Claims Processing Assistant- Pediatrics

Henry Ford Health System; Michigan; Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Billing Specialist to join their team. This role involves preparing and issuing bills for reimbursement in a dynamic outpatient environment. You will be responsible for submitting insurance claims, ensuring accuracy, and resolving any billing issues with third-party payers. The organization values the well-being of its employees and offers a comprehensive benefits package. If you are detail-oriented and possess strong communication skills, this is an exciting opportunity to make a significant impact in the healthcare sector.

Benefits

Competitive Health Plan Options

Dental and Eye Care Coverage

Tuition Assistance

Discounts to Businesses

Family Forming Benefits

Qualifications

• High School diploma or equivalent required; 1 year of experience preferred.
• Experience in pediatric billing is a plus.

Responsibilities

• Prepare and submit insurance claims to third-party payers.
• Review claims for accuracy and resolve billing issues.
• Prepare routine billing reports and recommend improvements.

Skills

Billing Accuracy

Insurance Claims Preparation

Communication Skills

Problem Solving

Education

High School Diploma or Equivalent

1 Year Job Specific Experience

2 Years Billing Experience (Preferred)

Pediatric Billing Experience (Preferred)

Job description

• 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:

1. Prepares insurance claims for submission to third party payers and/or responsible parties.
2. Reviews claims for accuracy, including proper diagnosis and procedure codes.
3. Reviews claim rejections and communicates with payers to resolve billing issues.
4. Prepares and reviews routine billing reports. Recommends process improvements based on findings.
5. 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

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.

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 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.