GENERAL SUMMARY:
Under the guidance of the Claims Consultant, Senior Claims Consultants, Senior Claims Managers, Director of Insurance, and Vice President; is responsible for the coordination of activities and personnel functions related to billing activities, related to worker compensation claims, insurance verification and claims loss history for HFHS employed physicians as well as non-employed ONIKA insured physicians. Provides support to all team members in both the Professional Liability and Worker Compensation areas of the department.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
Daily monitoring of department mailbox.
Respond to and provide insurance verification requests from both within and outside HFHS.
Processes monthly outside attorney billing requests.
Manages subpoenas served on HFHS and providers.
Functions as a departmental liaison between staff, administration, various departments, and patients to provide customer service, address issues, and direct them to the appropriate individual within or outside the department.
Maintain departmental equipment and office supplies.
Creates the monthly Claims and Adjudication summary booklet for distribution to committee members.
Assisting staff members in the creation of Power Point presentations on an as needed basis.
Performs other related duties and special projects as assigned.
EDUCATION/EXPERIENCE REQUIRED:
Associate's degree in business related field or approximately two (2) years of progressively more responsibility related to the insurance verification field in lieu of degree.
Two (2) years of experience working in an office setting, preferably in workers compensation, legal, or other type of business setting.
Ability to compose, edit, and proof both routine and non-routine reports.
Draft correspondence.
People skills necessary to effectively communicate and provide customer service to people from various social-economic backgrounds.
Proficient with Microsoft Office.
Must have analytical and critical thinking skills to manage semi-complex details and exposure to confidential information.
Additional Information
Organization: Corporate Services
Department: Ascension Risk Finance
Shift: Day Job
Union Code: Not Applicable
Additional Details
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Partnering with nearly 2 million people on their health journey, Henry Ford Health provides a full continuum of services at 250 care locations throughout southeast and south central Michigan. With 33,000 valued team members, Henry Ford is also among Michigan's largest and most diverse employers. Our superior care and discoveries are powered by nearly 6,000 physicians, researchers and advanced practice providers. Learn more athenryford.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or making the employee enrollment selection experience easier, it's all about choice. Henry Ford Health has a new approach for its employee benefits program - My Choice Rewards. My Choice Rewards is a program as diverse as the people it serves. There are dozens of options for all of our employees including compensation, benefits, work/life balance and learning - options that enhance your career and add value to your personal life. As an employee you are provided access to Retirement Programs, an Employee Assistance Program (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness, and a whole host of other benefits and services. Employee's classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.
