Claims Processing Assistant- Pediatrics

Henry Ford Health System; Michigan; Remote; USD 35,000 - 50,000; Full time

Job summary

Henry Ford Health System seeks a Full-time Billing Specialist to prepare and issue claims for reimbursement in a remote role following training. Ideal candidates have strong attention to detail, problem-solving skills, and 2 years of preferable billing experience, especially in pediatric billing. The organization prioritizes employee well-being and offers a comprehensive Total Rewards program.

Benefits

Health plans

Dental and eye coverage

Tuition assistance

Family benefits

Discounts on services

Qualifications

• High School diploma or equivalent OR 1 year of job-specific experience.
• Preferred 2 years of billing experience.
• Pediatric billing experience is a plus.

Responsibilities

• Prepare insurance claims for submission to third-party payers.
• Review claims for accuracy, including diagnosis and procedure codes.
• Address claim rejections and resolve billing issues.

Skills

Attention to Detail

Communication

Problem-Solving

Education

High School diploma or equivalent

1 year of applicable job-specific experience

Billing experience (2 years preferred)

Job description

Schedule: Full-time, Days: Monday - Friday

Location: Remote after training in Detroit, MI

This role involves preparing and issuing bills for reimbursement to individual and third-party payers in an outpatient or medical office environment.

Responsibilities:

1. Prepare insurance claims for submission to third-party payers and responsible parties.
2. Review claims for accuracy, including diagnosis and procedure codes.
3. Address claim rejections and communicate with payers to resolve billing issues.
4. Prepare and review routine billing reports; recommend process improvements.
5. Respond to complex inquiries from patients, third-party payers, and physician practices.

Education/Experience Required:

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

This posting reflects the primary duties and responsibilities of this position. Incumbents may be asked to perform additional job-related duties beyond those explicitly described.

Overview

Henry Ford Health partners with millions of people on their health journey across Michigan and beyond. We provide a full spectrum of services, including primary care, specialty care, health insurance, home health, virtual care, pharmacy, eye care, and retail health. With locations in Michigan and a presence in 13 hospitals and numerous outpatient facilities, we are a leading academic medical center based in Detroit. Learn more at henryford.com/careers.

We prioritize the well-being of our team members by offering comprehensive support in physical, emotional, social, financial, and spiritual health. Our Total Rewards program includes various health plans, dental and eye coverage, tuition assistance, family benefits, discounts, and more. Contingent employees are not eligible for benefits.

Equal Employment Opportunity / Affirmative Action Employer: Henry Ford Health is committed to fair treatment and equal opportunity regardless of race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, or genetic information, in accordance with applicable laws.

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Henry Ford Hospital - Detroit Main Campus