drjobs Medical Biller Patient Accounts Full Time

Medical Biller Patient Accounts Full Time

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1 Vacancy
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Job Location drjobs

Grand Rapids, MI - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Cost Center

Patient Accounts

Scheduled Weekly Hours

40

Work Shift

First Shift (United States of America)

Shift & Status

Who Are We

We at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest nonprofit behavioral health system in the country our 220acre main campus and our network of clinical sites across Michigan. We are a tightknit community of healers who witness the impact of our lifechanging work each day.

Each day we are closing the gaps in access to care. We are innovating through leadingedge research testing programs and treatment modalities that others replicate across the country. Our services include a stateoftheart psychiatric urgent care center and a soontobebuilt pediatric behavioral health center outpatient inpatient partial hospitalization (day programs) assessment and testing residential addiction treatment and specialty services such as crisis response employee assistance programs forensic psychiatry and psychology and neuromodulation. Onthejob educational programs for nurses psychologists advanced practice providers psychiatrists and chaplains are equipping the next generation of care providers.

We are passionate about serving and are honored to be a part of this incredible work.

What Will You Do

As a Medical Biller at Pine Rest youll be part of tightknit team that believes in the healing power of your expertise and Medical Biller according to general directives and established departmental and or Pine Rest Christian Mental Health Services policies and procedures independently performs administrative duties related to billing to include but not limited compiling data generating claims for services rendered and compiling fees and charges. The Medical Biller isdedicated to excellent customer service enthusiastic about the care we offer and foster a sense of belonging and empowerment in a diverse workplace.

Principal Duties and Responsibilities:

  • Ensures the accuracy and completeness of patient financial insurance and demographic patient information to ensure compliant claims to Third party payers.

  • Submit claims to payers assuring claims meet the clean claim definition to assure timely and accurate payment.

  • Maintain knowledge of payer regulations contracts and billing requirements and act as a resource to clinical sites regarding these requirements.

  • Contact insurance companies to obtain preauthorization (in some departments) resolve outstanding balances incorrect payments claim denials or information needed to adjudicate claims.

  • Work with clinical areas to resolve rejections and determine collectability or need for adjustment.

  • Process payment/claim resolution documents making determinations on balances based on contractual arrangements and insurance coverage.

  • Review insurance credits and take appropriate steps to resolve credit.

  • Maintains quality and productivity standards set by management.

  • Documents all account activity in the account notes.

What Does This Role Require

Education/Experience:

  • High School diploma or equivalent required.

  • Six months experience in related field required experience in healthcarerelated field preferred.

  • Knowledge of Medical terminology and/or healthcare revenue cycle experience preferred.

  • Work requires the ability to read understand and follow directions and do computations.

Benefits:

  • Medical dental vision & life insurance plans

  • 403(b) retirement match contribution by Pine Rest

  • Generous PTO for full and part time employees

  • Tuition assistance & loan forgiveness

  • Employee Assistance Program offering many free and discounted services for therapy legal accounting gym membership etc.

  • Partnership with Davenport University provides generous discount on tuition for employees and family members.

Notice:

Pine Rest provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

All new employees are subject to a criminal background check and education verification which may include sending a copy of your high school diploma GED or college transcripts.

Successful completion of a drug screen prior to employment is also part of our background process.

Pine Rest Christian Mental Health Services requires all employees to receive the COVID19 vaccinations subject to certain exclusions. Pine Rest is committed to granting reasonable accommodations in accordance with applicable laws.

Employment Type

Full-Time

Company Industry

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