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Medical Document Processing Jobs in Michigan (NOW HIRING)

Processing eligibility documents in OnBase for clients * New member forms * Vital information forms ... Qualified Medical Child Support Order (QMSCO) * Eligibility appeals * Loss of time credits

Processing eligibility documents in OnBase for clients * New member forms * Vital information forms ... Qualified Medical Child Support Order (QMSCO) * Eligibility appeals * Loss of time credits

... processes, and healthcare facilities' compliance with applicable laws and regulations. Requirements: Key Responsibilities: Medical Documentation Review: * Conduct thorough audits of patient medical ...

Processes incoming faxes and identifies, sorts, bundles, scans, and validates/verifies fax messages ... Knowledge of medical terminology. * Knowledge of legal terminology. * Ability to train and coach ...

Processes incoming faxes and identifies, sorts, bundles, scans, and validates/verifies fax messages ... Knowledge of medical terminology. * Knowledge of legal terminology. * Ability to train and coach ...

Processes incoming faxes and identifies, sorts, bundles, scans, and validates/verifies fax messages ... Knowledge of medical terminology. * Knowledge of legal terminology. * Ability to train and coach ...

Processes incoming faxes and identifies, sorts, bundles, scans, and validates/verifies fax messages ... Knowledge of medical terminology. * Knowledge of legal terminology. * Ability to train and coach ...

Processes incoming faxes and identifies, sorts, bundles, scans, and validates/verifies fax messages ... Knowledge of medical terminology. * Knowledge of legal terminology. * Ability to train and coach ...

Processes incoming faxes and identifies, sorts, bundles, scans, and validates/verifies fax messages ... Knowledge of medical terminology. * Knowledge of legal terminology. * Ability to train and coach ...

Support the quality control (QC) process of all incoming mail * Assist management with USPS pick up ... Covius offers an extensive benefits package for all employees, including medical, dental, vision ...

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Medical Document Processing information

What is the difference between Medical Document Processing vs Medical Coding?

AspectMedical Document ProcessingMedical Coding
CredentialsNone mandatory, often requires familiarity with medical recordsCertification (e.g., CPC, CCS) often required
Work EnvironmentHealthcare offices, hospitals, clinicsHospitals, clinics, insurance companies
Job FocusManaging, organizing, and verifying medical documentsAssigning standardized codes to diagnoses and procedures
Common TasksData entry, document review, record managementCode assignment, compliance, billing support

Medical Document Processing involves managing and verifying medical records, while Medical Coding focuses on translating medical information into standardized codes for billing and documentation. Both roles are essential in healthcare administration but differ in their specific responsibilities and required certifications.

What are the key skills and qualifications needed to thrive as a Medical Document Processing specialist, and why are they important?

To thrive in Medical Document Processing, you need strong attention to detail, knowledge of medical terminology, and a background in healthcare administration or related fields. Familiarity with electronic health records (EHR) systems, transcription software, and HIPAA compliance is typically required. Excellent organizational skills, discretion, and effective communication help ensure accuracy and confidentiality in handling sensitive patient data. These skills are crucial for maintaining accurate records, supporting patient care, and ensuring legal and regulatory compliance in healthcare settings.

What are some common challenges faced in a Medical Document Processing role, and how can they be managed effectively?

Professionals in Medical Document Processing often encounter challenges such as managing high volumes of sensitive information, ensuring accuracy under tight deadlines, and staying compliant with privacy regulations like HIPAA. To manage these challenges, it is essential to develop strong organizational skills, attention to detail, and familiarity with electronic health record (EHR) systems. Effective communication with healthcare providers and ongoing training in regulatory updates also help maintain accuracy and compliance, making the workflow smoother and reducing errors.

What is medical document processing?

Medical document processing refers to the methods and technologies used to handle, organize, and manage medical records and documents. This includes tasks such as digitizing paper records, extracting important information from clinical documents, ensuring data accuracy, and maintaining patient confidentiality. Efficient medical document processing is crucial for the smooth operation of healthcare facilities, supporting better patient care and compliance with legal regulations. It often involves the use of specialized software and knowledge of healthcare terminology.
What are popular job titles related to Medical Document Processing jobs in Michigan? For Medical Document Processing jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Medical Document Processing jobs in Michigan look for? The top searched job categories for Medical Document Processing jobs in Michigan are:
What cities in Michigan are hiring for Medical Document Processing jobs? Cities in Michigan with the most Medical Document Processing job openings:
Document Processor (Troy, MI)

