Biller Sr

Corewell Health • Royal Oak, MI

3d • Onsite

About The Position

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.

Requirements

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

Nice To Haves

• Associate's Degree
• CRT-Revenue Cycle Representative, Certified (CRCR) - HFMA Healthcare Financial Management Association

Responsibilities

• 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.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED