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Shift and Status

Full time, 8:00 a.m. to 5:00 p.m.

Monday to Friday, Hybrid

Job Summary

Responsible for submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The biller must review and verify the accuracy of patient information, codes, and charges, as well as resolve any issues or denials. The biller must also communicate with patients, providers, and insurance companies to ensure timely and accurate reimbursement.

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 and payment transactions and documentation.

+ Update and verify patient demographics, insurance information, and eligibility.

+ Report and resolve any discrepancies, errors, or irregularities in billing processes.

+ Keep abreast of billing regulations, policies, procedures, and industry standards.

+ Communicate professionally with patients, providers, and insurers to address billing questions and disputes.

+ Process payments, adjustments, and refunds.

+ 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.

+ Follow up and resolve patient and physician office inquiries.

+ 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

+ 2 years of relevant experience

+ Excellent communication, customer service, and problem solving skills.

Preferred

+ Associate’s degree

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 (https://careers.corewellhealth.org/us/en/benefits-new) .

+ 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 - 4700 60th St - Grand Rapids

Department Name

PFS Patient Liability Support

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 5:00 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

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 for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.