Biller Senior

Job Summary

Completes special projects as requested, and proposes ideas for improving day to day processes. Processes inpatient and outpatient claims to insurance companies, employers and patients. Claims are followed through the payment cycle to insure timely and accurate payment by third party payers. Maintains an in-depth knowledge of payer regulations and reimbursement methodologies to assure accurate reimbursement.

Essential Functions

• Processes patient and insurance payments to maintain timely cash flow and accurate account balances. Meets audit expectations, as determined by department.

• Analyzes assigned accounts receivable portfolio and takes appropriate action to ensure compliant, timely claim resolution.

• Ensures payer and governmental agency regulatory and compliance requirements are consistently followed and applied.

• Identify, verify, communicate and monitor applicable accounts receivable (AR) trends and issues.

• Demonstrates professional communication, including verbal and written.

• Demonstrates subject matter expertise for payer, process, technology or other department assigned function as needed

• In coordination with the department support services teams, conduct and validate technology functions with respect to upgrades and optimizations. Identifies and trouble shoots issues that impact claim processing delays.

• Adheres to department and role-specific policies, procedures and key-metrics. Takes a lead role and acts as mentor, resource, and consultant regarding department specific processes and issues.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Relocation assistance (OPTIONAL)

• Train new hires and billers

Qualifications

Required

• High School Diploma or equivalent

• 5 years of relevant experience Patient Financial Services

Preferred

• Associate's Degree

• CRCR Certification

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

Primary Location

SITE - 4700 60th St - Grand Rapids

Department Name

PFS Professional Billing

Employment Type

Full time

Shift

Variable (United States of America)

Weekly Scheduled Hours

40

Hours of Work

Variable

Days Worked

Monday to Friday

Weekend Frequency

N/A

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate