Claims Rep - Clinic

Position: Claims Rep - Clinic

Location: ST. Catherine's Hospital, East Chicago, IN 46312

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.