Blanchard Valley Health System

Medical Claims Specialist This 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/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

PURPOSE OF THIS POSITION This 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/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer...

Blanchard Valley Medical Practices in Findlay, Ohio seeks a Lead Medical Assistant to supervise the office and perform clinical duties under the provider's supervision. You will lead associates, delegate tasks, oversee workflow, and ensure smooth daily operations of the BVMP Office. You will assist the provider with patient care, manage intake calls, review medications and procedures, maintain chart documentation, coordinate scheduling and office competency, and participate in meetings. #J-18808-Ljbffr

Blanchard-Valley-Health-System seeks a Medical Claims Specialist to manage all aspects of claims, from pre-billing validation to follow-up, ensuring accurate, timely reimbursement. Collaboration with hospital departments helps ensure complete documentation and compliance. The role emphasizes accurate data, payer communications, and adherence to HIPAA and regulatory requirements while promoting efficient revenue cycle processes. #J-18808-Ljbffr

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...

PURPOSE OF THIS POSITION The Lead Medical Billing Specialist serves as a subject-matter expert and day-to-day operational resource for facility and professional billing and accounts-receivable activities. The position provides frontline guidance to billing associates, coordinates workflow and coverage, supports complex account resolution, and serves as the first escalation point for technical billing and reimbursement questions. Working in partnership with the Billing Supervisor, the lead supports clean-claim performance, timely follow-up, accurate reimbursement, denial prevention, productivity, quality, and regulatory compliance. Operational portfolios may include UB-04 facility claims, CMS-1500 professional claims, specific payers, financial classes, and may be reassigned as business needs change without changing the position's core duties, qualifications, or classification. JOB DUTIES/RESPONSIBILITIES Duty 1: Answer first-level associate questions, perform billing...