Claims Clerk jobs in Michigan
Claims Clerk 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 verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Recently Added Claims Clerk 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
Hiring Urgently* Claims Clerk
- Aston Carter
-
Troy, MI
FULL_TIME
- Equivalent Experience This *EXCITING & ESTABLISHED* company began in Detroit, Michigan as a real estate and insurance organization formed in 1884 and continued to grow and innovate, pioneering the con...
- 28 Days Ago
MI - 1099 Property Claims Adjuster
- Copper Claims Services, Inc.
-
Balitmore, MI
FULL_TIME
- 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
- 1 Month Ago
Field Roof Inspector - Grand Rapids, MI
- Hancock Claims Consultants Technicians
-
Grand Rapids, MI
FULL_TIME
- Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at ...
- Just Posted
Field Roof Inspector - Lansing, MI
- Hancock Claims Consultants Technicians
-
Lansing, MI
FULL_TIME
- Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management. At Hancock, we are at ...
- Just Posted
Claims Clerk jobs at Popular Companies
Claims Clerk
- Crawford & Company
-
Las Vegas, NV
- Excellence In Everything We Touch Position Summary Under direct supervision, performs a variety of claim clerical suppor...
- 4/24/2024 12:00:00 AM
Claims Administrative Assistant
- United Claims Specialists
-
Miami, FL
- Job Description Job Description We are seeking a proactive and detail-oriented Claims/Administrative Assistant to join o...
- 4/24/2024 12:00:00 AM
Claims Clerk
- Tech Providers Inc.
-
Denver, CO
- Position : Claims Clerk Location: Denver, CO Candidates will have to be locally remote Duration: 2 to 3 Months Contract ...
- 4/23/2024 12:00:00 AM
Claims Clerk
- Abacus Service Corporation
-
Denver, CO
- Job Details: Job Category: Claims Job Code: Claims Clerk:BS0280 Job Title: Claims Clerk Keywords: Number of Positions: 1...
- 4/22/2024 12:00:00 AM
Claims Clerk
- Canon USA & Affiliates
-
Columbus, OH
- **Overview** The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain mi...
- 4/21/2024 12:00:00 AM
Claims Administrative Assistant
- Brandon J. Broderick, Attorney At Law
-
River Edge, NJ
- Job Description Job Description A prominent law firm based in Bergen County, NJ, is seeking an experienced Claims Admini...
- 4/21/2024 12:00:00 AM
Claims clerk
- West Valley Staffing Group
-
Hayward, CA
- Job Description Job Description About the role: 2-3 months contract – Monday to Friday (8-5) We are looking for a detail...
- 4/20/2024 12:00:00 AM
Claims Clerk
- Canon Business Process Services, Inc.
-
Columbus, OH
- Overview: The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missi...
- 4/20/2024 12:00:00 AM
About Michigan
Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Clerk jobs
$36,148 to $45,735