Biller Senior

Shift and Status

Full time, 8:00 a.m. to 4:30 p.m.

Monday to Friday, Hybrid

Job Summary

Responsible for overseeing the billing and collection processes of a healthcare organization. They ensure that the claims are submitted accurately and timely, and that the payments are received and reconciled. They also supervise and train the billing staff, monitor the performance and compliance of the billing department, and resolve any issues or disputes with payers, patients, or providers.

Essential Functions

• Submit claims electronically or by mail to insurance companies, government agencies, or other payers
• Follow up on unpaid or rejected claims or account inquiries to resolve any issues or discrepancies.
• Monitor claim status and ensure timely and accurate reimbursement.
• Review and verify patient information, diagnosis codes, procedure codes, modifiers, and charges for accuracy and compliance.
• Follow up on denied claims and make necessary corrections or appeals.
• Maintain accurate and confidential records of billing transactions and documentation.
• Update and verify patient demographics, insurance information, and eligibility.
• Report and resolve any discrepancies, errors, or irregularities in billing processes.
• Communicate professionally with patients, providers, and insurers to address billing questions and disputes.
• Process payments, adjustments, refunds, and write-offs.
• Collaborate with other areas within revenue cycle, operations, and shared service areas to address and prioritize work efforts.
• Prepare and send statements and invoices to patients or responsible parties.
• Prepare and analyze reports on the billing, reconciliation, and collection activities, and identify and address any trends, issues, or opportunities for improvement.
• Ensure compliance with the policies and procedures of the organization, as well as the regulations and standards of the industry and the payers.
• Mentor, train, and evaluate the billing staff, and provide feedback and guidance on their performance and development.
• Handle complex or escalated billing and collection issues, and communicate effectively with payers, patients, providers, and other stakeholders.
• Stay updated on the changes and developments in the healthcare billing and coding field.
• Prepare and provide education and training to the billing staff and the providers.
• Coordinate with support teams to conduct and validate technology functions with respect to upgrades, optimizations., and new systems.
• Prepare and present information in a group setting
• Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.
• Performs other duties as assigned.

Qualifications

Required

• High school diploma or equivalent
• 5 years of relevant experience in Patient Financial Services
• Knowledge of insurance guidelines, policies and procedures.

Preferred

• Associate’s degree
• ROCC certification within 1 year

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. 

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

Oncology Administration - CH East

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

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