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 andreceivingupdated 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 Centers (PSC) top-offenders on edit requirements for billing.

Qualifications

• Bachelors 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

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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 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.