2 jobs found in Findlay

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 specific...

Blanchard Valley Health System based in Findlay, Ohio, is seeking a motivated Medical Claims Specialist to manage all medical claims processes, ensuring prompt and accurate billing. Responsibilities include verifying claim details, working through billing systems, resolving discrepancies, and educating staff on documentation needs. Candidates should have a high school diploma or GED, and proficiency with medical terminology and Microsoft Office, especially Excel, is required. Preferred qualifications include an Associate’s degree or CPC certification. This role demands excellent organizational skills and compliance awareness. #J-18808-Ljbffr