Claims Processing Assistant- Pediatrics

Davita Inc.; Detroit (MI); Remote; USD 38,000 - 50,000; Full time

Job summary

A leading company in healthcare is seeking a specialist for their Pediatric Billing department. This full-time position involves preparing and issuing bills for reimbursement, reviewing claim accuracy, and addressing inquiries from patients and third-party payers. Ideal candidates should possess a high school diploma and relevant billing experience, particularly in pediatrics.

Qualifications

• High School diploma equivalency OR 1 year of applicable job-specific experience required.
• Two years of billing experience preferred.
• Pediatric billing experience preferred.

Responsibilities

• Prepares insurance claims for submission to payers.
• Reviews claims for accuracy, including diagnosis and procedure codes.
• Communicates with payers to resolve billing issues.

Skills

Attention to Detail

Communication

Problem Solving

Education

High School Diploma or Equivalent

Job description

GENERAL SUMMARY

• Department: Pediatric Billing


• Schedule: Full-time Days: Monday - Friday


• Location: Remote after training in Detroit, 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 OR 1 year of applicable cumulative job specific experience required


• Two years billing experience preferred


• Pediatric billing preferred

Additional Information

• Organization: Henry Ford Ascension Medical Group MI


• Department: Pediatrics Prof


• Shift: Day Job


• Union Code: Not Applicable