Biller Senior

Job Summary

Primary responsibilities for this position include obtaining insurance verification and authorization for E&M visits and treatments as required by third party insurance carriers, companies, and plans. Authorization & Biller will play a significant role in the accurate submission of claims so that payment is received in a timely manner. Therefore, a solid working knowledge of ICD10 CM, CPT and HCPCS codes is essential as is the submission and appeal process for healthcare related insurance claims.

Essential Functions

• Obtaining and verifying authorizations as required by insurance companies and plans by contacting the patient, when applicable, and coordinating with the financial clearance center, when appropriate.
• Daily entry & export of professional and/or facility charges in EHR databases Epic, Mosaiq and monitoring of associated work queues to facilitate charges from entry to payment.
• Works with and assists senior billers and central billing office in resolving and resubmitting denied claims. Assists with work queues logistical and /or clerical problem resolution related to the patients’ medical record, authorization, and billing issues.
• Keeps abreast of changes in authorization process, insurance policies, billing requirements, rejection, or denial codes as they pertain to claim processing and coding.
• Assists patients with questions or concerns regarding their account.

Qualifications

Required

• High School Diploma or equivalent
• 1 year of relevant experience 1-2 years’ experience working in healthcare billing and/or coding preferred with good working knowledge of ICD10-CM, CPT and HCPCs coding.
• Experience coding and/or billing in radiation oncology or comparable.

Preferred

• Two years of college or professional school.

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.

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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

• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Dearborn Hospital - 18101 Oakwood Blvd - Dearborn

Department Name

Radiation Oncology - Dearborn Hosp

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

Variable

Days Worked

Variable

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.

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