SCCMHA JOB VACANCY ANNOUNCEMENT
CLASSIFICATION: Claims Processor
PAY GRADE: $21.85 - $25.69 Hourly
POSITION SUMMARY:
Under the general supervision of the Chief of Network Business Operations, this position will have the primary responsibility of processing provider network and hospital claims for payment. This position requires claims coordination of benefits (COB) experience ensuring all third-party insurance carriers have been appropriately billed prior to Saginaw County Community Mental Health Authority (SCCMHA) claims payment. The tasks of this position have monthly claims batch payment deadlines, which are coordinated with the other staff within the accounting department. This position must maintain current knowledge of regulations pertaining to approved CPT/HCPCS and Revenue Codes, methods of billing, and procedures related to Medicaid/Medicare and various unique Commercial Insurance reimbursements rules. This position will be knowledgeable about and actively support culturally competent recovery based practices; person centered planning as a shared decision making process with the individual, who defines his/her life goals and is assisted in developing a unique path toward those goals; and a trauma informed culture of safety to aid consumer in the recovery process.
WORKING CONDITIONS/ENVIRONMENT:
Works in office environment with usual pressures of time constraints and stress of long periods of computer use. Performs daily data entry of confidential financial data for individuals suffering from mentally ill or developmentally disabled.
QUALIFICATIONS:
Education: Associate Degree with healthcare related courses required. Medical terminology and medical billing college level courses required.
Experience: Three (3) years of healthcare claims processing (including coordination of benefits) experience required.
Licenses and Certifications: Valid Michigan Driver’s license with a good driving record.
