Claims Processing Clerk, Sr. jobs in Muskegon, MI
Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Processing 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...
- 3 Days Ago
Industrial Sewing Machine Operator
- SR Industries
-
Muskegon, MI
FULL_TIME
- Our company has immediate openings for experienced industrial sewing machine operators. Our normal production hours are 6 a.m. - 2:30 p.m. Monday through Friday, if overtime is required hours will be ...
- Just Posted
Clerk
- Postal Source
-
Traverse, MI
FULL_TIME
- POSTAL CLERK NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nearly 1...
- Just Posted
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...
- 26 Days Ago
Sterile Processing Technologist
- Focus Staff Services
-
Muskegon, MI
OTHER
- OverviewFocus Staff is seeking a Sterile Processing Technician for a travel contract in MUSKEGON, MI. The ideal candidate will have 2 years of experience. Contract Length: 89 Start Date: 03/04/2024 Sh...
- 20 Days Ago
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0 Claims Processing Clerk, Sr. jobs found in Muskegon, MI area
Terminal Clerk II
- Estes Express Lines
-
Grand Rapids, MI
- Job Description Job Summary: Answer telephones with a heavy call volume and direct calls with accuracy Maintain count li...
- 4/24/2024 12:00:00 AM
Insurance Sales Agent
- Bankers Life
-
Holland, MI
- Bankers Life® seeks professionals for a dynamic hybrid remote work environment. Start your insurance agent career and ea...
- 4/23/2024 12:00:00 AM
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
COMPLIANCE MANAGER
- Muskegon County, MI
-
Muskegon, MI
- Salary: $37.53 - $47.72 Hourly Location : Muskegon, MI Job Type: Full-Time Job Number: 2024-01878 Department: HealthWest...
- 4/22/2024 12:00:00 AM
Compliance Specialist - Sparta
- AdvisaCare
-
Sparta, MI
- Rebound Home and Community Therapy, an AdvisaCare Healthcare Solutions, Inc company, has a successful 20 year history of...
- 4/22/2024 12:00:00 AM
COMPLIANCE MANAGER
- Muskegon County
-
Muskegon, MI
- Description of Work An employee in this class, under the general direction of the Director of Health Information Service...
- 4/21/2024 12:00:00 AM
Compliance Specialist
- Grand River Aseptic Manufacturing
-
Grand Rapids, MI
- Quality, Service, Collaboration, Courage. Do you exhibit these values and wish to be around others that do too? Are you ...
- 4/21/2024 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 Processing Clerk, Sr. jobs
$44,908 to $55,390
Muskegon, Michigan area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
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