Claims Processing Assistant- Cardiology

Henry Ford Health System
United States, Michigan, Southfield
Feb 19, 2025
GENERAL SUMMARY Department: Cargiology Schedule: Full-time days: Monday - Friday Location: Southfield, MI Prepares and issues bills for reimbursement to individual and third party payers in an out-patient or medical office environment. Responsibilities: Prepares insurance claims for submission to third party payers and/or responsible parties. Reviews claims for accuracy, including proper diagnosis and procedure codes. Reviews claim rejections and communicates with payers to resolve billing issues. Prepares and reviews routine billing reports. Recommends process improvements based on findings. Responds to complex telephone and written inquiries from patients and/or third party payers and physician practices. EDUCATION/EXPERIENCE REQUIRED: High School diploma equivalency MINIMUM QUALIFICATIONS - 1 year of applicable cumulative job specific experience required. - *Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. Cardiology and prior authorization experience preferred. Additional Information Organization: Henry Ford Providence Hospitals Department: Heart Cardiology Consult Shift: Day Job Union Code: Not Applicable