Part Time Medical Claims Processor Jobs in Michigan

CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.

Employment Type: Part Time (40 hours every two weeks)

Shift: Week 1- Mon/Thrs 8:15am-4:45pm

Week 2-Mon/Wed/Thrs Wed 8:15am-4:45pm

Weekend Requirements: N/A
Requirements:

-High School Diploma or GED Equivalent required

-BLS through the American Heart Association

-Experience in Medical Office Front Desk / Reception preferred

Phone, Scheduling and Client Check-In:

• Greets clients in a professional manner and advises the appropriate provider of specific client issues.
• Answers the phone promptly and courteously, responding appropriately to requests and dealing with crisis calls in a timely and professional manner.
• Accurately takes and routes messages and assists callers to obtain satisfactory responses to their requests.
• Schedules clients using critical thinking skills to assign the appropriate provider and to fill open time slots.
• Contacts new clients to encourage compliance and enhance the client experience.
• Screens calls as appropriate and communicates with patients and provider offices in a professional manner.
• Registers clients accurately and efficiently.
• Completes all aspects of the check-in process, taking into consideration the client's age, financial issues and special needs.

Communication and Confidentiality:

• Participates in maintaining a confidential, safe, client focused office.
• Communicates well with clients, referral sources, families and external customers as well as with the multi-disciplinary team of providers.
• Anticipates and provides support to the providers so that providers can focus on clinical productivity.
• Assures that messages and mail are distributed in a timely/accurate manner.
• Screens calls as appropriate and communicates with clients and external customers in a professional manner.
• Assures confidential questionnaires are completed and all necessary forms are signed and scanned into the EMR.
• Responds in a timely, accurate and professional manner to referrals from physicians, courts and other professionals.

Assists with Charge Entry, Insurance Authorization and Insurance Verification:

• Contacts insurance companies for authorization and logs preauthorization/insurance information in a timely, accurate manner.
• Posts insurance information accurately and follows up with insurance problems when indicated.
• Verifies insurance either electronically or by phone and follows up related to problems and documentation requirements.
• The Medical Secretary actively collects copayments and/or payments, applies funds to the appropriate account and identifies problems to the Clinic Manager and/or Supervising Coordinator.

Medical Record Maintenance & Upkeep:

• Maintains documents and related supplies for providers and assures that they receive information in a timely manner.
• Maintains messages and documents in the EMR.
• Coordinates and processes requests for Protected Health Information, must ensure accuracy for all records and respond to requests for PHI in a timely manner. Accurately follows local, state, and federal guidelines for ROI requests.
• Assists in preparing records for Kent Records, calls for and/or returns records in a timely and accurate manner.

Quality Improvement:

• Supports the quality improvement activities of the facility and responds appropriately to change.
• Participates in learning experiences as appropriate.
• Requests supervision when needed and utilizes supervision effectively.
• Ensures compliance with policy, procedure and regulatory requirements.
• Maintains patient rights, confidentiality and ethical billing practices.
• Identifies communication needs of significant referral sources and assures that they receive information in a timely manner.
• Runs reports as required or needed, assesses data and takes action steps when indicated.

-Graduate of a Medical Administrative Assistant program preferred

-1-2 years experience in Customer Service required
-Previous experience working in a medical office setting preferred

-Previous computer experience preferred (Microsoft Office)
-Previous experience with Electronic Medical Records (EMR) and data entry preferred
-Bilingual preferred

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy