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..