Claims Clerk, Sr. jobs in Muskegon, MI
Claims Clerk, Sr. reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk, Sr. verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk, Sr. processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk, Sr. works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Claims Clerk, Sr. typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Clerk, Sr. jobs
Claims and Billing Clerk
- Ottawa County
-
Olive, MI
FULL_TIME
-
JOB
Under the direction of the Provider Compliance and Claims Supervisor, gathers and applies information needed to process mental health service claims and resolve billing issues. Reviews source documents for accuracy and completeness and ensures that all claims are billed and posted accurately. This is a full-time benefited position based out of the Community Mental Health building in Holland, Michigan. Travel to other County locations as needed. Typical working hours are Monday-Friday 8:00am-5:00pm.
EXAMPLE OF DUTIES
The essential functions of this position include, but are not limited to, any and/or all of the following: Verifies patient insurance eligibility.Prepares, reviews, and transmits claims using billing software, including EDI and paper claim processing.Processes contract agency claims with efficiency and accuracy according to approved rates.Reviews insurance aging as assigned, including claims follow-up and re-submission.Receives and credits payments to appropriate patient accounts and to appropriate funds and cost centers. Audits and verifies requests for disbursement of County funds, including vendor invoices, recurring bills, employee reimbursement requests, and transfers of funds to the state, ensuring that expenses are allowable, properly authorized, and charged to proper accounts.Prepares and transmits a variety of bills and invoices for services rendered by contract agencies.Prepares and reconciles daily deposit of payments received by mail, in person, on the WEB, and through EFT and ACH transactions. Prepares deposits for the Treasurer's Office. Responds to questions from patients billed for services rendered by Community Mental Health, explaining services provided and the county's billing policies. Sets up ability to pay plans for individuals owing outstanding balances to Community Mental Health. Helps support an equitable, safe, diverse and inclusive workplace.Performs other functions as assigned.
SUPPLEMENTAL INFORMATION
Required Knowledge and Skills: Good working knowledge of standard accounting principles and practices. Proficient working knowledge of Medicaid, Medicare, health insurance regulations, insurance billing, primary payor rules, and general ledger processes and practices. Good working knowledge of County policies and procedures. Computer literacy, including thorough working knowledge of spreadsheet, database, and electronic health record software. Profound organizational skills and ability to prioritize the workload. Outstanding customer service skills. Exemplary verbal and written communications skills. Exceptional interpersonal and human relations skills. Ability to interact positively and objectively with managers, supervisors, employees, vendors, contractors, consultants, and members of the general public from a wide range of cultural and socio-economic backgrounds and with varying levels of communications skills. Physical Requirements: Must be able to perform essential job functions with or without reasonable accommodations, including, but not limited to, visual and/or audiological appliances and devices to increase mobility. Working Conditions: Work is performed in a normal office environment.Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.Ottawa County is an Equal Opportunity Employer - Just Posted
Claims and Billing Clerk
- Ottawa County
-
Holland, MI
FULL_TIME
- Under the direction of the Provider Compliance and Claims Supervisor, gathers and applies information needed to process mental health service claims and resolve billing issues. Reviews source document...
- 1 Day Ago
PIP Claims Representative
- Auto-Owners Insurance Company
-
Branch, MI
FULL_TIME
- A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Descriptio...
- 24 Days Ago
Sr. Accountant
- Robert Half
-
Muskegon, MI
PER_DIEM
- Our client is a leading and innovative manufacturing company that has been a key player in the industry for over 100 years. Specializing in aerospace, the company consistently delivers top-tier soluti...
- 18 Days Ago
Independent Insurance Claims Adjuster in Grand Haven, Michigan
- MileHigh Adjusters Houston Inc
-
Grand Haven, MI
FULL_TIME
- ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
- 6 Days Ago
Independent Insurance Claims Adjuster in Cadillac, Michigan
- MileHigh Adjusters Houston Inc
-
Cadillac, MI
FULL_TIME
- ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
- 7 Days Ago
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0 Claims Clerk, Sr. jobs found in Muskegon, MI area
COURT CLERK/DISTRICT COURT
- Muskegon County
-
Muskegon, MI
- Description of Work Under the general supervision of the Deputy Court Administrator, prepares and processes case documen...
- 4/22/2024 12:00:00 AM
Claims and Billing Clerk
- Ottawa County, MI
-
West Olive, MI
- Salary: $22.46 - $29.20 Hourly Location : Holland, MI Job Type: Full-Time Job Number: 60210005 Department: Fiscal Servic...
- 4/22/2024 12:00:00 AM
Business Office Manager
- American House Senior Living Communities
-
Holland, MI
- : Business Office Manager Position Summary The Business Office Manager plays an integral role in upholding American Hous...
- 4/21/2024 12:00:00 AM
Chiropractic Assistant
- Higher Health Chiropractic Michigan
-
Wyoming, MI
- Company Description Higher Health Chiropractic Michigan is a chiropractic center located in Wyoming, MI. Our mission is ...
- 4/20/2024 12:00:00 AM
Chiropractic Assistant
- Higher Health Chiropractic Michigan
-
Wyoming, MI
- Company Description Higher Health Chiropractic Michigan is a chiropractic center located in Wyoming, MI. Our mission is ...
- 4/20/2024 12:00:00 AM
Developmental Engineering Buyer
- Renk
-
Muskegon, MI
- About the Organization RENK is a leading supplier in the defense, marine and industry sector with superior mobility, pro...
- 4/19/2024 12:00:00 AM
Plant Human Resources Manager - Holland, MI
- AUTOKINITON
-
Holland, MI
- POSITION SUMMARY: The HR Manager provides leadership, directs and manages the Human Resources team and supports all depa...
- 4/18/2024 12:00:00 AM
Plant Human Resources Manager - Holland, MI
- Autokiniton
-
Holland, MI
- POSITION SUMMARY: The HR Manager provides leadership, directs and manages the Human Resources team and supports all depa...
- 4/18/2024 12:00:00 AM
About Muskegon, Michigan
Muskegon (/mʌˈskiːɡən/) is a city in the U.S. state of Michigan, and is the largest populated city on the eastern shores of Lake Michigan. At the 2010 census the city population was 38,401. The city is the county seat of Muskegon County. It is at the southwest corner of Muskegon Township, but is administratively autonomous.
The Muskegon Metro area had a population of 172,188 in 2010. It is also part of the larger Grand Rapids-Wyoming-Muskegon-Combined Statistical Area with a population of 1,321,557....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Clerk, Sr. jobs
$40,213 to $50,848
Muskegon, Michigan area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Claims Clerk, Sr. do?
Claims Clerk, Sr. in La Crosse, WI
The basic purpose of small claims court is to help individuals recover small amounts of money quickly, informally, and relatively inexpensively, and without hiring a lawyer; but if you don’t use a lawyer, you still must be able to prove your case.
December 22, 2019
Claims Clerk, Sr. in Fort Lauderdale, FL
When you’re in the beginning stages of writing your insurance claims processing clerk job description, you’ll need to review common qualifications for this job.
December 16, 2019
Claims Clerk, Sr. in Columbus, MS
A recent court filing by federal prosecutors shows employees of Cook County Circuit Court Clerk Dorothy Brown detailing hiring practices in the clerk’s office that suggest a questionable pattern of “pay to play” arrangements.
February 08, 2020