Claims Processing Clerk jobs in Muskegon, MI

Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing 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 Processing Clerk jobs

O
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
  • 10 Days Ago
Apply this Job
O
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...
  • 14 Days Ago
Apply this Job
M
CLAIMS SUPERVISOR
  • Muskegon County, MI
  • Muskegon, MI FULL_TIME
  • A Claims Supervisor, under the general direction of the HealthWest Revenue Cycle Manager, supervises reimbursement and Managed Care Organization (MCO) staff and monitors payments of outside vendor inv...
  • 5 Days Ago
Apply this Job
M
CLAIMS SUPERVISOR
  • Muskegon County
  • Muskegon, MI FULL_TIME
  • A Claims Supervisor, under the general direction of the HealthWest Revenue Cycle Manager, supervises reimbursement and Managed Care Organization (MCO) staff and monitors payments of outside vendor inv...
  • 7 Days Ago
Apply this Job
A
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...
  • 2 Months Ago
Apply this Job
H
ORDER PROCESSING SPECIALIST
  • Howmet Aerospace
  • Whitehall, MI FULL_TIME
  • Howmet Aerospace is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. The Company’s primary businesses focus on jet engine components, aerospa...
  • 1 Day Ago
Apply this Job
View All Claims Processing Clerk Jobs
Salary Company Skills How To Become Job Openings
Filters

Clear All
Filter Jobs By Location
  • Filter Jobs by companies
  • More
Salary Company Skills How To Become Job Openings

0 Claims Processing Clerk jobs found in Muskegon, MI area

W
Insurance Sales Representative (Work from Home)
  • Western & Southern Financial Group
  • Fremont, MI
  • Overview: The licensed sales representative will sell Gerber Life Insurance products direct to consumer from various lea...
  • 5/6/2024 12:00:00 AM
Apply this job
G
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 ...
  • 5/6/2024 12:00:00 AM
Apply this job
I
Personal Lines Client Advisor (Linkfield & Cross Agency & Devries Agency of Caledonia)
  • IMA Financial Group, Inc.
  • Grand Rapids, MI
  • What Youll Do: Supports and demonstrates IMA Selects core values Values and understands the importance of diversity, equ...
  • 5/6/2024 12:00:00 AM
Apply this job
O
Claims and Billing Clerk
  • Ottawa County, MI
  • Holland, MI
  • Under the direction of the Provider Compliance and Claims Supervisor, gathers and applies information needed to process ...
  • 5/4/2024 12:00:00 AM
Apply this job
M
CLAIMS SUPERVISOR
  • Muskegon County
  • Muskegon, MI
  • Description of Work A Claims Supervisor, under the general direction of the HealthWest Revenue Cycle Manager, supervises...
  • 5/4/2024 12:00:00 AM
Apply this job
B
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...
  • 5/3/2024 12:00:00 AM
Apply this job
O
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...
  • 5/2/2024 12:00:00 AM
Apply this job
C
Sales Agent
  • Confidential
  • Wyoming, MI
  • Are you passionate about delivering exceptional customer service and making a positive impact on people's lives? Are you...
  • 5/2/2024 12:00:00 AM
Apply this job
View All Claims Processing Clerk Jobs

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 jobs
$35,385 to $42,787
Muskegon, Michigan area prices
were up 1.3% from a year ago
View detail