Biller Sr

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

Qualifications

Required

• High School Diploma or equivalent
• 5 years of relevant experience Patient Financial Services Required

Preferred

• Associates Degree

• CRT-Revenue Cycle Representative Certified (CRCR) - HFMA Healthcare Financial Management Association

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.

#CorewellHealthCareers

• 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
• 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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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.