Claims Processing Rep I - Special Programs

Aurora Health Care

Job Description
Major Responsibilities:Responsible for daily claims submissions (electronic transmittals, personal computer applications and hard copy claims) to the appropriate payer source.Communicates with patients via phone or mail to obtain additional insurance information and interacts with departments/clinics to resolve charging issues affecting the claims.Reports trends with other departments that may improve the claims submission process such as delayed coding and untimely charge application.Provides daily productivity statistics to support management analysis of receivables.Tracks medical records correspondence as it relates to claim processing.Licensure, Registration, and/or Certification Required:None Required.Education Required:High School Graduate.Experience Required:No experience required.Knowledge, Skills & Abilities Required:Good organizational ability, and communication skills (verbal and written).A basic understanding of computerized patient accounting systems.Physical Requirements and Working Conditions:Must be able to sit the majority of the workday.Occasionally lifts up to 10 lbs.Exposed to a normal office environment.Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.