Workplace Type: Onsite
Employment Type: FT
Job Location: Barberton, OH
JOB SUMMARY
The Maternity Care Authorization Specialist’s primary responsibility is to enter medical billing information into CHM’s software and verify eligibility in accordance with CHM’s guidelines, policies and definitions. They must have some familiarity with medical bill processing operations, highly detailed with focus and attention in maintaining accuracy of medical information.
ESSENTIAL JOB FUNCTIONS
- Compile, verify, and sort information according to priorities to prepare data for computer entry
- Check for duplicate information before processing
- Accurately enter CHM members’ medical billing information into CHM’s software
- Research and obtain information for documents that are submitted incorrectly
- Verify members’ join date, participation level, Brother’s Keeper status, and date of service on medical bills before processing
- Review data for errors
- Verify members’ information and update if necessary
- Support the vision and culture of the organization
- Adhere to the Employee Handbook and Policies and Procedures
- Verify eligibility in accordance with CHM’s guidelines, policies, and definitions
- Identify and escalate concerns to Team Leaders or Supervisors
- Ensure daily productivity is met
- Eagerness and ability to learn and take initiative on a variety of tasks
- Supports the vision and culture of the organization
- Perform other job duties as assigned by management
EXPERIENCE REQUIREMENTS
- Required: High school diploma or passage of a high school equivalency exam
- Medical background preferred but not required.
- Capacity to maintain confidentiality.
- Ability to recognize, research and maintain accuracy.
- Excellent communication skills both written and verbal.
- Able to operate a PC, including working with information systems/applications.
- Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
- Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)