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-left:.5in;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Schedule:&nbsp;</span></strong></p><ul style=\"margin-bottom:0in;margin-top:0in;\" type=\"disc\"><li style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;margin-bottom:8.0pt;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Monday to Friday; no evenings, or weekends</span></li></ul><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;background:white;'><strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Work Location: </span></strong><span style='font-size:15px;font-family:\"Arial\",sans-serif;color:black;'>Loveland, OH 45140. Must be able to commute or planning to relocate before starting work.</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;text-align:center;background:white;'><span style='font-family:\"Times New Roman\",serif;color:#414141;'>Centerprise Inc. is an Equal Opportunity/Affirmative Action Employer:</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;text-align:center;background:white;'><span style='font-family:\"Times New Roman\",serif;color:#414141;'>Minority/Female/Disabled/Veteran</span></p><p style='margin:0in;font-size:16px;font-family:\"Aptos\",sans-serif;'><span style='font-size:15px;font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><p id=\"isPasted\" style='margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:0in;line-height:normal;font-size:15px;font-family:\"Calibri\",sans-serif;'><br></p><p style='margin:0in;font-size:15px;font-family:\"Calibri\",sans-serif;text-align:center;'><span style='font-size:16px;font-family:\"Times New Roman\",serif;'>&nbsp;</span></p><p><br></p><p>&nbsp; &nbsp;</p><p><br></p></div></div></div>\n",
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