Biller

Join our exceptional billing team on a journey toward financial health As a vital member, you'll process inpatient and outpatient claims, ensuring precise payments from insurance companies. Your expertise in payer regulations will be crucial in optimizing reimbursements and maintaining seamless cash flow. With clear communication and careful analysis, you'll exceed audit expectations and swiftly resolve claims, particularly focused on Blue Cross Blue Shield denials. We are seeking someone with positive and uplifting energy to join our team. Step into the heart of billing excellence, where precision meets passion, and become a valued member of our dedicated team committed to financial vitality.

**Job Summary**:
Processes inpatient and outpatient claims to insurance companies, employers and patients. Follows claims through the payment cycle to insure timely and accurate payment by third party payers. Maintains an in-depth knowledge of payer regulations and reimbursement methodologies to assure accurate reimbursement.

**Essential Functions**:

- Processes patient and insurance payments to maintain timely cash flow and accurate account balances. Meets audit expectations, as determined by department.
- Analyzes assigned accounts receivable portfolio and take appropriate action to ensure compliant, timely claim resolution.
- Ensures payer and governmental agency regulatory and compliance requirements are consistently followed and applied.
- Identify, verify, communicate and monitor applicable AR trends and issues. Identify and trouble shoot issues that impact claim processing delays.
- Demonstrates professional communication, including verbal and written.
- Adheres to department and role-specific policies, procedures and key-metrics.

**Qualifications**:
Required
- High School Diploma or equivalent
- 2 years of relevant experience

Preferred
- Associate's Degree related field

**Primary Location**

SITE - 4700 60th St - Grand Rapids

**Department Name**

PFS Professional Billing

**Employment Type**

Full time

**Shift**

Day (United States of America)

**Weekly Scheduled Hours**

40

**Hours of Work**

8 a.m. - 4:30 p.m.

**Days Worked**

Monday to Friday

**Weekend Frequency**

N/A
- 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._