Document Processor (Troy, MI)

BeneSys

Troy, MI • On-site

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


BeneSys rating

7.7

Company rating: 7.7 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

147th of 449 rated business services


Job description

Document Processor (Troy, MI)
Summary - The Eligibility Processor will review and process eligibility inquiries as well as determine, maintain, and terminate member and/or dependent eligibility for healthcare benefits. Processors provide support to the healthcare service team, supervisors, and manager, when necessary.
Essential Duties and Responsibilities include but not limited to
  • Understand the plan rules for eligibility as outlined in the Summary Plan Description (SPD)
  • Process month end reporting
    • Use reports to determine eligibility, reinstatement, or termination of coverage
    • Prepare & mail enrollment packages and ID cards for newly eligible members
    • Review calc reports and exception reports to update eligibility, as needed
    • QA self-payment notices, COBRA notices, status slips, member/dependent letters to ensure accurate information and timely mailing to participants
  • Processing eligibility documents in OnBase for clients
    • New member forms
    • Vital information forms
    • Medicare information forms
    • Other insurance information forms
    • Member/dependent PHI
    • ACH authorization
    • Death notifications
    • Qualified Medical Child Support Order (QMSCO)
    • Eligibility appeals
    • Loss of time credits
    • Enrollment escalation requests (call center resolution form)
    • Vendor file approvals
    • Vendor discrepancy reports
  • Evaluate legal documents such as divorce decrees, marriage certificates, birth certificates, etc. to determine dependent eligibility according to Plan rules
  • Process payments for health & welfare coverage
  • Request missing information from members
  • Process eligibility escalations within 24 hours and call back members with updates, as needed
  • Work with the pension department to ensure H&W deduction amounts are correct and properly set up for retired members and surviving spouses
  • Responsible for class code and coverage changes when member's status changes, such as adding/terming dependents, disability, retirement, or death
  • Understand Medicare rules and regulations to determine eligibility for Medicare benefits and update coordination of benefits in appropriate systems
  • Verify and maintain employee demographic information, such as member or dependent address, contact numbers, birth date, social security number, or MBI number
  • Comment system with appropriate updates based on documentation received
  • Review and approve any plan changes, such as H&W rate changes, eligibility rule changes, or benefit changes with a vendor
  • Meet daily/weekly quota requirements set by management team
  • Update Redbook when necessary; within 24-48 hours of change notification
  • Be knowledgeable of policies, procedures, and coverage of various funds
  • Regular and predictable attendance is an essential function of this job

Qualifications - Excellent multi-tasking skills are a must.
Preferred Qualification - Spanish speaking.
Education and/or Experience - High school diploma or GED and one year of eligibility experience.
Language Skills - Must speak clearly and professionally. Ability to understand directions and follow them to completion of requested task.
Mathematical Skills - General math skills.
Reasoning Ability - Ability to apply common sense to carry out detailed written or verbal instructions.
Work Environment - Fast-paced department. Must be able to work independently as well as in a team, must be able to multi-task and detailed oriented.
Work Schedule - Full time. Monday - Friday, 7:30am - 4:30 pm. Requires in-office days but also offers at-home flexibility after 90 days.
Competitive Benefits and Compensation Package
  • 12 paid holidays
  • Paid Time Off (PTO)
    • Pro-rated during first year of employment
    • 15 days of PTO provided in the next calendar year!
  • 3 days paid bereavement
  • Up to 20 days paid jury leave
  • Medical, dental, and vision insurance, with option for dependent coverage
  • Company-paid basic life, short-term disability, long-term disability, and AD&D insurance
  • 401k with employer match
  • Tuition reimbursement program
  • Career development opportunities
  • Referral bonus for all successful full-time referrals
  • Annual opportunities for increases

Pay - The pay for this position is $23.00 an hour. Actual salary is dependent on skills, experience, education, and other business factors.
Our Culture
BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.
Our culture focuses on three core values:
  • Collaboration: working together across 31 locations to achieve the best for the company and our clients
  • Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
  • Integrity: doing what we say we will do. Upholding strong ethical and moral principles

ADA & EEO
Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.

What BeneSys employees say

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About BeneSys

Sourced by ZipRecruiter

Industry

Insurance and employee benefit funds

Company size

501 - 1,000 Employees

Headquarters location

Troy, MI, US

Year founded

1979