Specialist Billing Services

Patient Financial Services consists of Hospital Billing, Professional Billing, Post Acute Care Billing, Cash Applications, Patient Liability Support, Clinical Denials and Post Payment Audits, Payment Variance, Insurance Credits.  We provide billing and collection support to the organization.

This Specialist Billing Services in collaboration with the Manager will act as liaison between Corewell Health System and their Outreach Customers providing workflow guidance for the following areas: 

• Hospital Billing - primarily supports hospital facility billing, including regional hospitals, and includes payment variance and insurance credits. 
• Professional Billing - primarily supports professional physician billing.
• Cash Applications - Ensures accurate electronic payment posting as well as scanning and posting paper remittance.
• Clinical Denials and Post Payment Audits - primarily works audits from insurance companies, as well as intervening on important or high-impact appeals of denied claims. 

Our ideal candidate will be well versed in medical billing, medical coding, insurance claims and healthcare Accounts Receivable (A/R). Customer Service will be an integral part of this position as you may be asked to handle patient questions and concerns regarding billing, as well as handing off accounts to bad debt and receiving updated insurance information post-billing.

This is a system-wide position and travel will be necessary.

Scope of work

Manage and educate accounts that are considered billing top-offenders with Missing Information and valid – Advanced Benefits Notice (ABN) rates. Recover account Missing Information for records in Biller Initiated Payment (BIP) greater than thirty days old.

Essential Functions

• Monthly client visits will be conducted as part of the job responsibilities.
• Account visits will be prioritized based on Missing information/ABN status and geographic location.
• The Billing Service Specialist will be responsible for communicating the results of the client education process on Missing Information and ABN improvements to the Business Unit (BU) management teams.
• Coordinate with the BU Sales Department any collaborative client visits that may be required. Provide training to new BU Sales Representatives during Explanation of Payment (EOP) process.
• Manage and educate lab Operations and Patient Service Center’s (PSC) top-offenders on edit requirements for billing.

Qualifications

• Bachelor's Degree or equivalent Reqiored.
• Two years of relevant experience Required.

As part of the new agreement between Corewell Health and Quest Diagnostics, effective January 2026, the position will remain under Corewell Health until the anticipated completion of the new laboratory in 2027.

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 - Royal Oak Hospital - 3601 W 13 Mile Road - Royal Oak

Department Name

Corporate Admin - Laboratory

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. - 4:30 p.m.

Days Worked

Monday - 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 disabil