• Claims Processor - Patient Financial Services

    Marshfield Clinic (Marshfield, WI)


    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!

    Job Title:

    Claims Processor - Patient Financial Services

    Cost Center:

    101651259 Prof Billing And Follow Up

    Scheduled Weekly Hours:

    40

    Employee Type:

    Regular

    Work Shift:

    Mon-Fri; 8:00 am - 5:00 pm (United States of America)

    Job Description:

    JOB SUMMARY

    The Claims Processor-Patient Financial Services (PFS) investigates held claims. Resolves and releases held claims from worklist. Completes various screens on system applications to successfully release paper and electronic claims. Interacts as necessary with coworkers to research complicated held claims, solving problems to release claims. Reports and discusses difficult problems with management for resolution and possible system enhancements. Assists department with backlogs, special projects, and performs various duties as necessary.

    JOB QUALIFICATIONS

    EDUCATION

    _For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation._

     

    **Minimum Required:** None

    **Preferred/Optional:** One year technical degree or higher education.

    EXPERIENCE

    **Minimum Required:** One year experience business office, healthcare setting, or comparable experience.

    **Preferred/Optional:** None

    CERTIFICATIONS/LICENSES

    _The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position._

     

    **Minimum Required:** None

    **Preferred/Optional:** None

     

    Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.

     

    Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.

     

    Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.