What are the responsibilities and job description for the Claims Processing Assistant- Cardiology position at Henry Ford Health System?
GENERAL SUMMARY
Department : Cargiology
Schedule : Full-time days : Monday - Friday
Location : Southfield, 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 MINIMUM QUALIFICATIONS - 1 year of applicable cumulative job specific experience required. -
- Note : Required professional licensure / certification can be used in lieu of education or experience, if applicable.
Cardiology and prior authorization experience preferred.
Additional Information
Organization : Henry Ford Providence Hospitals
Department : Heart Cardiology Consult
Shift : Day Job
Union Code : Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health : Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com / careers .
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being : physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity / Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.
