Department: Maternity Care
Workplace Type: Onsite/Hybrid
Job Location: Barberton, OH
JOB SUMMARY
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM’s commitment to excellence, compassion, and integrity.
ESSENTIAL JOB FUNCTIONS
- Compile, verify, and organize information according to priorities to prepare data for entry
- Check for duplicate records before processing
- Accurately enter medical billing information into the company’s software system
- Research and correct documents submitted with incomplete or inaccurate details
- Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
- Review data for accuracy and completeness
- Uphold the values and culture of the organization
- Follow company policies, procedures, and guidelines
- Verify eligibility in accordance with established policies and definitions
- Identify and escalate concerns to leadership as appropriate
- Maintain daily productivity standards
- Demonstrate eagerness and initiative to learn and take on a variety of tasks
- Support the overall mission and culture of the organization
- Perform other duties as assigned by management
SKILLS & COMPETENCIES
- Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
- Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
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.)