What are the responsibilities and job description for the Claims Processing Assistant- Adult Medicine- Full Time position at Henry Ford Health - Careers?
GENERAL SUMMARY
- Department: Adult Medicine
- Schedule: Full-time days: Monday - Friday
- Location: Saint Clair Shores, MI
Prepares and issues bills for reimbursement to individual and third party payers in an out-patient or medical office environment.
Responsibilities:
- Prepares insurance claims for submission to third party payers and/or responsible parties.
- Reviews claims for accuracy, including proper diagnosis and procedure codes.
- Reviews claim rejections and communicates with payers to resolve billing issues.
- Prepares and reviews routine billing reports. Recommends process improvements based on findings.
- Responds to complex telephone and written inquiries from patients and/or third party payers and physician practices.
EDUCATION/EXPERIENCE REQUIRED:
- High School diploma equivalency
- Required professional licensure/certification can be used in lieu of education or experience, if applicable.
- Prior authorization experience preferred.
- Charge entry and claims denial experience preferred
Additional Information
