Claims Processing Assistant- Pediatrics

Henry Ford Health System; Detroit (MI); Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated billing specialist to join their pediatric billing department. This full-time position offers the opportunity to work remotely after initial training in Detroit, MI. Your role will involve preparing and issuing bills for reimbursement, ensuring accuracy in claims, and communicating with payers to resolve any issues. If you are detail-oriented and have a passion for supporting pediatric healthcare, this is an exciting opportunity to make a significant impact in a rewarding environment.

Qualifications

• High school diploma or equivalent required.
• 1 year of applicable job-specific experience required.

Responsibilities

• Prepares insurance claims for submission to payers.
• Reviews claims for accuracy and resolves billing issues.
• Responds to complex inquiries from patients and payers.

Skills

Insurance Claims Preparation

Billing Accuracy Review

Communication with Payers

Routine Billing Reports

Patient Inquiries Response

Education

High School Diploma or Equivalent

1 Year Job Specific Experience

Two Years Billing Experience

Pediatric Billing Experience

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