Blanchard Valley Health System

Medical Claims SpecialistThis position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts.Job Duties/ResponsibilitiesMaintains a thorough understanding and education of federal and state regulations and payer specific policies and...

Blanchard Valley Health System in Findlay, Ohio, is seeking an individual responsible for managing all medical claims to ensure prompt and accurate billing. The role involves verifying information for claims, educating staff, and ensuring compliance with federal regulations. Applicants should have a high school diploma or GED, be familiar with medical terminology, and possess strong problem-solving and organizational skills. CPFSS certification is required within the first year of employment. #J-18808-Ljbffr