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Salary Not Disclosed
1 Vacancy
Job Description
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.
Qualifications
Required
High School Diploma or equivalent
2 years of relevant experience
Preferred
Associates Degree related field
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 topnotch 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.
Ondemand 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 RapidsDepartment Name
PFS Professional BillingEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
VariableDays Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for NonCorewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drugfree workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an onsite 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.
Employment Type
Full-Time
