Healthcare Claims Specialist

2 weeks ago


Lansing, Michigan, United States Michigan Farm Bureau Full time

OBJECTIVE:
To deliver expert technical assistance and serve as a liaison for the Medical Claims Unit, ensuring accurate resolution of claims.

RESPONSIBILITIES:
As a Healthcare Claims Specialist, you will:

  • Utilize computer systems for various keying tasks, including but not limited to letter drafting, log entries, time tracking, diary management, and investigation report preparation.
  • Examine medical invoices for accuracy, processing them through the applicable fee schedule when necessary, and authorize payments as appropriate.
  • Stay informed about all medical claims processing systems to ensure compliance and efficiency.

QUALIFICATIONS:
Required:

  • A high school diploma or equivalent is mandatory.
  • A valid driver’s license with a satisfactory driving record is essential.
  • Typing proficiency of 45 words per minute is required.

Preferred:

  • Some college education or coursework related to insurance or healthcare is advantageous.
  • Experience of one to three years in medical claims or the healthcare sector is preferred.
  • Familiarity with personal computers is desirable. Professional designations such as INS or AIC are a plus.

Note: Michigan Farm Bureau provides a comprehensive benefits package, including medical, dental, vision, and 401K.

PM19


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