Claims Processing Assistant- Adult Medicine- Full Time

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.