Claims Rep - Clinic

Position :

Claims Rep -

Clinic Location :

St. John Outpatient Center, St. John, IN 46373

Job Summary :

Under general supervision interacts daily with patients, insurances, and staff to identify and correct data errors. Performs claims processing tasks to ensure that claims are accepted in a timely manner and within payor filing windows. Tracks claim status, manages denials, initiates re-openings and appeals to maximize insurance reimbursement. Follows open issues to ensure timely resolution. Performs tasks according to baseline goals and objectives.

Education/ Experience Requirements:

High School graduate (or GED equivalent). 1-2 years insurance or medical billing experience. Physician practice setting preferred. Knowledge of medical terminology and

CPT/ICD-9

coding necessary. Comprehension of government and third party billing regulations required. Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system. Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine. Must demonstrate effective communication and problem solving skills..